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Expressed Emotion

Expresse Emotion refers to the extent and manner in which family members or other caregivers openly express their emotions, particularly negative emotions, towards an individual with a mental disorder or other health condition.
It is a concept used in psychiatry and psychology to understand the impact of the family environment on the course and treatment of various disorders.
Expressed Emotion encompasses both the emotional climate within the family as well as the specific behaviors and attitudes exhibited by family members.
Understanding Expressed Emotion can provide insights into the family dynamics and interpersonal relationships that may influence an individual's mental health and well-being.

Most cited protocols related to «Expressed Emotion»

Concerning the specificity of elaboration, the procedure was conducted in a few stages. In the first stage, so-called “face banks” were used, and were gathered by an agency specializing in the recruitment of actors, extras, etc.. Native Polish applicants (n = 120) aged 20–30 were chosen and invited to individual meetings: 30-min photography sessions during which the expected work results were discussed. All of the participants provided signed consent to the recruitment agency and agreed to participate in the project before arriving to the laboratory. After the meeting they were informed that if they did not want to participate they are not obligated to continue the cooperation, and none of the taken photographs will be used in the future. The meetings also aimed to choose participants who had acting experience and positive motivation toward cooperation. After this stage, 60 people were selected and invited to take part in the project.
Natural emotional expression is involuntary, and bringing it under any control requires exercises allowing activation of particular muscles. Therefore, a set of exercises based on an actor training system, the Stanislavski method (1936/1988 ), was developed. The aim was to maximize the authenticity of expressed emotions in photography session conditions. The method assumes that realistic presentation of a given emotion should be based on the concept of emotional memory as a point of focus. Thus, actors must first recall an event when he or she felt given emotion, and then recall physical and psychological sensation. Additionally, this technique includes a method of “physical actions” in which emotions are produced through the use of actions. To do so, the actor performs a physical motion or a series of physical activities to create the desired emotional response for the character. For instance, feeling and expressing sadness presumes recalling sad personal experiences as well as some physical action, e.g., sighing and holding head in hands. The training consisted of three parts: (1) Theoretical presentation about the physiology of emotion and mimic expressions and demonstration of key elements essential for gaining a desired expression. During this stage, participants were also presented the theoretical foundations concerning the creation of the set, which facilitated understanding of the authors' intentions and communication during photography sessions. (2) Training workshops taking place under supervision of the set's authors, and (3) Training and exercises “at home.” The final stage was the photography session during which photographs of practiced expressions were registered. During the sessions, participants were first allowed to focus on the given emotion (so perform exercises evoking emotion) and then show facial expression of felt emotion to the camera. No beards, mustaches, earrings or eyeglasses, and preferably no visible make-up was allowed during this stage, yet matting foundation make-up was applied to avoid skin reflections.
After gathering the photographic material, primary evaluation was conducted. Photographs with appropriate activity of muscular/facial units were selected. Facial unit activity was specified according to descriptions of the FACS (Ekman et al., 2002 ) and characteristics of visible facial changes caused by contraction or relaxation of one or more muscles (so called Action Units) during emotional expression (see Table 1 for details). At this stage, approximately 1000 photographs of 46 people were selected by our competent judges. The photographs were subjected to digital processing for format, resolution, and tone standardization. Pictures were initially cropped and resized to 1725 × 1168 pixels and the color-tone was balanced for a white background.
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Publication 2014
Character Emotions Expressed Emotion Eyeglasses Face Facial Muscles Feelings Fingers Head Memory Motivation Muscle Tissue Physical Examination physiology Reflex Skin Supervision Workshops

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Publication 2010
Adult Anger Capsule Clip Cognition Diagnosis Emotions Euphoria Expressed Emotion Eye Face Facial Recognition Fear Females Males Mental Tests Mood Norepinephrine Oxytocin Psychological Inhibition Serotonin Visual Analog Pain Scale
This study employed the LEE which consists of four factors: perceived lack of emotional support (pLES: 19 items), perceived intrusiveness (pIN: seven items), perceived irritation (pIR: seven items), and perceived criticism (pC: five items) [16 (link)]. Each item is scored on a scale from 1 to 4 (1: untrue; 2: somewhat untrue; 3: somewhat true; 4: true). The total score of the 38 items is entitled perceived expressed emotion (pEE).
In addition to the LEE, the adolescents also filled in the children’s depression inventory (CDI [18 (link)]) and the screen for child anxiety related emotional disorders (SCARED [19 (link), 20 (link)]) questionnaires.
The CDI is a 27-item questionnaire designed to assess child and adolescent depressive symptom dimensions. Each item is scored on a scale from 1 to 3 (1: untrue; 2: somewhat true; 3: true). It consists of one scale, a score total of the 27 items. The internal consistency of the CDI was good (Cronbach’s alpha = 0.89).
The SCARED is a 38-item questionnaire that measures child and adolescent anxiety symptom dimensions. The SCARED items are scored on a scale from 1 to 3 (1: almost never; 2: sometimes; 3: often). The total of the 38 item scores assesses general anxiety disorder symptoms (SCARED total score). The internal consistency of the SCARED was good (Cronbach’s alpha = 0.92).
To obtain the largest possible number of complete cases entering in subsequent analyses, missing item values for all three questionnaires were first substituted by their relative mean [21 ]. Remaining missing scale scores were estimated within the structural equation modeling computer program (AMOS [22 ]).
Publication 2007
Adolescent Anxiety Anxiety Disorders Child Depressive Symptoms Emotions Expressed Emotion
We followed the Meta-analysis of Observational Studies in Epidemiology guidelines (see supplementary table S1).10 (link) Search terms regarding exposure to adversity were chosen based on the most widely studied types of traumatic experiences in the psychosis literature and represented overall exposure, physical, emotional and sexual abuse, physical and emotional neglect, bullying, and parental death. A systematic database search from 1906 up to 2011 was performed on PsychINFO, PubMed, EMBASE, and Web of Science using the following search themes: (“child abuse”; “physical abuse”; “sexual abuse”; “psychological abuse”; “emotional abuse”; neglect*; trauma*; advers*; maltreat*; bully*; bullied; victim*; “expressed emotion”; “communication deviance”; “parental loss”; separate*; discrimination) combined with psychosis-related search terms (ie, psychosis; psychoti*; schizo*; hallucinat*; delusion*; paranoi*) using the Boolean operator “and.” Medical Subject Headings (MeSH) were used to further expand the results of the database search, to identify all relevant studies (table 1 and supplementary table S2). The present analysis focused exclusively on childhood trauma (defined as sexual abuse, physical abuse, emotional/psychological abuse, neglect, parental death, and bullying). Other psychosocial adversities included in the original search (parental communication deviance, expressed emotion and discrimination) were not eligible for the present analysis.
The following steps were taken to identify all relevant studies and reduce file drawer effects (publication bias due to the likelihood of studies being published depending on the statistical significance of their results): (1) electronic databases were searched for relevant unpublished material (eg, conference articles) from the year 2000 onward; (2) the database search was extended to reports published in Dutch, French, German, Italian, Portuguese, and Spanish; (3) the authors of all eligible reports were contacted and invited to send any relevant unpublished reports (see supplementary table S3); and (4) the reference lists and citations of eligible articles were examined to identify any eligible report not previously located through the database search (forward- and backward tracking of literature).
Publication 2012
Abuse, Child Abuse, Emotional Abuse, Physical Conferences Delusions Discrimination, Psychology Emotions Expressed Emotion Hispanic or Latino Parent Physical Examination Psychotic Disorders Sexual Abuse Wounds and Injuries
This study used a randomized controlled pretest, posttest control group design with a 3-month follow-up to compare the effectiveness of the CFIMA to usual care in CMHCs with Mexican American Spanish-speaking families. This design was anticipated to provide a fair test of the cultural modification hypothesis—that the integration of cultural components into a family-based approach would improve its effectiveness for Mexican American families and clients compared to the usual care condition that does not purposively and centrally incorporate culture.
A total of 63 dyads (client–family member) were randomly assigned to either the CFIMA or usual care for 6 months. Prior to the beginning of the intervention, four dyads withdrew from the study (two moved to Mexico and two moved out of the area and discontinued services). Data were collected from a total of 59 dyads (26 in the intervention and 33 in the usual care condition). Client and family assessments were conducted in both conditions at baseline, poststudy (6 months for usual care), and 3-month follow-up. Family-level outcomes encompassed knowledge of the illness, family burden, family well-being, family warmth, expressed emotion, coping, social support, cultural concepts domains, and treatment satisfaction. Client-level outcomes included symptom severity, quality of life, family warmth, medication compliance, and service use. In addition, qualitative in-depth interviews were conducted with a selected number of dyads and poststudy focus groups were conducted with CFIMA participants.
Customary community care for clients with schizophrenia typically consists of ongoing medication services (at minimum) and an array of psychosocial services that range from case management, family, individual, and group treatment, referrals and linkage. Providers in both conditions were bilingual clinicians. For the CFIMA intervention, three Master-level Latino bilingual social workers of Mexican origin volunteered and were trained and supervised by the first author during the course of the study.
We conducted two CFIMA multifamily intervention groups (16 sessions each with booster sessions for family members missing more than 2 sessions) in the intervention phase. Two postintervention focus group sessions with family participants were conducted within 1 month after each group ended (a total of four focus groups with 92% of 26 family members attending). We completed 14 poststudy qualitative in-depth 2-hr interviews with family members from the intervention group.
Publication 2010
Case Management Childbirth Cultural Evolution Expressed Emotion Family Member Hispanic or Latino Latinos Mexican Americans Pharmaceutical Preparations Satisfaction Schizophrenia Secondary Immunization

Most recents protocols related to «Expressed Emotion»

For patients with PBD, clinical variables were collected through the Kiddie-Sads Present and Lifetime Version (K-SADS-PL),46 Children’s Depression Rating Scale-Revised (CDRS-R),47 (link) and Young Mania Rating Scale (YMRS).48 (link) Both groups were assessed using the K-SADS-PL,46 to investigate the presence or absence of psychiatric conditions; the Wechsler Abbreviated Scale of Intelligence (WASI)49 ; and a structured baseline interview for demographic and clinical assessments.
Both groups underwent the same protocol to assess EF, emotion processing, and family environmental factors. EF were assessed using the Barratt Impulsiveness Scale (BIS-11),50 Conners’ Continuous Performance Test (CPT-II),51 and Wisconsin Cards Sorting Test (WSCT).52 (link) Emotion processing was assessed using the Emotion Recognition Test-Facial Emotion Recognition Test (PENNCNB ER-40) component of the University of Pennsylvania Computerized Neurocognitive Battery. Family environmental factors were assessed in both groups using the Expressed Emotion Adjective Checklist Questionnaire (EEAC).53 (link)
Publication 2023
Carnitine Palmitoyltransferase II Child Emotions Expressed Emotion Facial Emotion Recognition Impulsive Behavior Mania Mental Disorders Patients Sadness Wechsler Scales
We recruited 20 male participants for this study (mean age = 25.19 years, SD = 4.08, range = 19–34, all right-handed); the sample size was based on previous fast periodic auditory stimulation studies (e.g., [49 (link)]). We only included male participants to avoid gender effects in the recognition of vocally expressed emotions [51 (link)]. All subjects reported intact hearing ability, which was confirmed by pure tone audiometry (average PTA hearing loss below 25 dB HL for every participant). Subjects were Dutch native speakers and received a monetary reward for participating. No one reported any history of psychiatric or neurological disorders. Before the start of the experiment, all subjects signed an informed consent form approved by the Medical Ethics Committee UZ/KU Leuven (reference S62969).
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Publication 2023
Acoustic Stimulation Audiometry, Pure-Tone Ethics Committees Expressed Emotion Gender Hearing Impairment Males Nervous System Disorder

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Publication 2023
CREB3L1 protein, human Emotions Expressed Emotion Happiness Homo sapiens Intracisternal A-Particle Elements N-(4-aminophenethyl)spiroperidol
This section briefly describes the datasets such as Arabic Natural Audio Dataset (ANAD) dataset, Basic Arabic Vocal Emotions Dataset (BAVED), The Surrey Audio-Visual Expressed Emotion (SAVEE) database, and The Berlin emotional speech database (EMO-DB).
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Publication 2023
Emotions Expressed Emotion Speech
The Surrey Audio-Visual Expressed Emotion (SAVEE) database [39 ] has been recorded as a prerequisite for creating an automatic emotion identification system. Figure 2c demonstrates the distribution of emotions in the SAVEE dataset. The collection contains recordings of four male actors expressing seven distinct emotions: sadness, neutral, frustration, happiness, disgust, and anger. The dataset provided 480 British English utterances in total. The sentences were selected from the standard TIMIT corpus and balanced phonetically for each emotion. The data were recorded, analysed, and labelled using high-quality audio-visual equipment at a lab for visual media.
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Publication 2023
Anger Disgust Emotions Expressed Emotion Frustration Happiness Joints Males Sadness

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More about "Expressed Emotion"

Expressed Emotion (EE) is a concept in psychiatry and psychology that refers to the extent and manner in which family members or other caregivers openly express their emotions, particularly negative emotions, towards an individual with a mental disorder or other health condition.
This emotional climate within the family, as well as the specific behaviors and attitudes exhibited by family members, can have a significant impact on the course and treatment of various disorders.
Understanding Expressed Emotion can provide valuable insights into the family dynamics and interpersonal relationships that may influence an individual's mental health and well-being.
EE encompasses both the emotional atmosphere within the family and the specific ways in which family members communicate their feelings, such as criticism, hostility, and emotional overinvolvement.
Researchers have utilized statistical software like SPSS version 26.0 and MATLAB to analyze the impact of Expressed Emotion on various mental health outcomes.
These tools can be used to assess the relationship between EE and factors such as symptom severity, treatment adherence, and relapse rates.
By understanding the role of Expressed Emotion in the family environment, clinicians and researchers can develop more effective interventions and support strategies to improve the well-being of individuals with mental health conditions.
Related terms and concepts: Emotional Expression, Family Dynamics, Interpersonal Relationships, Mental Health Outcomes, Statistical Analysis, SPSS, MATLAB, EE Abbreviation.