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Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties: a systematic review

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Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties : a systematic review. / Cherry, Gemma ; Taylor, Peter; Brown, Stephen; Rigby, Jake; Sellwood, William.

In: Psychiatry Research, Vol. 249, 03.2017, p. 139-151.

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Cherry, Gemma ; Taylor, Peter ; Brown, Stephen ; Rigby, Jake ; Sellwood, William. / Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties : a systematic review. In: Psychiatry Research. 2017 ; Vol. 249. pp. 139-151.

Bibtex

@article{e6f6f725c5dc426bbe80662dbf43fdd4,
title = "Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties: a systematic review",
abstract = "Expressed emotion (EE) is a global index of familial emotional climate, whose primary components are emotional over-involvement (EOI) and critical comments (CC)/hostility. There is a strong theoretical rationale for hypothesising that carers{\textquoteright} guilt and shame may be differentially associated with their EOI and CC/hostility respectively. This systematic review investigates the magnitude of these theorised associations in carers of people with long-term mental health difficulties. Electronic searches (conducted in May 2016 across Medline, CINAHL, Embase, PsycINFO and ProQuest) were supplemented with iterative hand searches. Ten papers, reporting data from eight studies, were included. Risk of bias was assessed using a standardised checklist. Relevant data were extracted and synthesised narratively. EOI was positively associated with both guilt and shame, whereas CC/hostility was positively associated with shame. The strength of associations varied depending on whether or not guilt and shame were assessed within the context of the caring relationship. Based on these data, an argument can be made for the refinement, development and evaluation of systemic and individual interventions designed to target carers{\textquoteright} guilt and shame. However, more research is needed to clarify the strength of these associations and their direction of effect before firm conclusions can be drawn.",
keywords = "Emotional over-involvement;, Critical comments, Hostility, Family interventions, Systemic practice, Clinical psychology",
author = "Gemma Cherry and Peter Taylor and Stephen Brown and Jake Rigby and William Sellwood",
note = "{\textcopyright} 2017 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).",
year = "2017",
month = mar,
doi = "10.1016/j.psychres.2016.12.056",
language = "English",
volume = "249",
pages = "139--151",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties

T2 - a systematic review

AU - Cherry, Gemma

AU - Taylor, Peter

AU - Brown, Stephen

AU - Rigby, Jake

AU - Sellwood, William

N1 - © 2017 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).

PY - 2017/3

Y1 - 2017/3

N2 - Expressed emotion (EE) is a global index of familial emotional climate, whose primary components are emotional over-involvement (EOI) and critical comments (CC)/hostility. There is a strong theoretical rationale for hypothesising that carers’ guilt and shame may be differentially associated with their EOI and CC/hostility respectively. This systematic review investigates the magnitude of these theorised associations in carers of people with long-term mental health difficulties. Electronic searches (conducted in May 2016 across Medline, CINAHL, Embase, PsycINFO and ProQuest) were supplemented with iterative hand searches. Ten papers, reporting data from eight studies, were included. Risk of bias was assessed using a standardised checklist. Relevant data were extracted and synthesised narratively. EOI was positively associated with both guilt and shame, whereas CC/hostility was positively associated with shame. The strength of associations varied depending on whether or not guilt and shame were assessed within the context of the caring relationship. Based on these data, an argument can be made for the refinement, development and evaluation of systemic and individual interventions designed to target carers’ guilt and shame. However, more research is needed to clarify the strength of these associations and their direction of effect before firm conclusions can be drawn.

AB - Expressed emotion (EE) is a global index of familial emotional climate, whose primary components are emotional over-involvement (EOI) and critical comments (CC)/hostility. There is a strong theoretical rationale for hypothesising that carers’ guilt and shame may be differentially associated with their EOI and CC/hostility respectively. This systematic review investigates the magnitude of these theorised associations in carers of people with long-term mental health difficulties. Electronic searches (conducted in May 2016 across Medline, CINAHL, Embase, PsycINFO and ProQuest) were supplemented with iterative hand searches. Ten papers, reporting data from eight studies, were included. Risk of bias was assessed using a standardised checklist. Relevant data were extracted and synthesised narratively. EOI was positively associated with both guilt and shame, whereas CC/hostility was positively associated with shame. The strength of associations varied depending on whether or not guilt and shame were assessed within the context of the caring relationship. Based on these data, an argument can be made for the refinement, development and evaluation of systemic and individual interventions designed to target carers’ guilt and shame. However, more research is needed to clarify the strength of these associations and their direction of effect before firm conclusions can be drawn.

KW - Emotional over-involvement;

KW - Critical comments

KW - Hostility

KW - Family interventions

KW - Systemic practice

KW - Clinical psychology

U2 - 10.1016/j.psychres.2016.12.056

DO - 10.1016/j.psychres.2016.12.056

M3 - Journal article

VL - 249

SP - 139

EP - 151

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

ER -