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Journal of Intellectual Disabilities
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Staff working with people who have intellectual disabilities within secure hospitals

Expressed emotion and its relationship to burnout, stress and coping

Peter E. Langdon

University of East Anglia, Norwich, UK, Broadland Clinic Forensic Service, Norfolk Primary Care NHS Trust, Norwich, UK, P.Langdon{at}uea.ac.uk

Lidia Yágüez

King's College London, UK

Elizabeth Kuipers

King's College London, UK

Studies involving professional carers of people with mental health problems have investigated the relationship between burnout, job satisfaction, the coping strategies employed by carers, and expressed emotion (EE). We undertook a similar study involving carers of adults with intellectual disabilities detained within a secure hospital. Twenty-seven nursing staff completed a Five Minute Speech Sample regarding a keyworked client. EE was coded, and measures of coping strategies, burnout, attitudes to psychiatric treatment and job satisfaction were administered. Sixty-three percent of the sample were coded as having high EE. These subjects reported significantly higher levels of depersonalization and lower levels of personal accomplishment. They used coping strategies more frequently: specifically they reported trying to reorganize their work and to seek support from others. The results are discussed in light of the findings of previous studies. It is noted that the study was not causal and the sample size was small.

Key Words: burnout • coping strategies • expressed emotion • secure hospitals • staff satisfaction

References

  • Alexander, M. & Hegarty, J.R. (2000) ` Measuring Staff Burnout in a Community Home ', British Journal of Developmental Disabilities 46 (90): 51—62 .
  • Barrowclough, C. & Hooley, J.M. (2003) ` Attributions and EE: A Review ', Clinical Psychology Review 23 (6): 849—80 .[CrossRef][Medline] [Order article via Infotrieve]
  • Bebbington, P. & Kuipers, L. (1994) ` The Predictive Utility of EE in Schizophrenia: An Aggregate Analysis ', Psychological Medicine 24 (3): 707—18 .[Medline] [Order article via Infotrieve]
  • Beck, A., Daley, D., Hastings, R.P. & Stevenson, J. (2004) ` Mothers' EE towards Children with and without Intellectual Disabilities ', Journal of Intellectual Disability Research 48: 628—38 .[CrossRef][Medline] [Order article via Infotrieve]
  • Bersani, H.A. & Heifetz, L.A. (1987) ` Perceived Stress and Satisfaction of Direct Care Staff Members in Community Residences for Mental Retarded Adults ', American Journal of Mental Deficiency 90: 289—95 .
  • Bromley, J. & Emerson, E. (1995) ` Beliefs and Emotional Reactions of Care Staff Working with People with Challenging Behavior ', Journal of Intellectual Disability Research 39: 341—52 .[Medline] [Order article via Infotrieve]
  • Butterworth,T.,Carson,J.,Jeacock,J.,White,E.&Clements,A. (1999) ` Stress, Coping, Burnout and Job Satisfaction in British Nurses: Findings from the Clinical Supervision Evaluation Project ', Stress Medicine 15 (1): 27—33 .[CrossRef]
  • Butzlaff, R.L. & Hooley, J.M. (1998) ` EE and Psychiatric Relapse: A Meta-Analysis ', Archives of General Psychiatry 55 (6): 547—52 .[Abstract/Free Full Text]
  • Caine,T.M.,Smail,D.J.,Wijesinghe,O.B.A. &Winter,D.A.( 1982) The Claybury Selection Battery Manual. Windsor: NFER-Nelson .
  • Cooper, C., Sloan, J. & Williams, S. (1988) Occupational Stress Indicator. Windsor: NFER-Nelson .
  • Cottle, M., Kuipers, L., Murphy, G. & Oakes, P. (1995) ` EE, Attributions and Coping in Staff Who Have Been Victims of Violent Incidents ', Mental Handicap Research 8 (3): 168—83 .
  • Datta, S.S., Russell, P.S.S. & Gopalakrishna, S.C. (2002) ` Burden among the Caregivers of Children with Intellectual Disability ', Journal of Learning Disabilities 6 (4): 337—50 .[Abstract/Free Full Text]
  • Dossetor,D.R.,Nicol,A.R.,Stretch,D.D. &Rajkhowa,S.J.( 1994) ` A Study of EE in the Parental Primary Carers of Adolescents with Intellectual Impairment ', Journal of Intellectual Disability Research 38: 487—99 .[Medline] [Order article via Infotrieve]
  • Ford, J. & Honnor, J. (2000) ` Job Satisfaction of Community Residential Staff Serving Individuals with Severe Intellectual Disabilities ', Journal of Intellectual & Developmental Disability 25 (4): 343—62 .[CrossRef]
  • Goldberg, D.P. & Williams, P. (1988) A User's Guide to the GHQ. Windsor: NFER-Nelson .
  • Goldstein, T.R., Miklowitz, D.J. & Richards, J.A. (2002) ` EE Attitudes and Individual Psychopathology among the Relatives of Bipolar Patients ', Family Process 41 (4): 645—57 .[CrossRef][Medline] [Order article via Infotrieve]
  • Hall, M.J. & Docherty, N.M. (2000) ` Parent Coping Styles and Schizophrenic Patient Behavior as Predictors of EE ', Family Process 39 (4): 435—44 .[CrossRef][Medline] [Order article via Infotrieve]
  • Hastings, R.P., Horne, S. & Mitchell, G. (2004) ` Burnout in Direct Care Staff in Intellectual Disability Services: A Factor Analytic Study of the Maslach Burnout Inventory ', Journal of Intellectual Disability Research 48: 268—73 .[CrossRef][Medline] [Order article via Infotrieve]
  • Hastings, R.P., Daley, D., Burns, C. & Beck, A. (2006) ` Maternal Distress and EE: Cross-Sectional and Longitudinal Relationships with Behavior Problems of Children with Intellectual Disabilities ', American Journal on Mental Retardation 111 (1): 48—61 .[CrossRef][Medline] [Order article via Infotrieve]
  • Hatton, C. & Emerson, E. (1993) ` Organizational Predictors of Staff Stress, Satisfaction, and Intended Turnover in a Service for People with Multiple Disabilities ', Mental Retardation 31 (6): 388—95 .[Medline] [Order article via Infotrieve]
  • Hatton, C., Brown, R., Caine, A. & Emerson, E. (1995) ` Stressors, Coping Strategies and Stress-Related Outcomes among Direct Care Staff in Staffed Houses for People with Learning Disabilities ', Mental Handicap Research 8 (4): 252—71 .
  • Heider, F. (1958) The Psychology of Interpersonal Relation. New York: Wiley .
  • Hooley, J.M. (1985) ` EE: A Review of the Critical Literature ', Clinical Psychology Review 5: 119—339 .[CrossRef]
  • Hooley, J.M. (1987) `The Nature and Origins of EE', in K. Hahlweg & J. Goldstein (eds) Understanding Major Mental Disorder:The Contribution of Family Interaction Research, pp. 176—94. New York: Family Process Press .
  • Hooley, J.M., Orley, J. & Teasdale, J.D. (1986) ` Levels of EE and Relapse in Depressed Patients ', British Journal of Psychiatry 148: 642—7 .[Abstract/Free Full Text]
  • Jackson, S.E., Schwab, R.L. & Schuler, R.S. (1986) ` Toward an Understanding of the Burnout Phenomenon ', Journal of Applied Psychology 71: 630—40 .[CrossRef][Medline] [Order article via Infotrieve]
  • Jenkins, R., Rose, J. & Lovell, C. (1997) ` Psychological Well-Being of Staff Working with People Who Have Challenging Behaviour ', Journal of Intellectual Disability Research 41: 502—11 .[CrossRef][Medline] [Order article via Infotrieve]
  • Kavanagh, D.J. (1992) ` Recent Developments in EE and Schizophrenia ', British Journal of Psychiatry 160: 601—20 .[Abstract/Free Full Text]
  • Lam, D., Giles, A. & Lavander, A. (2003) ` Carers' EE, Appraisal of Behavioural Problems and Stress in Children Attending Schools for Learning Disabilities ', Journal of Intellectual Disability Research 47: 456—63 .[CrossRef][Medline] [Order article via Infotrieve]
  • Magana,A.B.,Goldstein,M.J.,Karno,M.,Milklowitz,D.J.,Jenkins,J. & Falloon, I.R.H. (1986) ` A Brief Method for Assessing EE in Relatives of Psychiatric Patients ', Psychiatry Research 17: 203—12 .[Medline] [Order article via Infotrieve]
  • Maslach, C. & Jackson, S.E. (1996) Maslach Burnout Inventory Manual,Third Edition. Palo Alto, CA: Consultant Psychologists Press .
  • Miklowitz, D.J., Goldstein, M.J., Nuechterlein, K.H., Snyder, K.S. & Mintz, J. (1988) ` Family Factors and the Course of Bipolar Affective Disorder', Archives of General Psychiatry 45 (3): 225—31 .
  • Oliver, N. & Kuipers, E. (1996) ` Stress and Its Relationship to EE in Community Mental Health Workers ', International Journal of Social Psychiatry 42 (2): 150—9 .[Abstract/Free Full Text]
  • Power, K. & Sharpe, G. (1998) ` A Comparision of Sources of Nursing Stress and Job Satisfaction among Mental Handicap and Hospice Nursing Staff ', Journal of Advanced Nursing 13: 726—36 .[CrossRef]
  • Priebe, S., Wildgrube, C. & Mulleroerlinghausen, B. (1989) ` Lithium Prophylaxis and EE ', British Journal of Psychiatry 154: 396—9 .[Abstract/Free Full Text]
  • Raune, D., Kuipers, E. & Bebbington, P.E. (2004) ` EE at First-Episode Psychosis: Investigating a Carer Appraisal Model ', British Journal of Psychiatry 184: 321—6 .[Abstract/Free Full Text]
  • Rose, J. & Schelewa-Davies, D. (1997) ` The Relationship between Staff Stress and Team Climate in Residential Services ', Journal of Learning Disabilities for Nursing, Health and Social Care 1: 19—24 .
  • Rose, J., Jones, F. & Fletcher, B. (1998a) ` The Impact of a Stress Management Programme on Staff Well-Being and Performance at Work ', Work and Stress 12 (2): 112—24 .[CrossRef]
  • Rose, J., Jones, F. & Fletcher, B. (1998b) ` Investigating the Relationship between Stress and Worker Behaviour ', Journal of Intellectual Disability Research 42: 163—72 .[CrossRef][Medline] [Order article via Infotrieve]
  • Stenfert Kroese, B. & Fleming, I. (1992) ` Staff's Attitudes and Working Conditions in Community-Based Group Homes of People with Mental Handicaps ', Mental Handicap Research 5 (1): 82—91 .
  • Szmukler,G.I.,Eisler,I.,Russell,G.F.M. & Dare,C.( 1985)` Anorexia Nervosa, Parental EE and Dropping out of Treatment ', British Journal of Psychiatry 147 (Sep.): 265—71 .[Abstract/Free Full Text]
  • Vanhumbeeck,G.,Vanaudenhove,C.,Pieters,G.,Dehert,M.,Storms, G., Vertommen, H., ET AL. (2002) ` EE in the Client—Professional Caregiver Dyad: Are Symptoms, Coping Strategies and Personality Related? ', Social Psychiatry and Psychiatric Epidemiology 37 (8): 364—71 .[CrossRef][Medline] [Order article via Infotrieve]
  • Van Humbeeck, G., Van Audenhove, C. & Declercq, A. (2004) ` Mental Health, Burnout and Job Satisfaction among Professionals in Sheltered Living in Flanders: A Pilot Study ', Social Psychiatry and Psychiatric Epidemiology 39 (7): 569—75 .[Medline] [Order article via Infotrieve]
  • Vaughn, C.E. & Leff, J.P. (1976) ` Influence of Family and Social Factors on Course of Psychiatric Illness: Comparison of Schizophrenic and Depressed Neurotic Patients ', British Journal of Psychiatry 129 (Aug.): 125—37 .[Abstract/Free Full Text]
  • Weigel,L.,Langdon,P.E.,Collins,S.&O'Brien, Y.( 2006) ` Challenging Behaviour and Learning Disabilities: The Relationship between EE and Staff Attributions ', British Journal of Clinical Psychology 45: 205—16 .[CrossRef][Medline] [Order article via Infotrieve]
  • Weiner, B. (1980) ` A Cognitive Attribution-Emotion-Action Model of Motivated Behaviour: An Analysis of Judgements of Help-Giving ', Journal of Personality and Social Psychology 39: 186—90 .[CrossRef]
  • Weiner, B. (1985) ` An Attributional Theory of Achievement Motivation and Emotion ', Psychological Review 2: 543—71 .
  • Weiner, B. (1986) An Attributional Theory of Motivation and Emotion. Berlin: Springer
  • Weiss, M. (1967) Manual for the Minnesota Satisfaction Questionnaire. Minneapolis: University of Minnesota .

Journal of Intellectual Disabilities, Vol. 11, No. 4, 343-357 (2007)
DOI: 10.1177/1744629507083584
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This Article
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