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消费者感知批评对非裔美国门诊精神分裂症患者临床结局的重要性。

The importance of consumer perceived criticism on clinical outcomes for outpatient African Americans with schizophrenia.

机构信息

College of Social Work, The Ohio State University, 1947 College Road, Columbus, OH 43210, USA.

出版信息

Community Ment Health J. 2011 Dec;47(6):637-45. doi: 10.1007/s10597-010-9366-5. Epub 2010 Dec 5.

DOI:10.1007/s10597-010-9366-5
PMID:21132563
Abstract

This is the second of two studies that tests the impact of family factors on consumer functioning. This study tests the impact of the consumer's perception of being criticized by the family (consumer perceived criticism) on the consumer's clinical functioning. It likewise, concurrently tests the impact that other family factors have on perceived criticism. The sample was ninety-three consumer-family dyads. Results showed that none of the family factors directly contributed to level of perceived criticism, but more consumer perceived criticism was significantly related to higher levels of psychiatric symptoms. The findings suggest that an important component of treatment for symptom stabilization for African American consumers involves perceptions of the family being critical toward the consumer. The finding confirms for a sample of poor outpatient African American consumers what was found in previous research with African Americans. Results are in marked contrast to what impacted consumer psychosocial functioning in the companion study, suggesting that clinical and psychosocial functioning domains are distinct, particularly for African American consumers. This should be reflected in the interventions that are developed for African American consumers and their families.

摘要

这是两项研究中的第二项,旨在测试家庭因素对消费者功能的影响。本研究测试了消费者被家庭批评的感知(消费者感知批评)对消费者临床功能的影响。同样,本研究也同时测试了其他家庭因素对感知批评的影响。样本由 93 个消费者-家庭二人组组成。结果表明,没有一个家庭因素直接导致感知批评的程度,但更多的消费者感知批评与更高水平的精神症状显著相关。研究结果表明,针对非裔美国消费者症状稳定治疗的一个重要组成部分涉及到消费者对家庭批评的看法。这一发现证实了在以前对非裔美国人的研究中发现的一项针对贫困门诊非裔美国消费者的样本的研究结果。结果与在同伴研究中影响消费者心理社会功能的结果形成鲜明对比,这表明临床和心理社会功能领域是不同的,特别是对于非裔美国消费者。这应该反映在为非裔美国消费者及其家庭制定的干预措施中。

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本文引用的文献

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How family factors impact psychosocial functioning for African American consumers with schizophrenia.家庭因素如何影响非裔美国精神分裂症患者的社会心理功能。
Community Ment Health J. 2012 Feb;48(1):45-55. doi: 10.1007/s10597-010-9365-6. Epub 2010 Dec 19.
2
The relationships among perceived criticism, family contact, and consumer clinical and psychosocial functioning for African-American consumers with schizophrenia.非裔美国精神分裂症患者所感知到的批评、家庭联系与消费者临床及心理社会功能之间的关系。
Community Ment Health J. 2009 Apr;45(2):106-16. doi: 10.1007/s10597-008-9165-4. Epub 2008 Oct 8.
3
Acculturation and expressed emotion in Caucasian, Latino, and black relatives of patients with schizophrenia.
风险与保护因素、家庭环境认知、种族与精神分裂症症状
J Nerv Ment Dis. 2016 Aug;204(8):570-7. doi: 10.1097/NMD.0000000000000558.
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Clinical case management for patients with schizophrenia with high care needs.针对高护理需求精神分裂症患者的临床病例管理
Community Ment Health J. 2015 Feb;51(2):165-70. doi: 10.1007/s10597-014-9741-8. Epub 2014 Jun 28.
精神分裂症患者的白种人、拉丁裔和黑人亲属的文化适应与情感表达
J Nerv Ment Dis. 2007 Nov;195(11):934-8. doi: 10.1097/NMD.0b013e3181594821.
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Family work in first-onset psychosis: a literature review.首发精神病中的家庭作用:文献综述
J Psychiatr Ment Health Nurs. 2007 Jun;14(4):356-65. doi: 10.1111/j.1365-2850.2007.01093.x.
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Assessment of distress and burden in Australian private psychiatric inpatients.澳大利亚私立精神病住院患者的痛苦与负担评估。
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