The relationship of expressed emotion, codependency, coping styles for family stress and the symptoms of obsessive-compulsive patients

Document Type : Original article

Authors

1 1. Behavioural Sciences Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 2. Behavioral Sciences Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 3. Behavioural Sciences Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 4. Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

5 5. Facult of Rehabilitation Scienses, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Background and Aim: This study aimed to investigate the relationship of expressed emotion, codependency and coping styles for stress and the symptoms of obsessive-compulsive patients. Material and Methods: This study included 40 patients suffered from obsessive-compulsive, which were referred to Imam Hossein hospital and several health clinics. The scale of maternal expressed emotion was assessed by Cole and KazarianLevel of Expressed Emotion Scale and Holyoake Codependency Index and Parker and Andler Coping Inventory for Stressful Situation questionnaire.
Results: Among the components of expressed emotion, subscale of disturbance and intervention P=0/013, emotional responses P=0/002 and a negative attitude towards the disease P =0/023 and total score expressed emotion by P=0/002 in relatives of patients showed a significant relationship with severity of obsession. All subscales of self-devotion P =0/041, external focus P =0/047, and the reaction P =0/039 and the total score "P =0/038" showed the same relationship with the obsession severity. Among coping styles, focused coping styles P=0/017 and the severity of the obsession showed a significant relationship.
Conclusion: Family expressed emotion, codependency and emotional coping style are related with the symptoms of obsessive-compulsive patients.

Keywords

References

  1. Kaplan H,Sadock V, Synopsis of psychiatry behavioral sciences. 2 ed. Tehran: Arjmand;2007.P.182-183. [In Persian]#
  2. Steketee G, Frost R, Boqart K. The Yale-Brown obsessive compulsive scale: interview versus self report. Behavior Research and Therapy 1996; 34: 675-684.##
  3. Rufer M, Fricke S, Karow A. Quality of life in obsessive-compulsive disorder before and after treatment. Comprehensive Psychiatry 2005; 46(6):453-9.##
  4. Chamberlain R, Blackwell D, Fineberg A, Robbins W, Sahakian J. The neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioral inhibition as candidate endophenotypic markers. Journal of Neuroscience and Bio behavioral Reviews 2005;29:399-419.##
  5. Amir N, Freshman M, Foa EB. Family distress and involvement in relatives of obsessive-compulsive disorder patients. Journal of Anxiety Disorder 2000;14: 209-217.##
  6. Van Grootheest DS, Bartels M, Cath DC, Beekman AT, Hudziak J J, Boomsma DI. Genetic and environmental contributions underlying stability in childhood obsessive-compulsive behavior. Biology Psychiatry 2007; 61: 308-315.##
  7. Renshaw KD, Steketee G, Chambless DL. Involving family members in the treatment of OCD. Cogn Behav Ther 2005; 34: 164-175.##
  8. Van Noppen B, &Steketee G. Family responses and multi-family behavioral treatment (MFBT) for obsessive compulsive disorder. Brief Treatment and Crisis Intervention 2003; 3: 231-247.##
  9. Albert U, Bogetto F, Maina G, Saracco P, Brunatto C, Mataix D. Family accommodation in obsessive–compulsive disorder: Relation to symptom dimensions, clinical and family characteristics. Journal of Psychiatry Research 2010;179:204-211.##
  10. Renshaw KD. Chambless DL, Steketee G. Perceived criticism predicts severity of anxiety symptoms after behavioral treatment in patients with obsessive-compulsive disorder and panic disorder with agoraphobia. Clin Psychol 2003;59: 411-421.##
  11. Van Noppen B,Steketee G. Testing a conceptual model of patient and family predictors of obsessive compulsive disorder (OCD) symptoms. Behavior Research and Therapy 2009; 47: 18-25.##
  12. Peris ST, Yadegar M,Asarnow R, Piacentini J. Pediatric obsessive compulsive disorder: Family climate as a predictor of treatment outcome. Consult Clin Psychol 2012;80: 255-263.##
  13. Cooper M. Applying the Codependency Model to a Group for Families of Obsessive-Compulsive People. Journal of Health Social Work 1995;20:272-284.##
  14. Whitfield CL. Codependence: our most common addition some physical, mental, emotional and spiritual perspectives. Alcoholism Treatment Quarterly 1989; 6: 19-36.##
  15. Lopez S R, Hipke K N, Polo A J, Jenkins J H, Karno M, Vaughn C, Snyder K S. Ethnicity, expressed emotion, attributions, and course of schizophrenia: Family warmth matters. Abnormal Psychology 2004;113:428-439.##
  16. Emmelkamp G, Kloek J, Blaauw E. obsessive compulsive disorders. Principles and practice of Relapse Prevention. New York: Guilford Press:1992. p. 213-234.##
  17. Geffken G, Storch E, DukeD, Monaco L, Lewin A, Goodman W. Hope and coping in family members of patients with obsessive-compulsive disorder. Anxiety Disorders2006;20:614-629.##
  18. Dehghani Sh. Expressed Emotion and Sexuality. Fundamentals of Mental Health 2003;6(19):84-91. [In Persian]##
  19. Stengler W K, Trosbach J, Dietrich S, Angermeyer M C. Experience of stigmatization by relatives of patients with obsessive compulsive disorder. Archives of Psychiatric Nursing 2004; 18(3): 88-96.##
  20. Hooly J M, Parker H A. Measuring expressed emotion: an evaluation of the shortcuts. Family Psychology 2006;20: 368-396.##
  21. Cechnickia A, Bielańska A, kiewicz H, Daren A. The predictive validity of Expressed Emotions (EE) in schizophrenia. A 20-year prospective study. Journal of Psychiatric Research 2013;2:208-214.##
  22. Wendel J S, Miklowitz D J, Richards J A, George E L. Expressed emotion and attributions in the relatives of bipolar patients: An analysis of problem-solving interactions. Abnormal Psychology 2000; 109: 792-796.##
  23. Endler N, Parker J. Multidimensional assessment of coping: A critical evaluation. Pers Soc Psychol 1990;54: 466-475.##
  24. Stengler W K, Kroll M, Matschinger H, Angermeyer MC. Quality of life of relatives of patients with obsessive-compulsive disorder. Comprehensive Psychiatry 2006; 47(6): 523–527.##
  25. Gururaj GP, Bada Math S, Reddy JYC, Chandrashekar CR. Family burden, quality of life and disability in obsessive compulsive disorder: An Indian perspective. Department of Psychiatry, National Institute of Mental Health and Neuro Sciences India, Bangalore 2008; 54(2): 91-97.##
  26. Derisley J, Libby S, Clark S, Reynolds SH. Mental health, coping and family-functioning in parents of young people with obsessive-compulsive disorder and with anxiety disorders. Clinical Psychology 2005; 44(3): 439–444.##
  27. Fuller J, Warner R. Family stressors as predictors of codependency. Genetic, Social, and General Psychology Monographs 2000;126: 5-22.##
  28. Peris T S, Bergman R L, Langley A, Chang S, McCracken J T, Piacentini J. Correlates of accommodation of pediatric obsessive-compulsive disorder: parent, child, and family characteristics. American Academy of Child and Adolescent Psychiatry 2008;47: 1173-1181.##
  29. First M B, Gibbon M, Spitzer R L, Williams J BW, Benjamin L. Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II). Washington DC: American Psychiatric Association1997.##
  30. American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders, 4th edn, DSM-IV. Washington, DC: American Psychiatric Association 1994.##
  31. Sharifi v, Asaadi M, Mohammadi MR, Amini H, Kaviani H, Semnani Y, Shabani A, Shahrivar Z, Davari-Ashtiani R, Hakim Shushtari M, Sadeqi A, Jalili Roodsari M. Reliability and functionality of the Persian version of the structured diagnostic interview for DSM-IV. Adv cog sci. 2004; 6(1,2): 10-22. [in Persian]##
  32. Goodman W K, Price L H, Rasmussen S A. The Yale-Brown Obsessive-compulsive scale (Y-BOCS), part I: Development, use and reliability. Journal of Archives of General Psychiatry1989; 46: 1006-1011.##
  33. Rajezi E S, Motaghi pour Y, Kamkari K, Zahirodin A, Jan bozorgi A. Persian version of the Yale-Brown Obsessive Compulsive Scale reliability and validity. Psychiatry and Psychology 2011;4:297-303. [In Persian]##
  34. Shokri O, Moradi A, Valiolah F, Sangari A, Ghanaee Z, Rezaee A. The role of personality traits and coping styles in mental health: causal models. Journal of Cognitive Science News 2004;1:28-38. [In Persian]##
  35. Kazarian Sh,Cole j d, The level of expressed emotion scale, A new measure of express emotion. Clinical Psychology 1988;44:392-397.##
  36. Dear E.Test retest reliability of the Holyoake Codependency Index Australian Students. Psychological Reports 2000; 94:482-484.##
  37. Sadi M. Examined the effects of living with dependent spouses, on obsessive-compulsive disorder. [Master Thesis]. Ghazvin: Faculty of Humanities Imam Khomeini International University of Qazvin;2006. [In Persian]##
  38. Lachlan A, Brian JC, Murray W E. Inventory for Stressful Situationsin a Clinically Depressed Sample: Factor Structure, Personality Correlates, and Prediction of Distress. Clinical Psychology 2003; 59(4): 423–437.##
  39. Raune D, Kuipers E, Bebbington P. Expressed emotion at first-episode psychosis: investigating a carer appraisal model. Psychiatry 2004; 184: 321-326.##
  40. Pietras T, Witusik A, Panek M, Szemraj J, Górski P. Anxiety, depression and methods of stress coping in patients with nicotine dependence syndrome. Med Sci Monit 2011; 17: 272-276.##
The Scientific Journal of Rehabilitation Medicine
Volume 4, Issue 3 - Serial Number 3
September and October 2015
Pages 138-146

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History

  • Receive Date: 20 January 2015
  • Revise Date: 09 July 2015
  • Accept Date: 23 July 2015
  • First Publish Date: 23 September 2015

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