Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties:a systematic review

Cherry, Gemma and Taylor, Peter and Brown, Stephen and Rigby, Jake and Sellwood, William (2017) Guilt, shame and expressed emotion in carers of people with long-term mental health difficulties:a systematic review. Psychiatry Research, 249. pp. 139-151. ISSN 0165-1781

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Abstract

Expressed emotion (EE) is a global index of familial emotional climate, whose primary components are emotional over-involvement (EOI) and critical comments (CC)/hostility. There is a strong theoretical rationale for hypothesising that carers’ guilt and shame may be differentially associated with their EOI and CC/hostility respectively. This systematic review investigates the magnitude of these theorised associations in carers of people with long-term mental health difficulties. Electronic searches (conducted in May 2016 across Medline, CINAHL, Embase, PsycINFO and ProQuest) were supplemented with iterative hand searches. Ten papers, reporting data from eight studies, were included. Risk of bias was assessed using a standardised checklist. Relevant data were extracted and synthesised narratively. EOI was positively associated with both guilt and shame, whereas CC/hostility was positively associated with shame. The strength of associations varied depending on whether or not guilt and shame were assessed within the context of the caring relationship. Based on these data, an argument can be made for the refinement, development and evaluation of systemic and individual interventions designed to target carers’ guilt and shame. However, more research is needed to clarify the strength of these associations and their direction of effect before firm conclusions can be drawn.

Item Type:
Journal Article
Journal or Publication Title:
Psychiatry Research
Additional Information:
© 2017 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2800/2803
Subjects:
ID Code:
83857
Deposited By:
Deposited On:
06 Jan 2017 13:50
Refereed?:
Yes
Published?:
Published
Last Modified:
30 Sep 2020 06:41