A study of expressed emotion, perceived stress and socio-demographic profile in patients of dissociative disorder
DOI:
https://doi.org/10.18203/2320-6012.ijrms20203427Keywords:
Dissociative disorder, Emotional involvement, Expressed emotion, Perceived criticism, StressAbstract
Background: Dissociation is understood as one of coping mechanism to deal with intense stressors. Individuals vary widely in their subjective response to a similar stressful event depending on number of factors including their family and social support system. So, authors tried to study the expressed emotion in patients of dissociative disorder along with other socio-demographic factors and its relation with perceived stress.
Methods: This cross-sectional descriptive study was done on 100 patients with primary diagnosis of dissociative disorder. Hamilton depression rating scale (HAM-D) was used to assess comorbid Depressive symptoms and Hamilton anxiety rating scale (HAM-A) was used to asses comorbid anxiety symptoms. Perceived stress scale (PSS) was used to assess the perception of stress. Family emotional involvement and criticism scale (FEICS) was used to measure perceived criticism (PC) and intensity of emotional involvement (EI).
Results: Mean perceived stress in this study was 25.8. Mean score for perceived criticism (PC) was 16.5 and emotional involvement (EI) was 15.7. Both measures of expressed emotions were significantly higher in females and subjects belonging to joint families and rural area. In this study perceived stress by subjects was significantly (p=0.001) correlated to perceived criticism (Pearson r = 0.78) and emotional involvement (Pearson r = 0.77).
Conclusions: High perceived criticism and emotion over involvement of family member was associated with perceived stress in dissociation patients.
References
Sar V. Epidemiology of dissociative disorders: an overview. Epidemiol Res Int. 2011;2011:1‑8.
Bremner JD. Cognitive processes in dissociation: comment. Psychol Bull. 2010;136:1‑6.
Avdibegovic E. Contemporary concepts of dissociation. Psychiatr Danub. 2012;24 Suppl 3:S367‑72.
Reddy LS, Patil NM, Nayak RB, Chate SS, Ansari S. Psychological dissection of patients having dissociative disorder: a cross-sectional study. Indian J Psychol Med. 2018;40:41-6.
Irpati AS, Avasthi A, Sharan P. Study of stress and vulnerability in patients with somatoform and dissociative disorders in a psychiatriclinic in North India. Psych Clin Neurosci. 2006;60:570-4.
Singh G, Kaur D, Kaur H. Presumptive stressful life events scale (PSLES): a new stressful life events scale for use in India. Indian J Psychiatry. 1984;26:107‑14.
Butzlaff RL, Hooley JM. Expressed emotion and psychiatric relapse: a meta-analysis. Arch Gen Psychiatry. 1998;55:547-52.
Shields CG, Franks P, Harp JJ, McDaniel SH, Campbell TL. Development of the family emotional involement and critcism scale (feics): A self‐report scale to measure expressed emotion. J Marit Family Ther. 1992;18(4):395-407.
Hamilton M. A rating scale for depression. J Neurol Neurosurgpsych. 1960;23(1):56.
Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32:50-5.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Social Behavior. 1983;24:386-96.
Deka K, Chaudhury PK, Bora K, Kalita P. A study of clinical correlates and socio-demographic profile in conversion disorder. Indian J Psych. 2007;49:205-7.
Chaturvedi SK, Desai G, Shaligram D. Dissociative disorders in a psychiatric institute in India - a selected review and patterns over a decade. Inter J Social Psych. 2010;56(5):533-9.
Bagadia VN, Shastri PC, Shah JP. Hysteria: A study of demographic factors. Indian J Psych. 1973;5:179.
Vyas JN, Bharadwaj PK. A study of hysteria-AN analysis of 304 patients. Indian J Psychiatry. 1977;19:71-4.
Khattak T. Sociodemographic features, affective symptoms and family functioning in hospitalized patients with dissociative disorder (convulsion type). J Pak Med Associat. 2007;57(1):23.
Kavanagh DJ. Recent developments in expressed emotion and schizophrenia. Br J Psychiatry. 1992;160:601-20.
Krawetz P, Fleisher W, Pillay N, Staley D, Arnett J, Maher J. Family functioning in subjects with pseudoseizures and epilepsy. J Nerv Ment Dis. 2001;189:38-43.
Wood BL, McDaniel S, Burchfield K, Erba G. Factors distinguishing families of patients with psychogenic seizures from families of patients with epilepsy. Epilepsia. 1998;39:432-7.