SynthesisFrontiers in psychiatry2021
Expressed Emotion in the Family: A Meta-Analytic Review of Expressed Emotion as a Mechanism of the Transgenerational Transmission of Mental Disorders.
Synthesis in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Smartphone-Based Mindfulness and Mentalization Ecological Momentary Interventions for Common Mental Health Problems: Pilot Randomized Controlled Trial.JMIR mental health · 2025Trial
- Beyond Words: Associations between the Maternal Emotional Environment and Children's Internalizing and Externalizing Symptoms.Scientific reports · 2026Article
- Expressed Emotion in Adolescent Suicidal Ideation: The Mediating Role of Thwarted Belongingness and Perceived Burdensomeness.Suicide & life-threatening behavior · 2026Article
- Maternal expressions of warmth and negativity and adolescent mental health: using longitudinal monozygotic twin-difference analyses to approach causal inference.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- Maternal assessments of family climate in mother-child dyads: investigating the role of maternal borderline personality disorder in mental representations.Borderline personality disorder and emotion dysregulation · 2025Article
- Expressed Emotions in Patients with Mild to Moderate Ulcerative Colitis: A Descriptive Study.Annals of neurosciences · 2025Article
- The Effects of Home Quarantine Duration, Parental Emotional Intelligence, and Family Socioeconomic Status on Children's Anxiety During the Pandemic: A Survey of 29,550 Parents.Psychology research and behavior management · 2025Article
- Cross-cultural adaptation and validation of the Chinese version of the Perceived Emotional Expression Scale for adolescents.Frontiers in psychiatry · 2025Article
- A case-control study to differentiate parents' personality traits on anorexia nervosa and affective disorders.Family process · 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
- Review
- Psychometric properties of the Chinese version of the Family Questionnaire among the caregivers of people with schizophrenia.Frontiers in public health · 2023Article
- A comparison of expressed emotion between mothers and their adolescent daughters with and without a history of nonsuicidal self-injury.Child and adolescent psychiatry and mental health · 2022Article
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Authors and funding
5 authors.
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Abstract
backgroundHigh Expressed Emotion (HEE) has been identified as a risk factor for the exacerbation and course of mental illness. EE has been investigated as a caregiver's response to an offspring's problem behavior and pathology. The present meta-analysis regards EE from a transgenerational perspective and as one mechanism that might explain the transgenerational transmission of mental disorders.
methodWe identified a total of 13 studies relying on 16 independent samples of parent-child dyads of parents with a mental illness and healthy controls; these were included in our analysis. Results were synthesized into one effect size per sample; meta-regression on additional effects of parental diagnostic category, child mental illness, and child age were also applied.
resultsParents with a mental illness are classified as HEE significantly more often. Effects were established for high criticism, albeit of small size (OR = 1.45), although they become stronger whenever offspring exhibit mental illness themselves (OR = 2.82).
conclusionThe current study highlights the dearth of studies on EE in families in which a parent has a mental illness and its effects on their children. Our findings highlight EE as a potential mechanism for attributing the transgenerational transmission of mental disorders, especially for the EE-variable criticism, indicating dysfunctional parent-child interactions. SYSTEMATIC REVIEW REGISTRATION: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42019117609, identifier: CRD42019117609.
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