Yang Lawrence H, Phillips Michael R, Licht Deborah M, Hooley Jill M
Psychiatric Epidemiology Training Program, Columbia University, 722 West 168th Street-MSPH Box 43, 7th Floor/Room 720 F, New York, NY 10032, USA.
J Abnorm Psychol. 2004 Nov;113(4):592-602. doi: 10.1037/0021-843X.113.4.592.
Previous studies have indicated a robust link between relatives' causal attributions and levels of expressed emotion (EE). However, these studies have primarily been conducted in Western cultures. The current study, conducted in China, examined the spontaneous causal attributions made by 54 relatives of schizophrenia patients during the Camberwell Family Interview. Chinese relatives made few controllable and personal attributions overall. Yet as predicted, highly critical and/or hostile EE relatives attributed patients' negative behaviors to more controllable and personal factors. High EE and controllable attributions positively predicted relapse, whereas personal attributions unexpectedly protected against relapse. EE mediated the effect of controllable, but not personal, attributions on relapse. Relatives' use of a particular Chinese characteristic (narrow-mindedness) was integral to the personal dimension's protective effect.
先前的研究表明，亲属的因果归因与情感表达（EE）水平之间存在紧密联系。然而，这些研究主要是在西方文化中进行的。本研究在中国开展，调查了54名精神分裂症患者亲属在坎伯韦尔家庭访谈中做出的自发因果归因。总体而言，中国亲属做出的可控和个人归因较少。然而，正如预期的那样，高度批评和/或敌对的EE亲属将患者的负面行为归因于更多可控和个人因素。高EE和可控归因正向预测复发，而个人归因意外地起到预防复发的作用。EE介导了可控归因而非个人归因对复发的影响。亲属对特定中国特质（心胸狭隘）的运用对个人维度的保护作用至关重要。
