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Expressed emotion, medication adherence and association with disease prognosis in patients with schizophrenia at Teaching Hospital, Anuradhapura

A. Ellepola iD, C. A. Abayaweera

Sri Lanka Journal of Psychiatry 11(1): 20–25 · 2020

https://doi.org/10.4038/sljpsyc.v11i1.8225

Abstract

BackgroundHigh 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. AimsTo explore associations between high expressed emotion, treatment adherence, and the number of relapses needing admission among patients diagnosed to have schizophrenia who were managed at Teaching Hospital, Anuradhapura, Sri Lanka. MethodsA cross sectional study was conducted among a sample of 170 patients with schizophrenia and their primary caregivers. The Level of Expressed Emotion questionnaire was used to assess for high expressed emotion. ResultsFemales constituted 52% of the participants. Mean age was 40 years. Most were married, unemployed and had poor treatment adherence. Low expressed emotion was reported by 58% of the study population. The primary caregiver was most often a married female, with a mean age 51 years. Patients who experienced high expressed emotion and had poor treatment adherence had a higher number of relapses (p

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