School going adolescents' perception of family climate and mental problems: Results from Kocaeli, Turkey.

OBJECTIVE To investigate the association between the perception of expressed emotion and psychopathology of school-going adolescents in a non-clinical sample. METHODS The cross-sectional field study was conducted in Kocaeli, Turkey, and comprised high-school students during the 2014-15 school years. Data was collected using the Information Collection Form, Strengths and Difficulties Questionnaire and Shortened Level of Expressed Emotion Scale. SPSS 21 was used for data analysis. RESULTS Of the 487 subjects, 295(60.57%) were girls and 192(39.43%) were boys. The overall median age was 16 (inter-quartile range: 15-17 years). There were significant positive relationships between the scales in terms of emotional problems (p<0.001), behavioural problems (p<0.001), Attention-deficit/hyperactivity disorder (p<0.001), and peer relationship problems (p<0.001). There was also a negative significant relationship between pro-social behaviours and expressed emotion (p<0.001). CONCLUSIONS The concept of perceived expressed emotion in non-clinical adolescents is useful in alarming clinicians and preventing mental disorders.

[1]  R. Rienecke,et al.  Therapeutic alliance, expressed emotion, and treatment outcome for anorexia nervosa in a family-based partial hospitalization program. , 2016, Eating behaviors.

[2]  J. Nigg,et al.  Attention-deficit/hyperactivity disorder developmental trajectories related to parental expressed emotion. , 2016, Journal of abnormal psychology.

[3]  W. Hale,et al.  Mother and adolescent expressed emotion and adolescent internalizing and externalizing symptom development: a six-year longitudinal study , 2015, European Child & Adolescent Psychiatry.

[4]  D. Cicchetti,et al.  Interrelations of Maternal Expressed Emotion, Maltreatment, and Separation/Divorce and Links to Family Conflict and Children’s Externalizing Behavior , 2015, Journal of abnormal child psychology.

[5]  N. Daştan Mental Status and Related Factors in High School Adolescent Students , 2014 .

[6]  C. Liddell,et al.  The level of expressed emotion scale: a useful measure of expressed emotion in adolescents? , 2011, Journal of adolescence.

[7]  S. Salcuni,et al.  Five-Minute Speech Sample Measure of Expressed Emotion among Parents of Typically Developing Italian Children: A Pilot Study , 2011, Perceptual and motor skills.

[8]  L. Yen,et al.  Expressed emotion and its relationship to adolescent depression and antisocial behavior in northern Taiwan. , 2010, Journal of the Formosan Medical Association = Taiwan yi zhi.

[9]  J. Hooley Expressed emotion and relapse of psychopathology. , 2007, Annual review of clinical psychology.

[10]  D. Cicchetti,et al.  Expressed emotion in multiple subsystems of the families of toddlers with depressed mothers , 2004, Development and Psychopathology.

[11]  A. Caspi,et al.  Maternal expressed emotion predicts children's antisocial behavior problems: using monozygotic-twin differences to identify environmental effects on behavioral development. , 2004, Developmental psychology.

[12]  S. Hinshaw,et al.  Family dynamics and preadolescent girls with ADHD: the relationship between expressed emotion, ADHD symptomatology, and comorbid disruptive behavior. , 2003, Journal of child psychology and psychiatry, and allied disciplines.

[13]  R. Goodman,et al.  Psychometric properties of the strengths and difficulties questionnaire. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[14]  N. Tarrier,et al.  A review of expressed emotion research in health care. , 2000, Clinical psychology review.

[15]  J. Rosenbaum,et al.  Associations between expressed emotion and child behavioral inhibition and psychopathology: a pilot study. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[16]  D. Jobes,et al.  Adolescent Suicide: Assessment and Intervention , 1996 .

[17]  S. Marder,et al.  Schizophrenic patients' perceptions of their relatives' attitudes , 1995, Psychiatry Research.

[18]  P. Vostanis,et al.  Nine-month changes of maternal expressed emotion in conduct and emotional disorders of childhood: a follow-up study. , 1995, Journal of child psychology and psychiatry, and allied disciplines.

[19]  J. Leckman,et al.  Diagnostic specificity of a brief measure of expressed emotion: a community study of children. , 1993, Journal of child psychology and psychiatry, and allied disciplines.

[20]  E. Moore,et al.  Expressed Emotion in Staff Working with the Long-Term Adult Mentally Ill , 1992, British Journal of Psychiatry.

[21]  D. Miklowitz,et al.  Parental Expressed Emotion and Youth Psychopathology: New Directions for an Old Construct , 2015, Child Psychiatry & Human Development.

[22]  J. Asarnow,et al.  Depression in Childhood and Early Adolescence: Parental Expressed Emotion and Family Functioning. , 2015, Annals of depression and anxiety.

[23]  Priscilla T Chan,et al.  Maternal Depression, Maternal Expressed Emotion, and Youth Psychopathology , 2010, Journal of abnormal child psychology.

[24]  B. Baykara,et al.  Psychometric Properties of The Turkish Version of The Strengths and Difficulties Questionnaire (SDQ) , 2008 .

[25]  M. Karno,et al.  The meaning of expressed emotion: theoretical issues raised by cross-cultural research. , 1992, The American journal of psychiatry.