Chambless D L, Steketee G
Department of Psychology, University of North Carolina at Chapel Hill 27599-3270, USA.
J Consult Clin Psychol. 1999 Oct;67(5):658-65. doi: 10.1037//0022-006x.67.5.658.
The relationship of expressed emotion (EE) to behavior therapy outcome for obsessive-compulsive disorder (n = 60) and panic disorder with agoraphobia (n = 41) was investigated. Relatives' emotional overinvolvement and hostility predicted higher rates of treatment dropout. Higher hostility, as assessed by the Camberwell Family Interview (CFI), was related to poorer outcome for target ratings and for the Social Adjustment Scale; higher perceived criticism was also predictive of worse response on target ratings. In contrast, nonhostile criticism on the CFI was associated with better outcome on the behavioral avoidance test. In general, the relationship of EE to outcome was not moderated by type of relative, diagnosis, amount of contact with the relative, or use of psychotropic medication.
研究了表达性情绪（EE）与强迫症（n = 60）和伴有广场恐惧症的惊恐障碍（n = 41）的行为治疗结果之间的关系。亲属的情感过度卷入和敌意预示着更高的治疗退出率。通过坎伯韦尔家庭访谈（CFI）评估的更高敌意与目标评分和社会适应量表的较差结果相关；更高的感知批评也预示着目标评分的更差反应。相比之下，CFI上的非敌意批评与行为回避测试的更好结果相关。总体而言，EE与结果之间的关系不受亲属类型、诊断、与亲属的接触量或精神药物使用的调节。
