Lefley H P
Department of Psychiatry, University of Miami School of Medicine, FL 33101.
Hosp Community Psychiatry. 1992 Jun;43(6):591-8. doi: 10.1176/ps.43.6.591.
Research on schizophrenia has suggested an association between relapse of patients and high expressed emotion (EE), defined as criticism, hostility, or emotional overinvolvement of at least one family member. In international studies, however, the majority of families of persons with schizophrenia demonstrate low expressed emotion. These families are described as empathic, calm, and respectful by EE researchers, who also reject the idea of family schizophrenogenesis. The author discusses expressed emotion as a construct, its validity and stability over time, and the direction of the relationship between relatives' expressed emotion and patients' symptoms and behavior. She reviews studies indicating significant differences in levels of expressed emotion across cultures, examines the social policy implications of programming based on the construct, and suggests research on EE analogues in clinical and rehabilitative environments.
对精神分裂症的研究表明，患者复发与高情感表达（EE）之间存在关联，高情感表达被定义为至少一名家庭成员的批评、敌意或情感过度卷入。然而，在国际研究中，大多数精神分裂症患者的家庭表现出低情感表达。情感表达研究人员将这些家庭描述为有同理心、冷静且尊重他人的，他们也反对家庭致精神分裂症的观点。作者讨论了情感表达作为一种概念结构、其随着时间推移的有效性和稳定性，以及亲属的情感表达与患者症状和行为之间关系的方向。她回顾了表明不同文化中情感表达水平存在显著差异的研究，审视了基于该概念结构的项目所具有的社会政策含义，并建议在临床和康复环境中对情感表达类似物进行研究。
