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对精神分裂症症状的可控性认知及反应:高情感表达与低情感表达亲属的家庭内部比较

Controllability perceptions and reactions to symptoms of schizophrenia: a within-family comparison of relatives with high and low expressed emotion.

作者信息

Weisman A G, Nuechterlein K H, Goldstein M J, Snyder K S

机构信息

Psychology Department, University of Massachusetts, Boston 02125-6336, USA.

出版信息

J Abnorm Psychol. 2000 Feb;109(1):167-71. doi: 10.1037//0021-843x.109.1.167.

DOI:10.1037//0021-843x.109.1.167
PMID:10740950
Abstract

In a sample of 35 family members of patients with recent-onset schizophrenia, attributions of control and the content of critical comments were compared for 2 relatives of the same household who held discrepant expressed emotion (EE) attitudes (1 high and 1 low) toward their mentally ill family member. Attributions and the content of critical comments were also compared for low-EE relatives from low-EE homes versus low-EE relatives from high-EE homes. Our results indicate that high-EE relatives tend to attribute more control over behavior to patients than do low-EE relatives of the same patient. In addition, low-EE relatives from high-EE homes attribute more behavioral control to patients than do low-EE relatives from low-EE homes. These findings suggest that EE status is linked to attributions of control over behaviors, but additional patient factors or influences among family members may also affect EE attitudes.

摘要

在一个由近期发病的精神分裂症患者的35名家庭成员组成的样本中,对同一家庭中两名对患有精神疾病的家庭成员持有不同情感表达(EE)态度(1名高EE和1名低EE)的亲属,比较了他们对行为控制的归因和批评性评论的内容。还比较了来自低EE家庭的低EE亲属与来自高EE家庭的低EE亲属的归因和批评性评论内容。我们的结果表明,与同一患者的低EE亲属相比,高EE亲属倾向于将更多的行为控制权归因于患者。此外,来自高EE家庭的低EE亲属比来自低EE家庭的低EE亲属将更多的行为控制权归因于患者。这些发现表明,EE状态与对行为控制的归因有关,但其他患者因素或家庭成员之间的影响也可能影响EE态度。

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