Rea M M, Strachan A M, Goldstein M J, Falloon I, Hwang S
Family Project, University of California, Los Angeles 90024-1563.
Br J Psychiatry. 1991 May;158:642-7. doi: 10.1192/bjp.158.5.642.
Changes in relatives' affective attitudes are important contributors to the impact of family psychoeducational programmes on the course of schizophrenia. It remains unclear whether similar changes occur in the interactional style of schizophrenic patients participating in psychoeducational treatment. This study examined changes in the interactional style (coping style) of 33 schizophrenic patients in individual or family treatment. Significant changes were seen in the interactional style of the patients participating in the individual treatment. Similar changes were evident, but not significant, in the family treatment group. The quality of patient interactional style before or after treatment did not predict relapse in either group. Changes in relatives' interactional style early in family treatment are necessary to affect the short-term course of schizophrenia. Modification in patient behaviour during the early phase does not have similar predictive value.
亲属情感态度的变化是家庭心理教育项目对精神分裂症病程产生影响的重要因素。目前尚不清楚参与心理教育治疗的精神分裂症患者的互动方式是否会发生类似变化。本研究调查了33名接受个体治疗或家庭治疗的精神分裂症患者互动方式(应对方式)的变化。接受个体治疗的患者互动方式有显著变化。家庭治疗组也有类似变化,但不显著。治疗前后患者互动方式的质量均不能预测两组患者的复发情况。家庭治疗早期亲属互动方式的改变对于影响精神分裂症的短期病程是必要的。早期患者行为的改变没有类似的预测价值。