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Revista Colombiana de Psiquiatría

versão impressa ISSN 0034-7450


RAMIREZ, Alexandra et al. Expressed emotions, burden and family functioning in schizophrenic and bipolar I patients of a multimodal intervention programme: PRISMA. rev.colomb.psiquiatr. [online]. 2017, vol.46, n.1, pp.2-11. ISSN 0034-7450.


Bipolar disorder and schizophrenia are causes of major suffering in patients. Nevertheless, they also affect family and caregiver functioning. This is important because the participation and involvement of families and caregivers is essential to achieve an optimal treatment.


To describe the level of expressed emotions, burden, and family functioning of bipolar and schizophrenic patients and, to evaluate the efficacy of the multimodal inter vention (MI) versus traditional intervention (TI) in family functioning and its perception by patients and caregivers.

Material and methods:

A prospective, longitudinal, therapeutic-comparative study was con ducted with 302 patients (104 schizophrenic and 198 bipolar patients) who were randomly assigned to a MI or TI groups of a multimodal intervention programme PRISMA. MI group received care from psychiatry, general medicine, neuropsychology, family therapy, and occu pational therapy. TI group received care from psychiatry and general medicine. Hamilton, Young and SANS, SAPS scales were applied to bipolar and schizophrenic patients, respec tively. The EEAG, FEICS, FACES III and ECF were also applied at the initial and final time.


There were statistically significant differences in socio-demographic and clinical variables in schizophrenia vs bipolar group: 83% vs 32.2% were male, 37 vs 43 mean age, 96% vs 59% were single, 50% vs 20% unemployed, and 20% vs 40% had college studies. In addition, 2 vs 2.5 numbers of hospitalisations, 18 vs 16 mean age of substance abuse onset and, 55 vs 80 points in EEAG. There were no statistically significant differences in family scales after conducting a multivariate analysis on the initial and final time in both groups.


This study did not show changes in variables of burden and family functioning between bipolar and schizophrenic groups that were under TI vs MI.

Palavras-chave : Expressed emotions; Family functioning; Multimodal intervention; Schizophrenia; Bipolar disorder.

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