RESUMEN
BACKGROUND: Expressed emotion (EE) is the attitude that the relatives show towards the illness and the person. EE is identified as a direct factor in the relapse of patients with psychological disorders. Literature on EE in anxiety disorders is limited. Role of EE in obsessive compulsive disorder (OCD) may help in better understanding of the role of social factors in OCD. AIM: To compare EE in patients with OCD and compare with controls. MATERIALS AND METHODS: The sample included 30 cases and 30 age and sex matched controls. The patients were diagnosed as having OCD using International Classification of Diseases-10 Diagnostic Criteria for Research (ICD-10 DCR) criteria. Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was used to assess severity of OCD among patients. General health questionnaire (GHQ) was used to rule out any psychiatric disorder among control population. EE was assessed in cases and controls using Family Emotional Involvement and Criticism Scale (FEICS). Chi-square test and t-test were used to assess the difference between two groups. RESULTS: OCD patients in comparison controls had significantly increased total FEICS score (P = 0.001). There was an increase in both subscales of perceived criticism (PC) with P = 0.001 and emotional involvement (EI) with P = 0.001 in patients with OCD than controls. CONCLUSION: EE are significantly increased in patients with OCD. EE should be assessed regularly in patients with OCD.
RESUMEN
BACKGROUND: Family care burden among schizophrenia and depressive disorders has not been addressed in the research. Family burden was significantly high in patient with schizophrenia except the effect on physical health of other family member. Comparing burden in these two groups may help in the psychosocial management. AIM: The aim of the study was to examine family care burden in families of schizophrenia patient and compare them with patients having depressive disorders. MATERIALS AND METHODS: One hundred family caregivers of patient with schizophrenia and 100 family caregivers of patient with depressive disorders were recruited for the study. It was cross sectional study. The patients were diagnosed as having schizophrenia (all types) and depressive disorders using International Classification of Disease-10, Classification of Mental and Behavioral Disorders, Diagnostic Criteria for Research ICD-10 DCR criteria. Pollack and Perlick scale was used to identify the key family caregivers. Patient with 2 or more than 2 years duration of illness were included in the study groups. Family burden was assessed in the both groups by using the Family Burden Interview Schedule (FBIS) of Pai and Kapur. Data was analyzed using the descriptive statistics, Chi-square test. RESULTS: Caregivers of patients with schizophrenia in comparison to depressive disorder has significantly increased mean FBIS score (P<0.001). The family burden was significantly high in family caregivers of patients with the schizophrenia except the effect on physical health of other family members. CONCLUSION: To conclude caregivers of patient with schizophrenia experience high-level of burden than the caregivers of patients with the depressive disorders.
