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Providing information to relatives and patients about expressed emotion and schizophrenia in a community support setting : a randomized controlled trial

conference contribution
posted on 06.12.2017, 00:00 by A Moxon, Kevin RonanKevin Ronan
The present study aimed to enhance family members’ knowledge about schizophrenia and expressed emotion (EE), and awareness of their current coping strategies by conducting a brief educational intervention (Moxon & Ronan, 1999) and evaluation designed to overcome methodological shortcomings of past studies. People diagnosed with schizophrenia were recruited into the study along with family members. Relatives and clients were randomly allocated to a treatment group or a wait-list control group. The intervention itself was a two session format designed to increase knowledge and provide coping strategies. The intervention was also delivered in a manner designed to elicit active involvement as well as provide social reinforcement. Findings showed that knowledge increased significantly after the intervention condition. This knowledge was maintained at a three-month follow-up. The control condition reflected no changes in knowledge. Other results showed that both relatives’ and clients’ EE ratings significantly decreased from pre- to post-test. Changes in total EE scores improved after treatment by over twice the magnitude compared to the control condition. All gains were maintained at the three-month follow-up, with continuing improvement seen in family members’ negative attitudes. The analyses overall suggested that although knowledge increased as a result of education, the decreases in EE appeared to be due to education perhaps combined with non-specific factors such as social and community-based support. These issues are considered in terms of implementation in community settings and in terms of future research.


Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)


Start Date





Wollongong, N.S.W.


Illawara Institute of Mental Health, University of Wollongong

Place of Publication

Wollongong, N.S.W.

Peer Reviewed


Open Access


External Author Affiliations

Centre for Social Science Research; Massey University;

Era Eligible


Name of Conference

Society for Psychotherapy Research (Australia). Regional Group Meeting