SynthesisSchizophrenia bulletin2013
Cultural specificity of emotional overinvolvement: a systematic review.
Synthesis in Schizophrenia bulletin, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 54 citations in OpenAlex.
- Expressed emotions and caregiving appraisals among relatives of patients with psychotic disorders: a cross-sectional study.BMC psychiatry · 2026Article
- Perceived expressed emotion in individuals with a first episode of psychosis from a south Asian background.Early intervention in psychiatry · 2024Article
- Differential correlates of criticism versus emotional overinvolvement towards patients with schizophrenia living in halfway houses or with their families.Social psychiatry and psychiatric epidemiology · 2024Article
- Family in Crisis: Do Halfway Houses Perform Better Than Families with Expressed Emotion toward Patients with Schizophrenia? A Direct Adjusted Comparison.Healthcare (Basel, Switzerland) · 2024Article
- Mindfulness-based family psychoeducation intervention for caregivers of young adults with first-episode psychosis: results at 9-month follow-up.Frontiers in psychiatry · 2024Article
- Studying the context of psychoses to improve outcomes in Ethiopia (SCOPE): Protocol paper.PloS one · 2024Article
- Article
- Caregivers' burden and schizophrenia patients' quality of life: Sequential mediating effects of expressed emotion and perceived expressed emotion.Frontiers in psychiatry · 2022Article
- Implementation of first episode psychosis intervention in India - A case study in a low-and middle-income country.SSM. Mental health · 2021Article
- Daily Encounters of Mental Illness Stigma and Individual Strategies to Reduce Stigma - Perspectives of People With Mental Illness.Frontiers in psychology · 2020Article
- Treating Schizophrenia: Open Conversations and Stronger Relationships Through Psychoeducation and Shared Decision-Making.Frontiers in psychiatry · 2020Article
- The Views of Mental Health Manager Towards the Use of a Family Work Model for Psychosis in Guangzhou, China.Community mental health journal · 2018Article
- Predictive factors for outcome in adolescents with anorexia nervosa: To what extent does parental Expressed Emotion play a role?PloS one · 2018Article
- Expressed emotion and the course of schizophrenia in Pakistan.Social psychiatry and psychiatric epidemiology · 2017Article
- Do Family Interventions Improve Outcomes in Early Psychosis? A Systematic Review and Meta-Analysis.Frontiers in psychology · 2017Review
- Perceptions of family criticism and warmth and their link to symptom expression in racially/ethnically diverse adolescents and young adults at clinical high risk for psychosis.Early intervention in psychiatry · 2015Article
- Perceptions of efficacy, expressed emotion, and the course of schizophrenia: the case of emotional overinvolvement.The Journal of nervous and mental disease · 2013Article
- The association between expressed emotion, illness severity and subjective burden of care in relatives of patients with schizophrenia. Findings from an Italian population.BMC psychiatry · 2012Article
- An Interpersonal CBT Framework for Involving Relatives in Interventions for Psychosis: Evidence Base and Clinical Implications.Cognitive therapy and researchArticle
- Expressed Emotion Research in India: A Narrative Review.Indian journal of psychological medicineReview
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Understanding cross-cultural aspects of emotional overinvolvement (EOI) on psychosis outcomes is important for ensuring cultural appropriateness of family interventions. This systematic review explores whether EOI has similar impact in different cultural groups and whether the same norms can be used to measure EOI across cultures. Thirty-four studies were found that have investigated the impact of EOI on outcomes across cultures or culturally adapted EOI measures. The relationship between high EOI and poor outcome is inconsistent across cultures. Attempts to improve predictive ability by post hoc adjustment of EOI norms have had varied success. Few studies have attempted a priori adaptations or development of culture-specific norms. Methodological differences such as use of different expressed emotions (EE) measures and varying definitions of relapse across studies may explain a lack of EOI outcome relationship across cultures. However, our findings suggest that the construct and measurement of EOI itself are culture-specific. EOI may not necessarily be detrimental in all cultures. The effect of high EOI may be moderated by the unexplored dimension of warmth and high levels of mutual interdependence in kin relationships. Researchers should reevaluate the prevailing concepts of the impact of family relations on the course and outcome of psychotic disorders, specifically focusing on the protective aspects of family involvement. Clinically, family interventions based on EE reduction should take cultural differences into account when treating families from different ethnocultural groups.
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