Avances en el campo de estudio del Trastorno de Ansiedad Social en adolescentes. El papel de la Emoción Expresada

  1. Lourdes Espinosa-Fernández 1
  2. José A. Muela 1
  3. Luís J. García-López 1
  1. 1 Universidad de Jaén, España
Aldizkaria:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Argitalpen urtea: 2016

Zenbakien izenburua: Monográfico sobre avances en evaluación y diagnóstico psicológico en niños y adolescentes

Alea: 3

Zenbakia: 2

Orrialdeak: 99-104

Mota: Artikulua

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Beste argitalpen batzuk: Revista de Psicología Clínica con Niños y Adolescentes

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Advances in social anxiety disorder in the young. The role of expressed emotion. Social anxiety disorder (SAD) is highly prevalent in children and adolescents, with severe negative consequences in the social, emotional, and behavioral development unless detected and treated. Risk factors include parental rearing and communication skills, with expressed emotion (EE) as a key indicator of family environment. Parents with high levels of EE exhibit emotional overinvolvement, criticism, and hostility. Consistent with other mental health disorders, parents’ high levels of EE are associated with poor treatment outcome in their children. However, the inclusion of parent training in high EE parents has shown to palliate this effect: children benefit from treatment as much as those with parents with low EE. These data reveal the need of assessing EE when treating children with SAD. As a consequence, it was crucial to develop a brief EE self-report measure. This paper reviews the state-of-the-art social anxiety disorder in young, and describes the new Expressed Emotion Interview in Social Anxiety Disorder self-report.

Erreferentzia bibliografikoak

  • Acarturk, C., Smit, F., de Graaf, R., van Straten, A., ten Have, M., & Cuijpers, P. (2009). Economic costs of social phobia: A population-based study. Journal of Affective Disorders, 115, 421-429. doi:10.1016/j.jad.2008.10.008
  • Alden, L. E., Taylor, C. T., Mellings, T. M. B., & Laposa, J. M. (2003, Septiembre). Social developmental experiences and treatment response in generalized social phobia. Póster presentado en 37th Annual convention of the Association for Advancement of Behavior Therapy, Boston, MA.
  • Amaresha, A. C., & Venkatasubramanian, G. (2012). Expressed Emotion in Schizophrenia: An Overview. Indian Journal of Psychological Medicine, 34, 12-20. doi:10.4103/0253-7176.96149
  • Anastasiadou, D., Medina-Pradas, C., Sepúlveda, A. R., & Treasure, J. (2014). A systematic review of family caregiving in eating disorders. Eating Behaviours, 15(3), 467-477. doi:10.1016/j.eatbeh.2014.06.001
  • Anhalt, K., & Morris, T. M. (2008). Parenting characteristics associated with anxiety and depression: a multivariate approach. Journal of Early and Intensive Behavior Intervention, 5, 122–137. doi:10.1037/h0100427
  • Arrindell, W. A., Kweem, M. G. T., Methorst, G. J., Nam der Ende, J., Pol, E., & Moritz, B. J. M. (1989). Perceived parental rearing styles of agoraphobic and socially phobic inpatients. British Journal of Psychiatry, 155, 526-535.
  • Aslam, N. (2014). All eyes on me? Role of negative parenting in the development of social anxiety disorder among children and adolescents. International Journal of School and Cognitive Psychology, 1. doi:10.4172/1234- 3425.1000e101
  • Bachmann, S., Bottmer, C., Jacob, S., & Schröder, J. (2006). Perceived criticism in schizophrenia: A comparison of instruments for the assessment of the patient’s perspective and its relation to relatives’ EE. Psychiatry Research, 142, 167-175. doi:10.1016/j.psychres.2005.10.001
  • Ballús-Creus, C., Rangel, M. V., Peñarroya, A., Pérez, J., & Leff, J. (2014). Expressed emotion among relatives of chronic pain patients, the interaction between relatives’ behaviours and patients’ pain experience. International Journal of Social Psychiatry, 60(2), 197-205. doi:10.1177/0020764013496371
  • Band, R., Barrowclough, C., & Wearden, A. (2014). The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome. Health Psychology, 33(9), 1092-1101. doi:10.1037/hea0000086
  • Baker, B., Helmes, E., & Kazarian, S. S. (1984). Past and present perceived attitudes of schizophrenics in relation to rehospitalization. British Journal of Psychiatry, 144, 263-269.
  • Beidel, D., & Turner, S. (2005). Childhood anxiety disorders: A guide to research and treatment. New York: Routledge.
  • Beidel, D. C., Ferrell, C., Alfano, C. A., & Yeganeh, R. (2001). The treatment of childhood social anxiety disorder. The Psychiatric Clinics of North America, 24, 831-846. doi:10.1016/S0193-953X(05)70266-5
  • Beesdo-Baum, K., & Knappe, S. (2012). Developmental epidemiology of anxiety disorders. Child & Adolescent Psychiatric Clinics of North America, 21, 457–478. doi:10.1111/j.1600-0447.2012.01886.x
  • Brown, G., Birley, J., & Wing, J. (1972). Influence of family life on the course of schizophrenic disorder: A replication. British Journal of Psychiatry, 121, 241-258. doi:10.1192/bjp.121.3.241
  • Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse. Archives of General Psychiatry, 55, 547-552. doi:10.1001/ archpsyc.55.6.547.
  • Cole, J. D., & Kazarian, S. S. (1988). The level of Expressed Emotion Scale: A new measure of expressed emotion. Journal of Clinical Psychology, 44(3), 392-397. doi:10.1002/1097-4679(198805)44:3<392::AID-JCLP2270440313>3.0.CO;2-3
  • Cutting, L. P., Aakre, J. M., & Docherty, N. M. (2006). Schizophrenic Patients’ Perceptions of Stress, Expressed Emotion and Sensitivity to Criticism. Schizophrenia Bulletin, 32(4), 743-750. doi:10.1093/schbul/sbl001
  • Docherty, N. M., Serper, M. H., & Harvey, P. D. (1990). Development and preliminary validation of a questionnaire assessment of expressed emotion. Psychological Reports, 67, 279-287.
  • Docherty, N. M., St-Hilaire, A., Aakere, J. M., Seghers, J. P., McCleery, M., & Divilbiss, M. (2011). Anxiety interacts with expressed emotion criticism in the prediction of psychotic symptom exacerbation. Schizophrenia Bulletin, 37(3), 611-618. doi:10.1093/schbul/sbp123
  • Duclos, J., Vibert, S., Mattar, L., & Godart, N. (2012). Expressed Emotion in Families of Patients with Eating Disorders: A Review of the Literature. Current Psychiatry Reviews, 8(3), 183-202. doi:10.2174/157340012800792975
  • Ellis, A. J., Portnoff, L. C., Axelson, D. A., Kowatch, R. A, Walshaw, P., & Miklowitz, D. J. (2014). Parental expressed emotion and suicidal ideation in adolescents with bipolar disorder. Psychiatry Research, 216(2), 213-216. doi:10.1016/j.psychres.2014. 02.013
  • Fehm, L., Pelissolo, A., Furmark, T., & Wittchen, H. U. (2005). Size and burden of social phobia in Europe. European Neuropsychopharmacology, 15, 453–462. doi:10.1016/j.euroneuro.2005.04.002
  • Feldmann, R., Buchkremer, G., Minneker-Hu, E., & Hornung, P. (1995). Fragebogen zur Familienatmospha¨re (FEF). Einschätzung des emotionalen Angehörigen-Verhaltens aus der Sicht schizophrener Patienten. Diagnostica, 41, 334–348.
  • Friedman, M. S., & Goldstein, M. J. (1993). Relative´s awareness of their own expressed emotion as measured by a self-report adjective checklist. Family Process, 32, 459-471. doi:10.1111/j.1545-5300.1993.00459.x
  • García–López, L. J. (2007). Un estudio de la eficacia entre tres modalidades de tratamiento para población adolescente con fobia social. Tesis doctoral publicada. Universidad de Murcia: Servicio de Publicaciones.
  • García-López, L. J., Beidel, D. C., Hidalgo, M. D., Olivares, J., & Turner, S. (2008). Brief form of the Social Phobia and Anxiety Inventory (SPAI-B) for adolescents. European Journal of Psychology Assessment, 24, 150–156. doi:10.1027/1015-5759.24.3.150
  • García-López, L. J., Díaz-Castela, M. M., Muela-Martínez, J. A., & Espinosa-Fernández, L. (2014). Can parent training for parents with high levels of expressed emotion have a positive effect on their child’s social anxiety improvement? Journal of Anxiety and Disorders, 28, 812–822. doi:10.1016/j.janxdis.2014.09.001
  • García-López, L. J., Irurtia, M. J., Caballo, V. E., & Díaz-Castela, M. M. (2011). Ansiedad social y abuso psicológico [Social anxiety and psychological abuse]. Behavioral Psychology, 19, 223–236
  • García-López, L. J., Muela, J.A., Espinosa-Fernández, L., & Díaz-Castela, M. M. (2009). Exploring the relevance of expressed emotion to the treatment of social anxiety disorder in adolescence. Journal of Adolescence, 32, 1371–1376. doi:10.1016/j.adolescence.2009.08.001
  • Gulley, L., Oppenheimer, C. W., & Hankin, B. L. (2013). Associations among negative parenting, attention bias to anger, and social anxiety among youth. Developmental Psychology, 50, 577-585. doi:10.1037/a0033624
  • Hambrick, J. P., Turk, L. C., Heimberg, R. G., Schneier, F. R., & Liebowitz, M. R. (2003). The experience of disability and quality of life in social anxiety disorder. Depression and Anxiety, 18(1), 46-50. doi:10.1002/da.10110
  • Hooley, J. M. (2007). Expressed Emotion and Relapse of Psychopathology. Annual Review of Clinical Psychology, 3, 329-352. doi: 10.1146/annurev. clinpsy.2.022305.095236
  • Hooley, J. M., & Gotlib, I. H. (2000). A diathesis-stress conceptualization of expressed emotion and clinical outcome. Applied and Preventive Psychology, 9, 135-151. doi: 10.1016/S0962-1849(05)80001-0
  • Hooley, J. M., & Teasdale, J. D. (1989). Predictors of relapse in unipolar depressives: expressed emotion, marital distress, and perceived criticism. Journal of Abnormal Psychology, 98, 229-235. doi.org/10.1037/0021-843X.98.3.229
  • Hummel, R. M., & Gross, A. M. (2001). Socially anxious children: An observational study of parent-child interaction. Child & Family Behavior Therapy, 23(3), 19-40. doi:10.1300/J019v23n03_02
  • Keller, M. B. (2006). Social anxiety disorder clinical course and outcome: Review of Harvard/Brown Anxiety Research Project (HARP) findings. Journal of Clinical Psychiatry, 67, 14–19
  • Kerns, C. M., Read, K. C., Klugman, J., & Kendall, P. C. (2013). Cognitive behavioral therapy for youth with social anxiety: differential short and long-term treatment outcomes. Journal of Anxiety Disorders, 27, 210–215. doi:10.1016/j.janxdis.2013.01.009
  • Knappe, S., Beesdo, K., Fehm, L., Stein, M.B., Lieb, R., & Wittchen, H. U. (2011) Social fear and social phobia types among community youth: differential clinical features and vulnerability factors. Journal of Psychiatry Research, 45, 111–120. doi:10.1016/j.jpsychires.2010.05.002
  • Knappe, S., Beesdo-Baum, K., Fehm, L., Lieb, R., & Wittchen, H. U. (2012). Characterizing the association between unfavourable parental rearing and offspring social phobia, its predictors and specificity. Journal of Anxiety Disorders, 26(5), 608-616. doi:10.1016/j.janxdis.2012.02.014
  • Knappe, S., Lieb, R., Beesdo, K., Fehm, L., Low, N. C. P., Gloster, A. T., & Wittchen, H. U. (2009). The role of parental psychopathology and family environment for social phobia in the first three decades of life. Depression and Anxiety, 26(4), 363–370. doi:10.1002/da.20527
  • Knappe, S., Sasagawa, S., & Creswell, C. (2015). Developmental epidemiology of social anxiety and social phobia in adolescents. En K. Ranta, A. M., La Greca, L. J, García-López, & M. Marttunen (Eds.), Social Anxiety and Phobia in Adolescents: Development, manifestation and intervention strategies (pp. 39-70). Cham, Switzerland: Springer International Publishing.
  • Koujalgi, S. R., Nayak, R. B., Patil, N. M., & Chate, S. S. (2014). Expressed emotions in parents with obsessive compulsive disorder: a case control study. Indian Journal of Psychological Medicine, 36(2), 138-141. doi:10.4103/0253-7176.130972
  • Kreisman, D. E., Simmens, S. J., & Joy, V. D. (1979). Rejecting the patient: Preliminary validation of a self-report scale. Schizophrenia Bulletin, 5, 220-222.
  • Li, C.Y., & Murray, M. (2015). A review of conceptualisation of expressed emotion in caregivers of older adults with dementia. Journal of Clinical Nursing, 24(3-4), 332-343. doi: 10.1111/jocn.12619
  • Lieb, R., Wittchen, H. U., Höfler, M., Fuetsch, M., Stein, M. B., & Merikangas, K. R. (2000). Parental psychopathology, parenting styles, and the risk of social phobia in offspring. Archives of General Psychiatry, 57, 859-866. doi:10.1001/archpsyc.57.9.859
  • McCleary, L., & Sanford, M. (2002). Parental expressed emotion in depressed adolescents: prediction of clinical course and relationship to comorbid disorders and social functioning. Journal of Child Psychology and Psychiatry, 43, 587–595. doi:10.1111/1469-7610.00048
  • Magana, A., Goldstein, J., Karno, M., Miklowitz, D., Jenkins, J., & Falloon, I. (1986). A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research, 17, 203-212. doi:10.1016/0165- 1781(86)90049-1
  • Masaaki, N., Kentaro, H., Akiko, O., & Kazuhiko, M. (2004). The sensitivity and the specificity of FMSS-EE on the participants in a psychoeducational family intervention for schizophrenia and the correlation with their daily life scales-The comparison with CFI. Development of the Treatment and Rehabilitation Guideline for Schizophrenia and the Demonstration Study of its Effectiveness. Final Report of the National Project Team, 191-202.
  • Medina-Pradas, C. (2016). Actualización en torno a la emoción expresada: consideraciones teóricas y prácticas. Revista de Psicoterapia, 27(103), 251-266.
  • Medina-Pradas, C., Navarro, J. B., López, S. R., Grau, A., & Obiols, J. E. (2011). Dyadic view of expressed emotion, stress, and eating disorders psychopathology. Appetite, 57(3), 743-748. doi:10.1016/j.appet.2011.08.016
  • Medina-Pradas, C., Navarro, J. B., Pousa, E., Montero, M. I., & Obiols, J. E. (2013). Expressed and perceived criticism, family warmth, and symptoms in severe and recurrent psychiatric disorders: a developmental criticism, family warmth, and symptoms in schizophrenia. Spanish Journal of Psychology, 16(45), 1-8. doi:10.1017/sjp.2013.25
  • Miklowitz D. J., Biuckians, A., & Richards, J. A. (2006). Early-onset bipolar disorder: A family treatment perspective. Development and Psychopathology, 18, 1247–1265. doi:10.1017/S0954579406060603
  • Miklowitz, D. J., Schneck, C. D., Singh, M. K., Taylor, D. O., George, E. L….Chang, K.D. (2013). Early Intervention for Symptomatic Youth at Risk for Bipolar Disorder: A Randomized Trial of Family-Focused Therapy. Journal of the American Academy of Child & Adolescent Psychiatry, 52(2), 121-131. doi: 10.1016/j.jaac.2012.10.007
  • Muela, J. M., Espinosa-Fernández, L., García-López, L. J., & Díaz-Castela (en preparación). Entrevista Estructurada de la Emoción Expresada en Trastorno de Ansiedad Social.
  • Muela, J. A., & Godoy, J. F. (2001). Importancia de los componentes de la Emoción Expresada. Clínica y Salud, 12(2), 179-197.
  • Muela, J.A., & Godoy, J. F. (2003). Reactividad de la medida de la Emoción Expresada durante un ingreso [Reactivity of a expressed emotion measure during relapse]. Iberpsicologia, 8, 1–4.
  • Olivares-Olivares, P. J., Olivares, J., & Macià, D. (2014). Fobia social, en L. Ezpeleta y J. Toro (dirs.), Psicopatología del desarrollo (pp. 393-414). Madrid: Pirámide.
  • Ostürk, M., Sayar, K., Ugurad, I., & Tuzun, U. (2005). The prevalence of social phobia in mothers of social phobic children. Klinik Psikofarmakoloji Bulletin of Clinical Psychopharmacology, 15(2), 60-64.
  • Parker, G. (1979). Reported parental characteristics of agorapobics and social phobics. British Journal of Psychiatry, 135, 555-560. doi:10.1192/ bjp.135.6.555
  • Ranta, K., La Greca, A. M. García-López, L. J., & Marttunen, M. (2015). Introduction. En K. Ranta, A. M. La Greca, L. J, García-López y M. Marttunen (Eds.), Social Anxiety and Phobia in Adolescents: Development, manifestation and intervention strategies (pp. 1-10). Cham: Springer International Publishing.
  • Rapee, R. M. (1997). Potential role of childrearing practices in the development of anxiety and depression. Clinical Psychology Review, 17, 47-67. doi:10.1016/S0272-7358(96)00040-2
  • Rapee, R. M., & Melville, L. F. (1997). Recall of family factors in social phobia and panic disorder: Comparison of mother and offspring reports. Depression and Anxiety, 5(1), 7-11.
  • Rork, K. E., & Morris, T. L. (2009). Influence of Parenting Factors on Childhood Social Anxiety: Direct Observation of Parental Warmth and Control. Child & Family Behavior Therapy, 31(3), 220-235. doi:10.1080/07317100903099274
  • Shields, C. G., Franks, P., Harp, J. J., McDaniel, S. H, & Campbell, T. L. (1994). Development of the Family Emotional Involvement and Criticism Scale (FEICS): A self-report scale to measure emotion. Journal of Marital and Family Therapy, 18, 395-407.
  • Subotnik, K. L., Schell, A. M., Chilingar, M. S., Dawson, M. E., Ventura, J., … & Nuesterlein, K. H., (2010). The interaction of electrodermal activity and expressed emotion in predicting symptoms in recent-onset schizophrenia. Psychophysiology, 49(8), 1035-1038.
  • Vaughn, C., & Leff, J. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125-137. doi:10.1192/bjp.129.2.125
  • Wearden, A. J., Tarrier, N., Barrowclough, C. Zastowny, T. R., & Amstrong, A. (2000). A review of expressed emotion research in health care. Clinical Psychology and Review, 20(5), 633-666. doi:10.1016/S0272-7358(99)00008-2
  • Weiller, E., Bisserbe, J. C., Boyer, P., Lépine, P., & Lecrubier, Y. (1996). Social phobia in general health care. British Journal of Psychiatry, 168, 169-174. doi:10.1192/bjp.168.2.169
  • Wittchen, H. U., & Fehm, L. (2001). Epidemiology, patterns of comorbidity and associated disabilities of social phobia. Psychiatric Clinics of North America, 24, 617–641. doi:10.1016/S0193-953X(05)70254-9
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