首次入院的早发性精神分裂症谱系障碍患者的情感表达、感知到的批评及养育方式的模式与相关因素
Patterns and correlates of expressed emotion, perceived criticism, and rearing style in first admitted early-onset schizophrenia spectrum disorders.
作者信息
von Polier Georg G, Meng Heiner, Lambert Martin, Strauss Monika, Zarotti Gianni, Karle Michael, Dubois Reinmar, Stark Fritz-Michael, Neidhart Sibylle, Zollinger Ruedi, Bürgin Dieter, Felder Wilhelm, Resch Franz, Koch Eginhard, Schulte-Markwort Michael, Schimmelmann Benno G
机构信息
*Department of Child and Adolescent Psychiatry, RWTH Aachen University, Aachen, Germany; †Department of Child and Adolescent Psychiatry, University of Basel, Basel, Switzerland; ‡Psychosis Centre, Department of Psychiatry, University Hospital Hamburg-Eppendorf, Hamburg, Germany; §Department of Child and Adolescent Psychiatry, St Gallen, Switzerland; ∥University Hospital of Child and Adolescent Psychiatry, University of Bern, Bern, Switzerland; ¶Department of Child and Adolescent Psychiatry, University of Tuebingen, Tuebingen, Germany; #Department of Child and Adolescent Psychiatry, Olgahospital, Stuttgart, Germany; **Department of Psychiatry, Asklepios Clinical Center West, Hamburg, Germany; ††Center for Family Counceling and School Psychology, Allschwil/Basel, Switzerland; ‡‡Department of Child and Adolescent Psychiatry, University of Heidelberg, Heidelberg, Germany; and §§Department of Child and Adolescent Psychiatry, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
出版信息
J Nerv Ment Dis. 2014 Nov;202(11):783-7. doi: 10.1097/NMD.0000000000000209.
The aim of this study was to assess patterns and correlates of family variables in 31 adolescents treated for their first episode of a schizophrenia spectrum disorder (early-onset schizophrenia [EOS]). Expressed emotion, perceived criticism, and rearing style were assessed. Potential correlates were patient psychopathology, premorbid adjustment, illness duration, quality of life (QoL), sociodemographic variables, patient and caregiver "illness concept," and caregiver personality traits and support. Families were rated as critical more frequently by patients than raters (55% vs. 13%). Perceived criticism was associated with worse QoL in relationship with parents and peers. An adverse rearing style was associated with a negative illness concept in patients, particularly with less trust in their physician. Future research should examine perceived criticism as a predictor of relapse and indicator of adolescents with EOS who need extended support and treatment. Rearing style should be carefully observed because of its link with patients' illness concept and, potentially, to service engagement and medication adherence.
本研究的目的是评估31名首次接受精神分裂症谱系障碍（早发性精神分裂症[EOS]）治疗的青少年家庭变量的模式及相关因素。评估了表达性情绪、感知到的批评和养育方式。潜在的相关因素包括患者的精神病理学、病前适应、病程、生活质量（QoL）、社会人口统计学变量、患者和照顾者的“疾病观念”，以及照顾者的人格特质和支持。患者将家庭评为批评性的频率高于评估者（55%对13%）。感知到的批评与与父母及同伴关系中较差的生活质量相关。不良的养育方式与患者消极的疾病观念相关，尤其是对医生的信任度较低。未来的研究应将感知到的批评作为复发的预测因素以及需要长期支持和治疗的EOS青少年的指标进行研究。由于养育方式与患者的疾病观念相关，并可能与服务参与和药物依从性有关，因此应仔细观察。
Zotero 插件