Stigma and expressed emotion: A study of people with schizophrenia and their family members in China

Michael R. Phillips, Veronica Pearson, Feifei Li, Minjie Xu, Larry Yang

Research output: Contribution to journalArticle

Abstract

Background: The most damaging effect of stigma is the internalisation of others' negative valuations. Aims: To explore the factors that mediate patients' emotional and cognitive responses to stigma. Method: Based on responses to 10 open-ended questions about stigma appended to the Chinese version of the Camberwell Family Interview, trained coders rated the effect of stigma on both patients and family members in 1491 interviews conducted with 952 family members of 608 patients with schizophrenia at 5 sites around China from 1990 to 2000. Results: Family members reported that stigma had had a moderate to severe effect on the lives of patients over the previous 3 months in 60% of the interviews, and on the lives of other family members in 26% of the interviews. The effect of stigma on patients and family members was significantly greater if the respondent had a high level of expressed emotion, if the patient had more severe positive symptoms, if the respondent was highly educated and if the family lived in a highly urbanised area. Conclusions: Clinicians should assess the effect of stigma as part of the standard work-up for patients with mental illness, and help patients and family members reduce the effect of stigma on their lives.

Original languageEnglish (US)
Pages (from-to)488-493
Number of pages6
JournalBritish Journal of Psychiatry
Volume181
Issue numberDEC.
DOIs
StatePublished - Dec 1 2002

Fingerprint

Expressed Emotion
China
Schizophrenia
Interviews
Mentally Ill Persons

ASJC Scopus subject areas

  • Neuroscience(all)
  • Psychiatry and Mental health

Cite this

Stigma and expressed emotion : A study of people with schizophrenia and their family members in China. / Phillips, Michael R.; Pearson, Veronica; Li, Feifei; Xu, Minjie; Yang, Larry.

In: British Journal of Psychiatry, Vol. 181, No. DEC., 01.12.2002, p. 488-493.

Research output: Contribution to journalArticle

Phillips, Michael R. ; Pearson, Veronica ; Li, Feifei ; Xu, Minjie ; Yang, Larry. / Stigma and expressed emotion : A study of people with schizophrenia and their family members in China. In: British Journal of Psychiatry. 2002 ; Vol. 181, No. DEC. pp. 488-493.
@article{6c4233228ef04e9aa16116f130bc9f2f,
title = "Stigma and expressed emotion: A study of people with schizophrenia and their family members in China",
abstract = "Background: The most damaging effect of stigma is the internalisation of others' negative valuations. Aims: To explore the factors that mediate patients' emotional and cognitive responses to stigma. Method: Based on responses to 10 open-ended questions about stigma appended to the Chinese version of the Camberwell Family Interview, trained coders rated the effect of stigma on both patients and family members in 1491 interviews conducted with 952 family members of 608 patients with schizophrenia at 5 sites around China from 1990 to 2000. Results: Family members reported that stigma had had a moderate to severe effect on the lives of patients over the previous 3 months in 60{\%} of the interviews, and on the lives of other family members in 26{\%} of the interviews. The effect of stigma on patients and family members was significantly greater if the respondent had a high level of expressed emotion, if the patient had more severe positive symptoms, if the respondent was highly educated and if the family lived in a highly urbanised area. Conclusions: Clinicians should assess the effect of stigma as part of the standard work-up for patients with mental illness, and help patients and family members reduce the effect of stigma on their lives.",
author = "Phillips, {Michael R.} and Veronica Pearson and Feifei Li and Minjie Xu and Larry Yang",
year = "2002",
month = "12",
day = "1",
doi = "10.1192/bjp.181.6.488",
language = "English (US)",
volume = "181",
pages = "488--493",
journal = "British Journal of Psychiatry",
issn = "0007-1250",
publisher = "Royal College of Psychiatrists",
number = "DEC.",

}

TY - JOUR

T1 - Stigma and expressed emotion

T2 - A study of people with schizophrenia and their family members in China

AU - Phillips, Michael R.

AU - Pearson, Veronica

AU - Li, Feifei

AU - Xu, Minjie

AU - Yang, Larry

PY - 2002/12/1

Y1 - 2002/12/1

N2 - Background: The most damaging effect of stigma is the internalisation of others' negative valuations. Aims: To explore the factors that mediate patients' emotional and cognitive responses to stigma. Method: Based on responses to 10 open-ended questions about stigma appended to the Chinese version of the Camberwell Family Interview, trained coders rated the effect of stigma on both patients and family members in 1491 interviews conducted with 952 family members of 608 patients with schizophrenia at 5 sites around China from 1990 to 2000. Results: Family members reported that stigma had had a moderate to severe effect on the lives of patients over the previous 3 months in 60% of the interviews, and on the lives of other family members in 26% of the interviews. The effect of stigma on patients and family members was significantly greater if the respondent had a high level of expressed emotion, if the patient had more severe positive symptoms, if the respondent was highly educated and if the family lived in a highly urbanised area. Conclusions: Clinicians should assess the effect of stigma as part of the standard work-up for patients with mental illness, and help patients and family members reduce the effect of stigma on their lives.

AB - Background: The most damaging effect of stigma is the internalisation of others' negative valuations. Aims: To explore the factors that mediate patients' emotional and cognitive responses to stigma. Method: Based on responses to 10 open-ended questions about stigma appended to the Chinese version of the Camberwell Family Interview, trained coders rated the effect of stigma on both patients and family members in 1491 interviews conducted with 952 family members of 608 patients with schizophrenia at 5 sites around China from 1990 to 2000. Results: Family members reported that stigma had had a moderate to severe effect on the lives of patients over the previous 3 months in 60% of the interviews, and on the lives of other family members in 26% of the interviews. The effect of stigma on patients and family members was significantly greater if the respondent had a high level of expressed emotion, if the patient had more severe positive symptoms, if the respondent was highly educated and if the family lived in a highly urbanised area. Conclusions: Clinicians should assess the effect of stigma as part of the standard work-up for patients with mental illness, and help patients and family members reduce the effect of stigma on their lives.

UR - http://www.scopus.com/inward/record.url?scp=0036898878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036898878&partnerID=8YFLogxK

U2 - 10.1192/bjp.181.6.488

DO - 10.1192/bjp.181.6.488

M3 - Article

C2 - 12456518

AN - SCOPUS:0036898878

VL - 181

SP - 488

EP - 493

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - DEC.

ER -