Niv Noosha, Lopez Steven R, Glynn Shirley M, Mueser Kim
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California 90025, USA.
J Nerv Ment Dis. 2007 Apr;195(4):307-14. doi: 10.1097/01.nmd.0000243793.64279.48.
This study compared relatives' attributions and affective reactions toward patients with severe mental illness (SMI) only (N = 32) and patients with dual SMI and a substance use disorder (N = 36). Family members of patients with dual disorders perceived their ill relatives to have greater control over the causes of their psychiatric symptoms and to be more responsible for their symptoms than did family members of patients with SMI only. Key relatives of dual-diagnosed patients also reported more negative affect toward the patient than did key relatives of patients with SMI only, but the two groups did not differ in their level of positive affect. Consistent with attribution theory, severity of patients' substance abuse was positively associated with relatives' attributions of controllability, which, in turn, were positively associated with judgments of responsibility. Furthermore, judgments of responsibility were positively related to negative affect and inversely related to positive affect.
本研究比较了亲属对仅患有严重精神疾病（SMI）的患者（N = 32）和患有双重严重精神疾病及物质使用障碍的患者（N = 36）的归因和情感反应。与仅患有严重精神疾病患者的家属相比，双重障碍患者的家属认为他们患病的亲属对其精神症状的成因有更大的控制力，并且对其症状负有更多责任。双重诊断患者的主要亲属对患者报告的负面影响也比仅患有严重精神疾病患者的主要亲属更多，但两组在积极情感水平上没有差异。与归因理论一致，患者物质滥用的严重程度与亲属对可控性的归因呈正相关，而亲属对可控性的归因又与责任判断呈正相关。此外，责任判断与负面影响呈正相关，与积极影响呈负相关。
