Wendel J S, Miklowitz D J, Richards J A, George E L
Department of Psychology, University of Colorado at Boulder, Boulder, Colorado 80309-0345, USA.
J Abnorm Psychol. 2000 Nov;109(4):792-6. doi: 10.1037//0021-843x.109.4.792.
Among the relatives of schizophrenic and depressed patients, high expressed emotion (EE) attitudes are associated with "controllability attributions" about the causes of patients' symptoms and problem behaviors. However, previous studies have judged EE attitudes and causal attributions from the same assessment measure, the Camberwell Family Interview (CFI; C. E. Vaughn & J. P. Leff, 1976). The authors examined causal attributions among relatives of 47 bipolar patients, as spontaneously expressed to patients in family problem-solving interactions during a postillness period. Relatives rated high EE during the patients' acute episode (based on the CFI) were more likely than relatives rated low EE to spontaneously attribute patients' symptoms and negative behaviors to personal and controllable factors during the postillness interactional assessment. Thus, the EE-attribution linkage extends to the relatives of bipolar patients evaluated during a family interaction task.
在精神分裂症患者和抑郁症患者的亲属中，高情感表达（EE）态度与对患者症状和问题行为原因的“可控性归因”相关。然而，以往的研究是通过同一种评估方法——坎伯韦尔家庭访谈（CFI；C.E.沃恩和J.P.莱夫，1976年）来判断EE态度和因果归因的。作者研究了47名双相情感障碍患者亲属在疾病康复期家庭解决问题互动中向患者自发表达的因果归因。在患者急性发作期（基于CFI）被评为高EE的亲属，比被评为低EE的亲属更有可能在疾病康复期互动评估中自发地将患者的症状和负面行为归因于个人和可控因素。因此，EE-归因联系延伸到了在家庭互动任务中接受评估的双相情感障碍患者的亲属。
