Schizophrenia - psychological explanations Flashcards

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1
Q

Norman and Malla - stressful life events

A
  • meta-analysis
  • found that severity of symptoms over time correlated with life events suggesting that such events act as stressor for those already predisposed to schizophrenia
  • issue with measurement of stree; likelihood of reciprocal influences and inadequate assessment of symptoms
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2
Q

Horan - stressful life events

A
  • patient samples have lower levels of such events than general population
  • not the number of events important but the ability of patient being able to cope with such events
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3
Q

Day - stressful life events

A
  • cross-cultural study
  • higher rates of stressful events in 2-3 weeks preceding onset of schizophrenia
  • study demonstrates that life event methodologies originating in developed countries can be adapted for international studies and may be used to collect reasonably reliable and comparable cross-cultural data
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4
Q

Ventura and Horan - stressful life events

A
  • found that stressful life events precede the onset of symptoms
  • rather small but address causality issue rather well
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5
Q

Butzlaff - expressed emotion

A
  • meta-analysis

- 89% of studies showed significant association between EE and patient relapse

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6
Q

Bebbingtom and Kuipers - expressed emotion

A
  • patients living in situations rated as showing high EE had relapse rates of 50% whereas low EE had 21%
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7
Q

Pharaoh - expressed emotion

A
  • lower relapse rates, reduced hospital admissions and increased compliance with medication for those who used family intervention therapy
  • evidence for role of EE as training reversed the initial cause of relapse
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8
Q

King - expressed emotion

A
  • 28 participants and their mothers interviewed at 9 month intervals
  • critical comments and emotional over-involvement tended to be influenced by severity of symptoms
  • EE is an effect rather than cause
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9
Q

Vaughn and Leff - expressed emotion

A
  • 51% relapse in those in high EE homes

- 13% relapse in those in low EE homes

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