Singh, Swaran P., Harley, Kath and Suhail, Kausar (2013) Cultural specificity of emotional overinvolvement : a systematic review. Schizophrenia Bulletin, Volume 39 (Number 2). pp. 449-463. doi:10.1093/schbul/sbr170 ISSN 0586-7614.

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Abstract

Understanding cross-cultural aspects of emotional overinvolvement (EOI) on psychosis outcomes is important for ensuring cultural appropriateness of family interventions. This systematic review explores whether EOI has similar impact in different cultural groups and whether the same norms can be used to measure EOI across cultures. Thirty-four studies were found that have investigated the impact of EOI on outcomes across cultures or culturally adapted EOI measures. The relationship between high EOI and poor outcome is inconsistent across cultures. Attempts to improve predictive ability by post hoc adjustment of EOI norms have had varied success. Few studies have attempted a priori adaptations or development of culture-specific norms. Methodological differences such as use of different expressed emotions (EE) measures and varying definitions of relapse across studies may explain a lack of EOI outcome relationship across cultures. However, our findings suggest that the construct and measurement of EOI itself are culture-specific. EOI may not necessarily be detrimental in all cultures. The effect of high EOI may be moderated by the unexplored dimension of warmth and high levels of mutual interdependence in kin relationships. Researchers should reevaluate the prevailing concepts of the impact of family relations on the course and outcome of psychotic disorders, specifically focusing on the protective aspects of family involvement. Clinically, family interventions based on EE reduction should take cultural differences into account when treating families from different ethnocultural groups.

Item Type:	Journal Article
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > R Medicine (General)
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Systematic reviews (Medical research), Schizophrenia, Emotions -- Cross-cultural studies, Expression -- Cross-cultural studies
Journal or Publication Title:	Schizophrenia Bulletin
Publisher:	Oxford University Press
ISSN:	0586-7614
Official Date:	March 2013
Dates:	Date Event March 2013 Published
Volume:	Volume 39
Number:	Number 2
Page Range:	pp. 449-463
DOI:	10.1093/schbul/sbr170
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	20 December 2015
Date of first compliant Open Access:	20 December 2015
Funder:	British Council

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