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Psychiatry Res. 2014 May 15;216(2):213-6. doi: 10.1016/j.psychres.2014.02.013. Epub 2014 Feb 18.

Parental expressed emotion and suicidal ideation in adolescents with bipolar disorder.

Author information

  • 1University of California-Los Angeles, Semel Institute of Neuroscience and Human Behavior, Division of Child and Adolescent Psychiatry, 760 Westwood Plaza, Los Angeles, CA 90025, USA. Electronic address: aellis@mednet.ucla.edu.
  • 2University of California-Los Angeles, Semel Institute of Neuroscience and Human Behavior, Division of Child and Adolescent Psychiatry, 760 Westwood Plaza, Los Angeles, CA 90025, USA.
  • 3University of Pittsburgh Medical Center, Western Psychiatric Institute, Pittsburgh, PA, USA.
  • 4Ohio State Wexner Medical Center, Columbus, OH, USA; Nationwide Children◊≥s Hospital, Columbus, OH, USA.

Abstract

Family environmental variables are risk factors for recurrent courses of mood disorder in adolescents. The present study examined the association between parental expressed emotion (EE)-critical, hostile and/or emotionally overinvolved attitudes toward a concurrently ill offspring-and suicidal ideation in adolescents with bipolar disorder. The sample consisted of 95 adolescents with a bipolar I or II diagnosis who had experienced a mood episode in the prior 3 months. Participants (mean age=15.54 years, S.D.=1.4) were interviewed and completed questionnaires regarding current and past suicidal ideation prior to their participation in a treatment trial. Parents completed five-minute speech samples from which levels of EE were assessed. High EE attitudes in parents were associated with current suicidal ideation in adolescents. This relationship was independent of the effects of age, gender, current depressive or manic symptoms, comorbid diagnoses, bipolar I/II subtypes, family adaptability, and family cohesion. These results underscore the importance of addressing the emotional reactivity of caregivers in treating adolescents with bipolar disorder who have suicidal ideation.

Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

KEYWORDS:

Bipolar disorder; Expressed emotion; Family; Suicidal ideation

PMID:
24589450
[PubMed - indexed for MEDLINE]
PMCID:
PMC4026267
Free PMC Article
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