Document Detail

Expressed emotion, adaptation, and patient survival among couples coping with chronic heart failure.
MedLine Citation:
PMID:  16756409     Owner:  NLM     Status:  MEDLINE    
Previous research (J. C. Coyne et al., 2001) that showed that marital functioning predicted mortality among patients with chronic heart failure (CHF) led to an examination of whether expressed emotion (EE) captured negative marital influences on patient survival. The authors assessed EE using 5-min speech samples obtained from patients (137 men and 47 women) and their spouses. Prevalence of EE was low, and patient and spouse EE were unrelated. Spouse EE was not associated with survival, after the authors controlled for severity of illness. Among patient EE variables, high EE status predicted survival, but in the opposite direction of what was anticipated. Overall, relations between EE and self-report measures of adaptation were weak and inconsistent. Despite the strength of findings concerning EE and psychiatric outcomes, EE does not show promise in predicting adaptation to CHF, and researchers and clinicians should instead seek to identify positive marital factors that may promote patient survival.
Nili R Benazon; Mindi D Foster; James C Coyne
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43)     Volume:  20     ISSN:  0893-3200     ISO Abbreviation:  J Fam Psychol     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-07     Completed Date:  2006-07-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8802265     Medline TA:  J Fam Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  328-34     Citation Subset:  IM    
Copyright Information:
((c) 2006 APA, all rights reserved).
Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario, Canada.
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MeSH Terms
Adaptation, Psychological*
Expressed Emotion*
Family Characteristics*
Heart Failure / psychology*
Middle Aged
Survival / psychology*
Grant Support

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