Factores asociados a la Emoción Expresada familiar en la Esquizofreniaimplicaciones terapéuticas

  1. García Ramos, Paloma Roxana
  2. Moreno Pérez, Ana Isabel
  3. Freund, Namdev
  4. Lahera Forteza, Guillermo
Revista:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Año de publicación: 2012

Volumen: 32

Número: 116

Páginas: 739-756

Tipo: Artículo

Otras publicaciones en: Revista de la Asociación Española de Neuropsiquiatría

Resumen

Desde las primeras descripciones de la esquizofrenia se sospechó acerca de la contribución de la familia al establecimiento y curso de la enfermedad. En la segunda mitad del siglo XX surge el concepto de emoción expresada para referirse al estilo de comunicación prevalente dentro de una familia. La alta emoción expresada, determinada por altos niveles de criticismo, hostilidad o sobreimplicación emocional hacia el paciente, está reconocida como uno de los mejores predictores ambientales de recaída en esquizofrenia. Se han investigado posibles variables asociadas a la emoción expresada, incluidas características del paciente, familiares, de la enfermedad, cultura, etc. Las intervenciones familiares disminuyen el número de recaídas mediante la reducción de la expresión emocional, el estrés y la carga familiar. El modelo de atención comunitaria en el trastorno mental grave debe implicar el compromiso de dotar a la familia del paciente de las herramientas suficientes para afrontar la enfermedad de forma digna

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