After the onset of schizophrenia, the course of the disorder is negatively affected by

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Family dynamics high in expressed emotion, characterized by criticism, hostility, and emotional overinvolvement, have been shown to be a strong predictor of relapse and prolonged periods of hospitalization for schizophrenia patients. On the other hand, families that provide social support and stress-free environments may positively impact the course of schizophrenia, but the negative impact of high expressed emotion is stronger.

After the Onset of Schizophrenia, the Course of the Disorder