Breitborde Nicholas J K, López Steven R, Kopelowicz Alex
Department of Psychiatry, University of Arizona, Tucson, AZ 85724, USA.
J Nerv Ment Dis. 2010 Feb;198(2):105-9. doi: 10.1097/NMD.0b013e3181cc532d.
Past studies have demonstrated a clear relationship between expressed emotion (EE) and relapse for individuals with schizophrenia. However, little attention has been directed toward exploring whether EE may have negative health consequences for caregivers as well. We recruited 60 Mexican-American family caregivers of individuals with schizophrenia and examined whether EE predicted the health of caregivers and ill relatives approximately 13 months later. For caregiving relatives, the EE indices of emotional over-involvement and warmth were predictive of worse mental health among caregivers at follow-up. There was no association between EE and health outcome among individuals with schizophrenia. Our findings suggest that, among Mexican-Americans, family factors may be associated with health outcomes among individuals with schizophrenia and their caregiving relatives.
过去的研究已经证明，对于精神分裂症患者而言，表达性情绪（EE）与病情复发之间存在明确的关联。然而，很少有人关注EE是否也可能对照顾者产生负面健康影响。我们招募了60名患有精神分裂症患者的墨西哥裔美国家庭照顾者，并研究了EE是否能预测大约13个月后照顾者及其患病亲属的健康状况。对于提供照顾的亲属来说，情感过度卷入和温暖的EE指数可预测随访时照顾者较差的心理健康状况。精神分裂症患者的EE与健康结果之间没有关联。我们的研究结果表明，在墨西哥裔美国人中，家庭因素可能与精神分裂症患者及其照顾亲属的健康结果有关。
