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The relationship of expressed emption with mental health in the families of bipolar patients

Elahe Mohammad Ebrahim


Background and aim: The high level of expressed emotion is a part of the family's negative attitude toward the patient. This study is conducted with the aim of determining the relationship of expressed emption with mental health in the families of bipolar patients. Methods: This study is a clinical trial with random sampling. 40 people were selected based on the inclusion criteria, out of which 20 were randomly assigned to the intervention group and 20 to the control group. Family training sessions were conducted in 10 sessions each week for 2 hours. In this study, the level of expressed emotion questionnaire created by Cole and Kazarian was used. The SPSS ver.24 software was used to analyze the data. Findings: In this study, the mean age of subjects obtained as 39.05 years with a standard deviation of 5.62 years. The mean age of the disease was 2.37 with a standard deviation of 0.92. Before performing statistical analysis, the natural distribution of expressed emotion score was evaluated (p = 0.001). Based on the findings, there was no significant difference in the control group between the mean scores of expressed emotions before and after the intervention (P=0.84), but there was a significant difference between the two groups in the intervention group (0.000), which indicated the impact of education in the target group. The analysis of covariance was used to investigate the difference between the sub-scales of expressed emotion. Based on the results of this analysis, we found that there is a significant difference between post educational intervention and before training.Conclusion: Psychological training is effective in reducing the level of expressed emotions in families of bipolar patients.


Expressed emotion, Mental health, Family of bipolar patients

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