Trial reportSocial psychiatry and psychiatric epidemiology2014
Positive affect in the family environment protects against relapse in first-episode psychosis.
Trial report in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- A Systematic Review Exploring the Relationship Between Family Factors and Symptom Severity, Relapse and Social or Occupational Functioning in First-Episode Psychosis.Early intervention in psychiatry · 2025Pooled it
- Family functioning in first-episode psychosis: a systematic review of the literature.Social psychiatry and psychiatric epidemiology · 2014Pooled it
- Long-term effects of mentalization-based treatment for psychotic disorder: a 5-year follow-up of a multi-center, randomized-controlled trial.Psychological medicine · 2026Trial
- Predictors and moderators of burden of care and emotional distress in first-episode psychosis caregivers: results from the GET UP pragmatic cluster randomised controlled trial.Epidemiology and psychiatric sciences · 2019Trial
- Communication Targets and Applications for Family Members of People With Early Psychosis and Substance Use.Early intervention in psychiatry · 2025Article
- User-Centered Development of Bolster, an mHealth Intervention for Early Psychosis Caregivers: Needs Assessment, Prototyping, and Field Trial.JMIR mental health · 2023Article
- Moderated Online Social Therapy for Carers of Early Psychosis Clients in Real-World Settings: Cluster Randomized Controlled Trial.JMIR mental health · 2023Article
- Being more satisfied with romantic relationship status is associated with increased mental wellbeing in people with experience of psychosis.Frontiers in psychiatry · 2023Article
- High Expressed Emotion and Warmth among Families of Patients with Schizophrenia in Greece.Healthcare (Basel, Switzerland) · 2022Article
- Association between Parents' Relationship, Emotion-Regulation Strategies, and Psychotic-like Experiences in Adolescents.Children (Basel, Switzerland) · 2022Article
- The effects of the COVID-19 outbreak and measures in patients with a pre-existing psychiatric diagnosis: A cross-sectional study.Journal of affective disorders reports · 2021Article
- Clients' Preferences for Family Involvement and Subsequent Family Contact Patterns Within OnTrackNY Early Psychosis Services.Psychiatric services (Washington, D.C.) · 2021Article
- Article
- Expressed Emotion and Attributions in Parents With Schizophrenia.Frontiers in psychiatry · 2021Article
- Predictors of criticism and emotional over-involvement in relatives of early psychosis patients.PloS one · 2020Article
- The mechanisms and processes of connection: developing a causal chain model capturing impacts of receiving recorded mental health recovery narratives.BMC psychiatry · 2019Article
- Family processes and duration of untreated psychosis among US Latinos.Early intervention in psychiatry · 2019Article
- Perceived criticism predicts outcome of psychotherapy for panic disorder: Replication and extension.Journal of consulting and clinical psychology · 2017Article
- Psychological Flexibility as a Buffer against Caregiver Distress in Families with Psychosis.Frontiers in psychology · 2017Article
- Family Burden, Emotional Distress and Service Satisfaction in First Episode Psychosis. Data from the GET UP Trial.Frontiers in psychology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo evaluate the contribution of positive affect in the family environment to relapse in first episode psychosis.
method65 service users with a first episode of psychosis were recruited into the current study along with their key relatives. Relatives were interviewed and rated using the Expressed Emotion (EE) measure of warmth, whilst service users completed questionnaires about the positive and negative affects that they perceived from the family environment. Associations between these measures and relapse were examined in a one-year prospective design.
resultsService users were less likely to relapse within 6 and 12-month follow-up periods when their relatives were rated high on EE warmth, or when they perceived more positive affect from the family. The relationships between service users' perceived positive affect and relapse were preserved after controlling for baseline symptoms, substance use and employment status. Service users' perceptions of positive affect and EE ratings of warmth appeared to be stronger predictors of relapse outcome than criticism and other EE variables.
conclusionsPositive family environments may protect against relapse in first episode psychosis. Psychosocial interventions should aim to foster and maintain positive affect in families during the early stages of illness. Further research is needed to understand the mechanisms linking positive affect and outcomes for people recovering from psychosis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.