Factors Predicting Negative Expressed Emotion among Family Caregivers of Persons with Major Depressive Disorder

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Pattraporn Worrasirinara
Wandee Suttharangsee
Vineekarn Kongsuwan


Purpose: This research aimed to study factors predicting negative expressed emotion in family caregivers of persons with Major Depressive Disorder (MDD).

Design: Descriptive predictive design.

Methods: The sample comprised 110 primary caregivers of persons with MDD from psychiatric hospitals in southern Thailand. A set of questionnaires consisted of negative expressed emotion, subjective caregiver burden, family functioning, social support, and perception on severity of illness, and social desirability scales with content validity index as .94 - 1.00 and reliability as .80 - .85. The researcher collected data at outpatient department of psychiatric hospitals. Descriptive statistics and multiple linear regression were used for data analysis.

Main findings: The findings showed that negative expressed emotion among family caregivers of persons with MDD was at a moderate level (gif.latex?\bar{X} = 1.49, SD = .83). The predictive factors could explain 68.4 percent of negative expressed emotion (R2 = .684, p = .01). The factors that significantly predicted negative expressed emotion included subjective burden (β = .532, p < .001), perceptions of illness severity (β = .227, p < .01), and social support (β = -.197, p < .01).

Conclusion and recommendations: This study showed that only subjective burden, perceptions of illness severity, and social support can significantly predict negative expressed emotion. The findings could be used for psychiatric nurses and mental health personnel in designing a plan to decrease negative expressed emotion for caregivers of persons with MDD.


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Worrasirinara, P., Suttharangsee, W., & Kongsuwan, V. (2019). Factors Predicting Negative Expressed Emotion among Family Caregivers of Persons with Major Depressive Disorder. Nursing Science Journal of Thailand, 37(1), 17-31. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/183574
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