Bledin K D, MacCarthy B, Kuipers L, Woods R T
Redbridge Health Authority, Goodmayes Hospital, Ilford, Essex.
Br J Psychiatry. 1990 Aug;157:221-7. doi: 10.1192/bjp.157.2.221.
Twenty-five women who were the primary carers for a parent with dementia rated for expressed emotion (EE) and then divided into two groups: 11 with low-EE ratings and 14 with high-EE ratings. Although there were no differences between these groups in the levels of their parents' cognitive impairment, when such impairment was taken into account, high-EE subjects were found to report higher levels of strain and distress. More efficient coping strategies were reported by subjects who made fewer critical comments and more positive remarks. High-EE subjects more frequently had no living siblings, and were more likely to have had a respite break from caring. EE status was not associated with continuing care in the community at a nine-month follow-up.
25名作为痴呆症患者主要照料者的女性接受了情感表达（EE）评估，随后被分为两组：11名情感表达得分低的女性和14名情感表达得分高的女性。尽管两组在其父母认知障碍程度上没有差异，但在考虑到这种障碍后，发现情感表达得分高的受试者报告的压力和痛苦程度更高。发表批评性言论较少且积极言论较多的受试者报告了更有效的应对策略。情感表达得分高的受试者更常没有在世的兄弟姐妹，并且更有可能曾有过照料间歇。在九个月的随访中，情感表达状况与社区持续照料无关。
