The Role of Metacognitions in Expressed Emotion and Distress: A Study on Caregivers of Persons with First-Episode Psychosis

Jens Einar Jansen; Susanne Harder; Ulrik Helt Haahr; Hanne-Grethe Lyse; Marlene Buch Pedersen; Anne Marie Trauelsen; Erik Simonsen

doi:10.1002/cpp.1907

The Role of Metacognitions in Expressed Emotion and Distress: A Study on Caregivers of Persons with First-Episode Psychosis

Jens Einar Jansen, Susanne Harder, Ulrik Helt Haahr, Hanne-Grethe Lyse, Marlene Buch Pedersen, Anne Marie Trauelsen, Erik Simonsen

Department of Clinical Medicine

6 Citations (Scopus)

Abstract

Background: In first-episode psychosis, the family is considered an important part in the recovery process. This is often accompanied by significant distress, which is acknowledged in numerous studies. However, little is known about the psychological factors involved. Method: One hundred and twenty-seven caregivers of persons with first-episode psychosis completed a series of questionnaires aimed at investigating the contribution of expressed emotion and metacognitions to caregiver distress. Results: Linear mixed model analysis found that emotional over-involvement and metacognitions independently predicted caregiver distress. Mediation analysis using bootstrapping showed that emotional over-involvement could be seen as mediating the effect of metacognitions on distress. Conclusion: The current study is a first step towards understanding the role of metacognitions in caregiver distress, thus opening up for the possibility of using interventions from 'contextual behaviour therapies'. Implications and future studies are discussed.

Original language	English
Journal	Clinical Psychology & Psychotherapy
Volume	22
Issue number	6
Pages (from-to)	525-532
Number of pages	8
ISSN	1063-3995
DOIs	https://doi.org/10.1002/cpp.1907
Publication status	Published - 1 Nov 2015

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title = "The Role of Metacognitions in Expressed Emotion and Distress: A Study on Caregivers of Persons with First-Episode Psychosis",

abstract = "Background: In first-episode psychosis, the family is considered an important part in the recovery process. This is often accompanied by significant distress, which is acknowledged in numerous studies. However, little is known about the psychological factors involved. Method: One hundred and twenty-seven caregivers of persons with first-episode psychosis completed a series of questionnaires aimed at investigating the contribution of expressed emotion and metacognitions to caregiver distress. Results: Linear mixed model analysis found that emotional over-involvement and metacognitions independently predicted caregiver distress. Mediation analysis using bootstrapping showed that emotional over-involvement could be seen as mediating the effect of metacognitions on distress. Conclusion: The current study is a first step towards understanding the role of metacognitions in caregiver distress, thus opening up for the possibility of using interventions from 'contextual behaviour therapies'. Implications and future studies are discussed.",

author = "Jansen, {Jens Einar} and Susanne Harder and Haahr, {Ulrik Helt} and Hanne-Grethe Lyse and Pedersen, {Marlene Buch} and Trauelsen, {Anne Marie} and Erik Simonsen",

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T1 - The Role of Metacognitions in Expressed Emotion and Distress

T2 - A Study on Caregivers of Persons with First-Episode Psychosis

AU - Jansen, Jens Einar

AU - Harder, Susanne

AU - Haahr, Ulrik Helt

AU - Lyse, Hanne-Grethe

AU - Pedersen, Marlene Buch

AU - Trauelsen, Anne Marie

AU - Simonsen, Erik

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N2 - Background: In first-episode psychosis, the family is considered an important part in the recovery process. This is often accompanied by significant distress, which is acknowledged in numerous studies. However, little is known about the psychological factors involved. Method: One hundred and twenty-seven caregivers of persons with first-episode psychosis completed a series of questionnaires aimed at investigating the contribution of expressed emotion and metacognitions to caregiver distress. Results: Linear mixed model analysis found that emotional over-involvement and metacognitions independently predicted caregiver distress. Mediation analysis using bootstrapping showed that emotional over-involvement could be seen as mediating the effect of metacognitions on distress. Conclusion: The current study is a first step towards understanding the role of metacognitions in caregiver distress, thus opening up for the possibility of using interventions from 'contextual behaviour therapies'. Implications and future studies are discussed.

AB - Background: In first-episode psychosis, the family is considered an important part in the recovery process. This is often accompanied by significant distress, which is acknowledged in numerous studies. However, little is known about the psychological factors involved. Method: One hundred and twenty-seven caregivers of persons with first-episode psychosis completed a series of questionnaires aimed at investigating the contribution of expressed emotion and metacognitions to caregiver distress. Results: Linear mixed model analysis found that emotional over-involvement and metacognitions independently predicted caregiver distress. Mediation analysis using bootstrapping showed that emotional over-involvement could be seen as mediating the effect of metacognitions on distress. Conclusion: The current study is a first step towards understanding the role of metacognitions in caregiver distress, thus opening up for the possibility of using interventions from 'contextual behaviour therapies'. Implications and future studies are discussed.

U2 - 10.1002/cpp.1907

DO - 10.1002/cpp.1907

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The Role of Metacognitions in Expressed Emotion and Distress: A Study on Caregivers of Persons with First-Episode Psychosis

Abstract

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