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Asian Pacific Journal of Nursing

Volume 10, Issue 2, 2023
Mcmed International
Asian Pacific Journal of Nursing
Issn
XXX-XXXX (Print), 2349 – 0683 (Online)
Frequency
bi-annual
Email
editorapjn@mcmed.us
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Abstract
Title
IMPACT OF CAREGIVER’S EXPRESSED EMOTION ON RELAPSE AND MEDICATION COMPLIANCE OF PATIENTS WITH CHRONIC MENTAL ILLNESS
Author
Mrs. Jiji K.S1, Mrs. Cebi Paul2 Dr. Sheela Shenai N.A
Email
jijisukumar1993@gmail.com
keyword
Expressed Emotions, Relapse, Medication Compliance, Patients with Chronic mental illness
Abstract
The concept of expressed emotion (EE) describe the emotional climate of households. Expressed emotion is the critical, hostile and emotionally over-involved attitude of family or relatives towards a family member with a psychiatric disorder. Aims: The study was undertaken to assess the impact of caregiver’s EE on relapse and medication compliance of patients with chronic mental illness. The study also tried to find the association of expressed emotion with socio personal and clinical variables. Materials and methods: Using purposive sampling, 80 caregivers attending psychiatric inpatient and outpatient units of a tertiary care hospital in Ernakulam District were enrolled in the study. Socio-personal and Clinical proforma, David Kavanagh’s Family Attitude Scale and Kemp’s Clinician Rating Scale were used to collect the data. Number of re-admissions in the psychiatric unit were considered as relapses. Results: The results of the study showed that there is a significant association between expressed emotion and relapse of patients with chronic mental illness (p < 0.001). Also, there is a moderate negative correlation between expressed emotion and medication compliance (rs = - 0.48, p <0.001). The study also found a significant association between regularity of follow-up and expressed emotion (p <0.01). Conclusion: These findings highlight the importance of addressing EE for prevention of relapse and improving medication compliance among patients with chronic mental illness and the need for providing psycho-educational interventions for regulating EE among caregivers during hospitalization
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