We examined whether expressed emotion (EE) influenced the social funct
ioning of schizophrenia. Twenty-nine subjects meeting the diagnostic c
riteria of ICD-9 or DSM-III-R participated in the study. The Camberwel
l Family Interview was conducted to evaluate EE, and subjects were div
ided into high EE and low EE groups. The subjects had been followed up
for 9 months and their social functioning was compared between the tw
o groups as assessed with the Katz Adjustment Scales. In the high EE g
roup, levels of both performance of socially-expected activities and f
ree-time activities slightly declined at follow-up. In contrast, those
in the low EE group improved and the score increase in the level of p
erformance of socially-expected activities was significant (P < 0.05).
We confirmed the relationship of families' EE status with social func
tioning in schizophrenia. (C) 1997 Elsevier Science Ireland Ltd.