Negative expressed emotion best discriminates families with bipolar disorder children

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art_NADER_Negative_expressed_emotion_best_discriminates_families_with_bipolar_2013.PDF (223.25 KB)
Citações na Scopus
16
Tipo de produção
article
Data de publicação
2013
Editora
ELSEVIER SCIENCE BV
DOI
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Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
BRUSCAGIN, Claudia
SANTOS, Bernardo dos
NICOLETTI, Mark
SOARES, Jair C.
Autor de Grupo de pesquisa
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Coordenadores
Organizadores
Citação
JOURNAL OF AFFECTIVE DISORDERS, v.148, n.2-3, p.418-423, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Children and adolescents with bipolar disorder (BD) live in family environments with high levels of expressed emotion (EE), conflict, and tension; as well as low maternal warmth and cohesion. These family characteristics have been evaluated in research settings using different scales. Nonetheless, empirically supported assessment instruments are not always feasible to be used in clinical settings. Our aim was to identify the best characteristics that discriminate BD families from control by building a classifier with the main characteristics found from different scales. We also built a classifier based on the adjective check-list scale (ACL) because this scale would be the most feasible one to be used in clinical setting. Methods: We evaluated 33 families of pediatric BD patients and 29 control families. Two self-report scales, ACL and the Family Environment Scale (FES), and a direct interview scale, the Psychosocial Schedule for School Age Children-Revised (PSS-R), were administered. Results: BD families presented lower positive EE and higher negative EE, less cohesion, organization, greater conflict and control; lower rate of intact family, higher maternal and paternal tension compared to control families. Both classifiers demonstrated high accuracy. The offspring's EE toward the mother was the family characteristic that best discriminated BD from control families. Limitations: Small sample size and cross-sectional design. Conclusions: Families of BD children presented altered communication and functioning. The high accuracy of the ACL-based classifier highlights a feasible scale to be used in clinical settings. Further studies assessing prognosis associated with the patterns of communication in such families are needed.
Palavras-chave
Bipolar disorder, Family, Children, Family characteristics, Expressed emotion
URI
https://observatorio.fm.usp.br/handle/OPI/2158
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/21