Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental

Introduction. Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members toward...

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Veröffentlicht in:Salud mental (México) 2021-11, Vol.44 (6), p.277
Hauptverfasser: Cervantes, Leticia Limon, de Alba Garcia, Javier Eduardo Garcia, Monzon, Ivonne Garcia, Jaramillo, Ricardo Ignacio Audiffred, Salazar, Carlos Isaac Loza
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container_title Salud mental (México)
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creator Cervantes, Leticia Limon
de Alba Garcia, Javier Eduardo Garcia
Monzon, Ivonne Garcia
Jaramillo, Ricardo Ignacio Audiffred
Salazar, Carlos Isaac Loza
description Introduction. Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members towards the person with schizophrenia. Objective. Recognize the relationship between the cultural agreement about the symptoms of schizophrenia and EE. Method. The study had a mixed design, with a cognitive anthropology method. The sample had a probabilistic estimate based on Weller and Romney proposal, with a competence higher than 50%, a confidence level of 95%, and 5% of type I error. The 40 participants were selected with a simple randomized probability sampling, conformed by relatives of patients from the Instituto Jalisciense de Salud Mental (SALME). Results. The 45% of the sample showed a high EE according to the Questionnaire for Measuring the Level of Expressed Emotion (CEEE). A single valid cultural model with statistical significance was found, in which violence was identified as the main symptom of schizophrenia. The best-informed relatives showed a lower EE (Mann-Whitney U = 1,000, p
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Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members towards the person with schizophrenia. Objective. Recognize the relationship between the cultural agreement about the symptoms of schizophrenia and EE. Method. The study had a mixed design, with a cognitive anthropology method. The sample had a probabilistic estimate based on Weller and Romney proposal, with a competence higher than 50%, a confidence level of 95%, and 5% of type I error. The 40 participants were selected with a simple randomized probability sampling, conformed by relatives of patients from the Instituto Jalisciense de Salud Mental (SALME). Results. The 45% of the sample showed a high EE according to the Questionnaire for Measuring the Level of Expressed Emotion (CEEE). A single valid cultural model with statistical significance was found, in which violence was identified as the main symptom of schizophrenia. The best-informed relatives showed a lower EE (Mann-Whitney U = 1,000, p &lt;.001). Discussion and conclusion. Schizophrenia disorder has been associated with stigmas that generate rejection and fear. A total of 40% of the world's population believe people with schizophrenia are dangerous and violent. It must be considered opportune to reconsider the use of the term "schizophrenia", which is etymologically imprecise and supports stigmas that have excluded and defamed people with schizophrenia for more than a century. Keywords: Schizophrenia, expressed emotion, violence, cultural agreements, mental health, CEEE. Introduccion. La esquizofrenia es un trastorno mental que afecta a 21 millones de personas en el mundo, y propicia ambientes con una Emocion Expresada (EE) alta en los hogares de estos individuos. La EE alta se caracteriza por evaluaciones negativas, criticismo, control y sobreinvolucramiento de los familiares hacia la persona con esquizofrenia. Objetivo. Conocer la relacion entre el acuerdo cultural sobre los sintomas de la esquizofrenia y la EE. Metodo. El diseno fue mixto, con un metodo antropologico para estudios de antropologia cognitiva. La muestra tuvo un calculo probabilistico basado en Weller y Romney con una competencia mayor al 50%, un nivel de confianza de 95% y de error del 5%. Se seleccionaron 40 personas, con un muestreo probabilistico simple aleatorizado; todas ellas eran familiares de usuarios del Instituto Jalisciense de Salud Mental (SALME). Resultados. El 45% evidencio una EE alta segun el cuestionario-encuesta evaluacion del nivel de emocion expresada (CEEE). Se encontro un unico modelo cultural valido con significancia estadistica, en el cual la violencia fue identificada como el sintoma principal de la esquizofrenia. Los familiares mejor informados mostraron una menor EE (U de Mann-Whitney = 1.000, p &lt;.001). Discusion y conclusion. La esquizofrenia se ha asociado con estigmas que generan rechazo y miedo hacia quienes la padecen. El 40% de la poblacion mundial considera que las personas con esquizofrenia son peligrosas o violentas. Debe considerarse oportuno replantear el uso termino "esquizofrenia", el cual etimologicamente es impreciso, y sostiene estigmas que excluyen y difaman a las personas con esquizofrenia desde hace mas de un siglo. Palabras clave: Esquizofrenia, emocion expresada, violencia, acuerdos culturales, salud mental, CEEE.</description><identifier>ISSN: 0185-3325</identifier><identifier>DOI: 10.17711/SM.0185-3325.2021.036</identifier><language>eng</language><publisher>Instituto Nacional de Psiquiatria</publisher><ispartof>Salud mental (México), 2021-11, Vol.44 (6), p.277</ispartof><rights>COPYRIGHT 2021 Instituto Nacional de Psiquiatria</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Cervantes, Leticia Limon</creatorcontrib><creatorcontrib>de Alba Garcia, Javier Eduardo Garcia</creatorcontrib><creatorcontrib>Monzon, Ivonne Garcia</creatorcontrib><creatorcontrib>Jaramillo, Ricardo Ignacio Audiffred</creatorcontrib><creatorcontrib>Salazar, Carlos Isaac Loza</creatorcontrib><title>Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental</title><title>Salud mental (México)</title><description>Introduction. Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members towards the person with schizophrenia. Objective. Recognize the relationship between the cultural agreement about the symptoms of schizophrenia and EE. Method. The study had a mixed design, with a cognitive anthropology method. The sample had a probabilistic estimate based on Weller and Romney proposal, with a competence higher than 50%, a confidence level of 95%, and 5% of type I error. The 40 participants were selected with a simple randomized probability sampling, conformed by relatives of patients from the Instituto Jalisciense de Salud Mental (SALME). Results. The 45% of the sample showed a high EE according to the Questionnaire for Measuring the Level of Expressed Emotion (CEEE). A single valid cultural model with statistical significance was found, in which violence was identified as the main symptom of schizophrenia. The best-informed relatives showed a lower EE (Mann-Whitney U = 1,000, p &lt;.001). Discussion and conclusion. Schizophrenia disorder has been associated with stigmas that generate rejection and fear. A total of 40% of the world's population believe people with schizophrenia are dangerous and violent. It must be considered opportune to reconsider the use of the term "schizophrenia", which is etymologically imprecise and supports stigmas that have excluded and defamed people with schizophrenia for more than a century. Keywords: Schizophrenia, expressed emotion, violence, cultural agreements, mental health, CEEE. Introduccion. La esquizofrenia es un trastorno mental que afecta a 21 millones de personas en el mundo, y propicia ambientes con una Emocion Expresada (EE) alta en los hogares de estos individuos. La EE alta se caracteriza por evaluaciones negativas, criticismo, control y sobreinvolucramiento de los familiares hacia la persona con esquizofrenia. Objetivo. Conocer la relacion entre el acuerdo cultural sobre los sintomas de la esquizofrenia y la EE. Metodo. El diseno fue mixto, con un metodo antropologico para estudios de antropologia cognitiva. La muestra tuvo un calculo probabilistico basado en Weller y Romney con una competencia mayor al 50%, un nivel de confianza de 95% y de error del 5%. Se seleccionaron 40 personas, con un muestreo probabilistico simple aleatorizado; todas ellas eran familiares de usuarios del Instituto Jalisciense de Salud Mental (SALME). Resultados. El 45% evidencio una EE alta segun el cuestionario-encuesta evaluacion del nivel de emocion expresada (CEEE). Se encontro un unico modelo cultural valido con significancia estadistica, en el cual la violencia fue identificada como el sintoma principal de la esquizofrenia. Los familiares mejor informados mostraron una menor EE (U de Mann-Whitney = 1.000, p &lt;.001). Discusion y conclusion. La esquizofrenia se ha asociado con estigmas que generan rechazo y miedo hacia quienes la padecen. El 40% de la poblacion mundial considera que las personas con esquizofrenia son peligrosas o violentas. Debe considerarse oportuno replantear el uso termino "esquizofrenia", el cual etimologicamente es impreciso, y sostiene estigmas que excluyen y difaman a las personas con esquizofrenia desde hace mas de un siglo. Palabras clave: Esquizofrenia, emocion expresada, violencia, acuerdos culturales, salud mental, CEEE.</description><issn>0185-3325</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpNj81LAzEQxXNQsFb_BQkI3nZN9nuPpfhRafFQ9Vqm2Uk3kk3KTlbUo3-5K4oUBuYx_N7jDWMXUsSyLKW8Xq9iIas8StMkjxORyFikxRGb_B9P2CnRqxBJIZJywr5ejLfoFHIgDrwD4zh9dPvgO-41J9WaT79ve3QGOLiG4_u-RyIcVeeD8Y6Pjh4tBPOG9OMZCHviuh8TFo6CCUPw_AGsIWXQEfIG-Rrs0PAVugD2jB1rsITnf3vKnm9vnub30fLxbjGfLaNdIrMQVVWm1TjQ6BoqUUqR1zkmqc5RAVaj3G4xE6qQTY61UmlTYyVBStQyS0uVTtnlb-4OLG6M0z70oLqx1mZWVHWdlXWWjtTVAdUi2NCSt8PPq3QIfgOodXDt</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Cervantes, Leticia Limon</creator><creator>de Alba Garcia, Javier Eduardo Garcia</creator><creator>Monzon, Ivonne Garcia</creator><creator>Jaramillo, Ricardo Ignacio Audiffred</creator><creator>Salazar, Carlos Isaac Loza</creator><general>Instituto Nacional de Psiquiatria</general><scope>INF</scope></search><sort><creationdate>20211101</creationdate><title>Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental</title><author>Cervantes, Leticia Limon ; de Alba Garcia, Javier Eduardo Garcia ; Monzon, Ivonne Garcia ; Jaramillo, Ricardo Ignacio Audiffred ; Salazar, Carlos Isaac Loza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g214t-884fc4fcadf9a80710595e23f5ecae85e2bbe40c61d5e9cc3d9e81a11ef1437c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cervantes, Leticia Limon</creatorcontrib><creatorcontrib>de Alba Garcia, Javier Eduardo Garcia</creatorcontrib><creatorcontrib>Monzon, Ivonne Garcia</creatorcontrib><creatorcontrib>Jaramillo, Ricardo Ignacio Audiffred</creatorcontrib><creatorcontrib>Salazar, Carlos Isaac Loza</creatorcontrib><collection>Gale OneFile: Informe Academico</collection><jtitle>Salud mental (México)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cervantes, Leticia Limon</au><au>de Alba Garcia, Javier Eduardo Garcia</au><au>Monzon, Ivonne Garcia</au><au>Jaramillo, Ricardo Ignacio Audiffred</au><au>Salazar, Carlos Isaac Loza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental</atitle><jtitle>Salud mental (México)</jtitle><date>2021-11-01</date><risdate>2021</risdate><volume>44</volume><issue>6</issue><spage>277</spage><pages>277-</pages><issn>0185-3325</issn><abstract>Introduction. Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members towards the person with schizophrenia. Objective. Recognize the relationship between the cultural agreement about the symptoms of schizophrenia and EE. Method. The study had a mixed design, with a cognitive anthropology method. The sample had a probabilistic estimate based on Weller and Romney proposal, with a competence higher than 50%, a confidence level of 95%, and 5% of type I error. The 40 participants were selected with a simple randomized probability sampling, conformed by relatives of patients from the Instituto Jalisciense de Salud Mental (SALME). Results. The 45% of the sample showed a high EE according to the Questionnaire for Measuring the Level of Expressed Emotion (CEEE). A single valid cultural model with statistical significance was found, in which violence was identified as the main symptom of schizophrenia. The best-informed relatives showed a lower EE (Mann-Whitney U = 1,000, p &lt;.001). Discussion and conclusion. Schizophrenia disorder has been associated with stigmas that generate rejection and fear. A total of 40% of the world's population believe people with schizophrenia are dangerous and violent. It must be considered opportune to reconsider the use of the term "schizophrenia", which is etymologically imprecise and supports stigmas that have excluded and defamed people with schizophrenia for more than a century. Keywords: Schizophrenia, expressed emotion, violence, cultural agreements, mental health, CEEE. Introduccion. La esquizofrenia es un trastorno mental que afecta a 21 millones de personas en el mundo, y propicia ambientes con una Emocion Expresada (EE) alta en los hogares de estos individuos. La EE alta se caracteriza por evaluaciones negativas, criticismo, control y sobreinvolucramiento de los familiares hacia la persona con esquizofrenia. Objetivo. Conocer la relacion entre el acuerdo cultural sobre los sintomas de la esquizofrenia y la EE. Metodo. El diseno fue mixto, con un metodo antropologico para estudios de antropologia cognitiva. La muestra tuvo un calculo probabilistico basado en Weller y Romney con una competencia mayor al 50%, un nivel de confianza de 95% y de error del 5%. Se seleccionaron 40 personas, con un muestreo probabilistico simple aleatorizado; todas ellas eran familiares de usuarios del Instituto Jalisciense de Salud Mental (SALME). Resultados. El 45% evidencio una EE alta segun el cuestionario-encuesta evaluacion del nivel de emocion expresada (CEEE). Se encontro un unico modelo cultural valido con significancia estadistica, en el cual la violencia fue identificada como el sintoma principal de la esquizofrenia. Los familiares mejor informados mostraron una menor EE (U de Mann-Whitney = 1.000, p &lt;.001). Discusion y conclusion. La esquizofrenia se ha asociado con estigmas que generan rechazo y miedo hacia quienes la padecen. El 40% de la poblacion mundial considera que las personas con esquizofrenia son peligrosas o violentas. Debe considerarse oportuno replantear el uso termino "esquizofrenia", el cual etimologicamente es impreciso, y sostiene estigmas que excluyen y difaman a las personas con esquizofrenia desde hace mas de un siglo. Palabras clave: Esquizofrenia, emocion expresada, violencia, acuerdos culturales, salud mental, CEEE.</abstract><pub>Instituto Nacional de Psiquiatria</pub><doi>10.17711/SM.0185-3325.2021.036</doi><oa>free_for_read</oa></addata></record>
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title Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental
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