Journal of Family Psychology (Aug 2, 2018). DOI:10.1037/fam0000444 Significant others of people with dementia suffer high levels of burden and distress, creating the conditions for the negative attitudes and unhelpful responses described within the construct of Expressed Emotion (EE). It is not known however, whether EE then further enhances significant other burden and distress, and whether these processes operate early after symptoms of dementia have started. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai