Liakopoulou M, Alifieraki T, Katideniou A, Peppa M, Maniati M, Tzikas D, Hibbs E D, Dacou-Voutetakis C
Aghia Sophia Children's Hospital, Dept. of Child Psychiatry, Athens University Medical School, GR-115 27 Goudi, Athens, Greece.
Psychother Psychosom. 2001 Mar-Apr;70(2):78-85. doi: 10.1159/000056230.
The objectives of this study of children and adolescents with diabetes were to: (1) examine whether maternal expressed emotion (EE), in the form of critical comments (CC), hostility and emotional overinvolvement (EOI), is related to metabolic control; (2) determine if CC and EOI are separately related to poor metabolic control, and (3) ascertain whether high EE is related to psychopathology in these children.
The Present Episode version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children (Kiddie-SADS-P/K-SADS-P) interview was administered to 55 children and adolescents with diabetes and the parental EE instrument, the 5-min speech sample, to 55 mothers. The same instruments were utilized with the 54 controls and their mothers. Glycosylated hemoglobin A1 values were used as a measure of metabolic control.
More than half of the children with diabetes (58.2%) had mild to moderate symptoms of anxiety or depression as compared to 9.3% of the controls. High EE was exhibited by 70.9% of the index group mothers in contrast to only 29.6% of the control group mothers. High maternal EE was not related to the psychopathology of children with diabetes. High maternal EE and in particular its EOI component and excessive detail (a subcategory of EOI) were related to poor metabolic control of the index children.
Maternal EE is related to metabolic control in childhood diabetes; maternal EOI in particular is related to poor metabolic control. Mental health professionals should work with mothers of children with diabetes in an effort to modify such attitudes and emotions.
本研究针对患有糖尿病的儿童和青少年，旨在：（1）探究以批评性评论（CC）、敌意和情感过度卷入（EOI）形式存在的母亲表达性情绪（EE）是否与代谢控制相关；（2）确定CC和EOI是否分别与代谢控制不佳相关；（3）确定高EE是否与这些儿童的精神病理学相关。
对55名患有糖尿病的儿童和青少年进行学龄儿童情感障碍和精神分裂症访谈量表（儿童版，Kiddie-SADS-P/K-SADS-P）当前发作版本的访谈，并对55名母亲进行父母EE工具——5分钟言语样本测试。对54名对照儿童及其母亲使用相同的工具。糖化血红蛋白A1值用作代谢控制的指标。
超过一半的糖尿病儿童（58.2%）有轻度至中度焦虑或抑郁症状，而对照组这一比例为9.3%。索引组70.9%的母亲表现出高EE，而对照组母亲中这一比例仅为29.6%。母亲高EE与糖尿病儿童的精神病理学无关。母亲高EE，尤其是其EOI成分和过度细节（EOI的一个子类别）与索引儿童的代谢控制不佳相关。
母亲EE与儿童糖尿病的代谢控制相关；母亲EOI尤其与代谢控制不佳相关。心理健康专业人员应与糖尿病儿童的母亲合作，努力改变这种态度和情绪。
