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The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.

Becky Band Orcid Logo, Christine Barrowclough, Alison Wearden

Health Psychology, Volume: 33, Issue: 9, Pages: 1092 - 1101

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1037/hea0000086

Abstract

Objective: Previous literature has identified the importance of interpersonal processes for patient outcomes in chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), particularly in the context of significant other relationships. The current study investigated expressed emotion (EE), examinin...

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Published in: Health Psychology
ISSN: 0278-6133 1930-7810
Published: American Psychological Association (APA) 2014
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URI: https://cronfa.swan.ac.uk/Record/cronfa67050
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spelling 2024-11-06T10:31:14.6214029 v2 67050 2024-07-09 The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome. 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC Objective: Previous literature has identified the importance of interpersonal processes for patient outcomes in chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), particularly in the context of significant other relationships. The current study investigated expressed emotion (EE), examining the independent effects of critical comments and emotional overinvolvement (EOI) in association with patient outcomes. Method: Fifty-five patients with CFS/ME and their significant others were recruited from specialist CFS/ME services. Significant other EE status was coded from a modified Camberwell Family Interview. Patient outcomes (fatigue severity, disability, and depression) were derived from questionnaire measures. Forty-four patients (80%) completed follow-up questionnaires 6-months after recruitment. Results: Significant other high-EE categorized by both high levels of critical comments and high EOI was predictive of worse fatigue severity at follow-up. High-critical EE was associated with higher levels of patient depressive symptoms longitudinally; depressive symptoms were observed to mediate the relationship between high critical comments and fatigue severity reported at follow-up. There were higher rates of high-EE in parents than in partners, and this was because of higher rates of EOI in parents. Conclusions: Patients with high-EE significant others demonstrated poorer outcomes at follow-up compared with patients in low-EE dyads. One mechanism for this appears to be as a result of increased patient depression. Future research should seek to further clarify whether the role of interpersonal processes in CFS/ME differs across different patient-significant other relationships. The development of significant other-focused treatment interventions may be particularly beneficial for both patients and significant others. Journal Article Health Psychology 33 9 1092 1101 American Psychological Association (APA) 0278-6133 1930-7810 chronic fatigue syndrome, significant others, expressed emotion, criticism 1 9 2014 2014-09-01 10.1037/hea0000086 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University 2024-11-06T10:31:14.6214029 2024-07-09T15:28:47.6105268 Faculty of Medicine, Health and Life Sciences School of Psychology Becky Band 0000-0001-5403-1708 1 Christine Barrowclough 2 Alison Wearden 3
title The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
spellingShingle The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
Becky Band
title_short The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
title_full The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
title_fullStr The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
title_full_unstemmed The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
title_sort The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Becky Band
Christine Barrowclough
Alison Wearden
format Journal article
container_title Health Psychology
container_volume 33
container_issue 9
container_start_page 1092
publishDate 2014
institution Swansea University
issn 0278-6133
1930-7810
doi_str_mv 10.1037/hea0000086
publisher American Psychological Association (APA)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 0
active_str 0
description Objective: Previous literature has identified the importance of interpersonal processes for patient outcomes in chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), particularly in the context of significant other relationships. The current study investigated expressed emotion (EE), examining the independent effects of critical comments and emotional overinvolvement (EOI) in association with patient outcomes. Method: Fifty-five patients with CFS/ME and their significant others were recruited from specialist CFS/ME services. Significant other EE status was coded from a modified Camberwell Family Interview. Patient outcomes (fatigue severity, disability, and depression) were derived from questionnaire measures. Forty-four patients (80%) completed follow-up questionnaires 6-months after recruitment. Results: Significant other high-EE categorized by both high levels of critical comments and high EOI was predictive of worse fatigue severity at follow-up. High-critical EE was associated with higher levels of patient depressive symptoms longitudinally; depressive symptoms were observed to mediate the relationship between high critical comments and fatigue severity reported at follow-up. There were higher rates of high-EE in parents than in partners, and this was because of higher rates of EOI in parents. Conclusions: Patients with high-EE significant others demonstrated poorer outcomes at follow-up compared with patients in low-EE dyads. One mechanism for this appears to be as a result of increased patient depression. Future research should seek to further clarify whether the role of interpersonal processes in CFS/ME differs across different patient-significant other relationships. The development of significant other-focused treatment interventions may be particularly beneficial for both patients and significant others.
published_date 2014-09-01T14:35:09Z
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score 11.047653

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