The effectiveness of psycho education on expressed emotion and decreasing severity of diseases in patient with obsessive compulsive disorder

Document Type : Research Paper

Authors

Abstract

The effectiveness of psycho education on expressed emotion and decreasing severity of diseases in patient with obsessive compulsive disorder. Abstract The present research aimed to examine the effectiveness of psycho education on express emotion and decreasing severity of diseases in patient with obsessive compulsive disorder. The study utilized quasi-experimental design with pretest - posttest along with control group method. The population included all of the clients referring in the summer of 1393 to the psychiatric department of Imam Hussein Hospital, in Tehran. The sample group was involved 27 OCD patients and random assigned in experimental (n=12) and Control (n=15) groups. All participants filled Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) & Level of Expressed Emotion scale (LEE), then intervention was applied to experimental group base on MultiFamily Behavioral Treatment (MFBT). The intervention was performed in eight sessions (2 hours per session) to OCD caregivers. In order to analyze data analysis covariance (ANCOVA) method was applied by SPSS v22. The research results indicated that psycho education was effective on expressed emotion and its factors: (intrusiveness, emotional response, negative attitude toward illness, Tolerance/Expectations) as well as reducing severity of OCD in patient. The findings were supported by previous studies, too. According to these findings, psycho education as an effective intervention in the treatment suggested.

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Albert, U., Bogetto, F., Maina, G., Saracco, P., Brunatto, C., & Mataix-Cols, D. (2010). Family accommodation in obsessive–compulsive disorder: Relation to symptom dimensions, clinical and family characteristics. Psychiatry research, 179(2), 204-211.
Amaresha, A. C., & Venkatasubramanian, G. (2012). Expressed emotion in schizophrenia: an overview. Indian journal of psychological medicine, 34(1), 12-20.
Cole, J. D., & Kazarian, S,.S. (1988). The level of expresses emotion scale: a new meaure of expressed emotion. Journal of clinical psychology, 44 (3), 392-397.
Cherian, A. V., Pandian, D., Bada Math, S., Kandavel, T., & Janardhan Reddy, Y. (2014). Family accommodation of obsessional symptoms and naturalistic outcome of obsessive–compulsive disorder. Psychiatry research, 215(2), 372-378.
Dehgani, Sh. (1381). The relationship between expressed emotion level and personality trait of relative's patients with psychotic disorder. Thesis master of science, Islamic Azad University(Text in Persian).
Eftekharzade, R. (2015). The effectiveness of psycho-education on expressed emotion and and decreasing severity of diseases in patient with obsessive compulsive disorder. Thesis master of science, Alzahra University(Text in Persian).
Gomes, J. B., Van Noppen, B., Pato, M., Braga, D. T., Meyer, E., Bortoncello, C. F., & Cordioli, A. V. (2014). Patient and family factors associated with family accommodation in obsessive–compulsive disorder. Psychiatry and clinical neurosciences. 68(8), 621-630.
Hosman, C., Jané Llopis, E., & Saxena, S. (2004). Prevention of mental disorders: Effective interventions and policy options: Summary report: Geneva: World Health Organization.
Haji Seyed Taghiya Taghavi, Z., Peyvastegar, M., Khosravi, Z. (2015). Comparison of perfectionism levels of maternal and parental bonding in adults with obsessive- compulsive disorder and healthy subjects. Quarterly journal of psychological studies, 11(2), 47-66(Text in Persian).
Koujalgi, S. R., Nayak, R. B., Patil, N. M., & Chate, S. S. (2014). Expressed emotions in patients with obsessive compulsive disorder: A case control study. Indian journal of psychological medicine, 36(2), 138-141.
Karamlou, S. (1387). Effectiveness of family psycho-education program on family environment improvement of severe mental disorder patients. Thesis master of science, Shahid Beheshti University, Family Institute(Text in Persian).
Lebowitz, E. R., Panza, K. E., Su, J., & Bloch, M. H. (2012). Family accommodation in obsessive-compulsive disorder. Expert Review of Neurotherapeutics, 12(2), 229-238.
McKay, D., & Andover, M. (2012). Should Nonsuicidal Self-Injury Be a Putative Obsessive-Compulsive-Related Condition? A Critical Appraisal. Behavior Modification, 36(1), 3-17.
Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive–compulsive disorder. Journal of consulting and clinical psychology, 77(2), 355-360.
Miklowitz, D. J. (2004). The role of family systems in severe and recurrent psychiatric disorders: a developmental psychopathology view. Development and Psychopathology, 16(03), 667-688.
Pace, S. M., Thwaites, R., & Freeston, M. H. (2011). Exploring the role of external criticism in Obsessive compulsive disorder: A narrative review. Clinical Psychology Review, 31(3), 361-370.
Peris, T. S., Sugar, C. A., Bergman, R. L., Chang, S., Langley, A., & Piacentini, J. (2012). Family factors predict treatment outcome for pediatric obsessive-compulsive disorder. Journal of consulting and clinical psychology, 80(2), 255-263.
Przeworski, A., Zoellner, L. A., Franklin, M. E., Garcia, A., Freeman, J., March, J. S., & Foa, E. B. (2012). Maternal and Child Expressed Emotion as Predictors of Treatment Response in Pediatric Obsessive–Compulsive Disorder. Child Psychiatry & Human Development, 43(3), 337-353.
Rajezi Esfahani, S., Motaghipour, Y., Kamkari, K., Zahiredin, A.R., & Janbozorgi, M. (2012). Reliability and validity of the persian version of the Yale-Brown obsessive compulsive scale (Y-BOCS). Iranian Journal of Psychiatry and Clinical Psychology, 17(4), 297-303(Text in Persian).
Renshaw, K. D., Chambless, D. L., & Steketee, G. (2006). The relationship of relatives’ attributions to their expressed emotion and to patients’ improvement in treatment for anxiety disorders. Behavior therapy, 37(2), 159-169.
Renshaw, K. D., Steketee, G., & Chambless, D. L. (2005). Involving family members in the treatment of OCD. Cognitive Behaviour Therapy, 34(3), 164-175.
Sadock, B. J., Kaplan, H. I., & Sadock, V. A. (2007). Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry: Lippincott Williams & Wilkins.
Smorti. M. (2012). The impact of family on Obsessive-compulsive disorders in children and Adolescents: Development, Maintenance and Family Psychological Treatment. International Journal of Advances in Psychology. 1(3), 86-94.
Steketee, G. S., & Ellis, A. W. (1993) Treatment of obsessive compulsive disorder: Guilford Press New York.
Subramaniam, M., Abdin, E., Vaingankar, J. A., & Chong, S. A. (2012). Obsessive–compulsive disorder: prevalence, correlates, help-seeking and quality of life in a multiracial Asian population. Social psychiatry and psychiatric epidemiology, 47(12), 2035-2043.
Van Noppen, B. (2002a). Multifamily behavioral treatment (MFBT) for obsessive compulsive disorder (OCD): A step-by-step model. Brief Treatment and Crisis Intervention, 2(2), 107-122.
Van Noppen, B., & Steketee, G. (2009). Testing a conceptual model of patient and family predictors of obsessive compulsive disorder (OCD) symptoms. Behaviour Research and Therapy, 47(1), 18-25.
Wearden, A. J., Tarrier, N., Barrowclough, C., Zastowny, T. R., & Rahill, A. A. (2000). A review of expressed emotion research in health care. Clinical Psychology Review, 20(5), 633-666.