Perceived emotions in patients with obsessive-compulsive disorder: Qualitative study

Document Type : Research Paper

Authors

1 BS. in psychology, Kashan University of Medical Sciences, Karegarnejad Hospital, Kashan, Iran

2 Associated professor of psychiatry, Kashan University of Medical Sciences, Karegarnejad Hospital, Kashan, Iran

Abstract

Introduction: Various social factors play important role in obsessive compulsive disorder (OCD). Type of behavior and emotions of family members to patient have been identified as effective factors in onset, severity and relapse of OCD. This study has been carried out to determine of family emotions to their patients.
 Materials and Methods: This is quantitative study that was performed with targeted sampling method on 10 patients with OCD. In this study, focus group method was used for gathering data. All of statements was recorded and written words by word. Data were analyzed by content analysis method.
 Results: The finding of this study show that perceived emotions of patients classify in four field such as over involvement, criticism, neglect and lack of emotional support and hostility; that this emotions was causing feeling including lack of self-confidence, the feeling of being in control, lack of privacy, lack of empathy, nervousness, guilt and hopelessness, lonely, depression, worthlessness, neglect, anxiety, self-blaming.
Conclusion: Patients' perceived emotions indicates on maladaptive reactions of family in communication of patients that these threatening patients health and failure of therapeutic outcomes, severity and relapse of OCD. Also these emotions propose of lack of family education, lack of information about of nature of psychiatric disorders, family psychopathology and abnormal communications. Therefore holding family psychoeducation as base and supplement of treatment in prevention of disorder relapse should be in attention of clinicians.

Keywords

References

  1. Cannon, Walter B. The James-Lange theory of emotion: A critical examination and an alternative theory. Am J Psychol 1927; 39: 106-24.
  2. Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse. A meta-analysis. Arch Gen Psychiatry 1998; 55: 547-52.
  3. Lobban F, Barrowclough C, Jones S. Does expresssed emotion need to be undrestsnd within a more systematic framework? Soc Psychiatr Psychiatr Epidemiol 2006; 41: 50-55.
  4. Chien WT, Chan SW. Further validation of the Chinese version of the level of expressed emotion scale for research and clinical use. Int J Nurs Stud 2010; 47(2): 190-204.
  5. Hibbs ED, Hamburger SD.Determinants of expressed emotions in families of disturbed and normal children. Journal of perceptions of their parents and the course of their illness. Br J Psychiatry 1999; 153: 344-53.
  6. Steketee G, Vannoppen B. Familyapproches to treatment for obsessive compulsive disorder. J Psychiatry 2003; 25(1): 43-50.
  7. Steketee G. Social support and treatment outcome of obsessive compulsive disorder at 9 month followup. Behavioral perceptions of their parents and course of their illness. Br J Psychiatry 1993; 153: 344-53.
  8. Scazufca M, Kuipers E. Copeing sterategies in relatives of people with schizophrenia before and after psychiatric admission. Br J Psychiatry 1992; 174(2): 154-8.
  9. Barrowclough C, Haddock G, Lowen I, Conner A, Pidliswyi J, Tracey N. Staff expressed emotion and cousal attributions for client problems on a cow security unit: an explatory study. Schizophr Bull 2001; 27(3): 517-29.
  10. Shanmugiah A, Varchese M, Khama S. Expressed emotions in obsessive compulsive disorder. Indian J Psychiatry 2002; 44(1): 14-18.
  11. Leonard HL, Swedo SE, Lenane MC, Rettew DC, Hamburger SD, Bartko JJ, et al. A 2-7 year followup study of 54 obsessive compulsive children and adolescents. Arch Gen Psychiatry 1993; 50: 429-39.
  12. Koujalgi SR, Nayak RB, Pandurangi AA, Patil NM. Family functioning in patients with obsessive compulsive disorder: A case-control study. Medical journal of Dr. D.Y. Patil University 2015; 8(3): 290-4.
  13. Bhugra D, McKenzi K. Expressed emotion across cultures. Adv Psychiatr Treat 2003; 20(4): 342-8.
  14. Wendel JS, Miklowiz DJ, Richards JA, George EL. Expressed emotion and attributions in the relative of bipolar patients:an analysis of problem-solving interactions. J Abnorm Psychiatry 2000; 109(4): 792-6.
  15. Kuipers E, Onwumere J, Bebbingtn P.Cognitive model of care giving in psychosis. Br J Psychiatry 2010; 196: 259-65.
  16. Tynes LL, Salins C, Skiba W, Wihstead Dk. A psycho- educational and support group for obsessive compulsive disorder patients and their significant others. Compr Psychiatry 1992; 33: 197-201.
  17. Chambless DL, Steketee G. Expressed emotion and behavior therapy outcome: A prospective study with obsessive compulsive and agrophobic out patients. J Consult Clin Psychol 1999; 67: 658-65.
  18. Emmekamp PMG, Delange I. Spouse involvement in the treatment of obsessional neurosis in a family setting. Aust NZJ Psychiatry 1983; 21: 341-6.
  19. Chien WT, Norman J. A randomised controlled trial of a mutual support group for family caregivers of patients with schizophrenia. Int Nurs Stud 2004; 41(6): 637-46.
  20. Beradis DD, Campandla D, Serroni N, Gambi F, Carano A, Rovere RL. Insight and percieved expressed emotion among adult outpatients with obsessive compulsive disorder. J Psychiatr Pract 2008; 14(3): 154-59.
Journal of Fundamentals of Mental Health
Volume 19, Issue 2
March and April 2017
Pages 84-89

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