Abstract
The Sri Lanka Journal of Psychiatry (SLJP) is a peer-reviewed, open access journal published bi annually by the Sri Lanka College of Psychiatrists.The Journal publishes original papers, brief reports including case reports and commentaries relevant to psychiatry and allied sciences. The Sri Lanka Journal of Psychiatry is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.The CoverCover “The perks of working as a psychiatrist in the periphery”. – Nilaveli beach early in the morning as captured by Dr Sumudu Godawita, Consultant Psychiatrist, Trincomalee.
Highlights
Expressed emotion (EE) describes the caregiver’s attitudes and behaviour towards a person with a mental illness and is comprised of criticism, hostility and emotional overinvolvement [1]
Mainly due to hostile attitudes towards illness, and poor medication adherence were associated with frequency of relapses in a group of Sri Lankan patients with schizophrenia
Evidence shows that patients with schizophrenia returning home from the hospital to live with a high EE family are more than twice as likely to relapse compared to patients who return home to families with low EE [1,3,4]
Summary
Expressed emotion (EE) describes the caregiver’s attitudes and behaviour towards a person with a mental illness and is comprised of criticism, hostility and emotional overinvolvement [1]. A study from North India confirmed the association between relapse of schizophrenia and high EE in the family, but only the association between hostility and relapse was statistically significant [9]. Similar evidence has emerged from Japan and Pakistan, where high EE was found to be an important predictor of relapse, with criticism and hostility being the main. High expressed emotion is a robust predictor of relapse in schizophrenia. In spite of significant involvement of the family in caring for mentally ill in Sri Lanka, studies on expressed emotion in Sri Lanka are limited
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