Rosenfarb Irwin Ford, Triana Stephanie, Nuechterlein Keith H, Ventura Joseph, Breitborde Nicholas J K
California School of Professional Psychology, Alliant International University, San Diego, California, USA.
Department of Psychiatry, University of California, Los Angeles, California, USA.
Early Interv Psychiatry. 2017 Aug;11(4):351-353. doi: 10.1111/eip.12307. Epub 2016 Jan 23.
This study examined whether expressed emotion (EE) predicts the emergence of depressive symptoms over a 1-year period in 109 individuals with recent-onset schizophrenia.
Cox proportional hazards regression analyses indicated that EE did not predict the emergence of depressive symptoms. The results also indicated that the EE factors (criticism, hostility and emotional overinvolvement), when examined individually, also did not predict the emergence of depressive symptoms.
Given the large number of patients in the study who were followed up for 1 year and another study's finding, using a subset of patients from the current study, of a significant relationship between EE and psychotic relapse, the data suggest that whereas EE is related to both psychotic relapse in individuals with recent-onset schizophrenia and depressive relapse in individuals with major depressive disorder, EE does not appear to predict depressive exacerbation in individuals with recent-onset schizophrenia.
本研究调查了在109例近期发病的精神分裂症患者中，表达性情绪（EE）是否能预测1年内抑郁症状的出现。
Cox比例风险回归分析表明，EE不能预测抑郁症状的出现。结果还表明，单独检查EE因素（批评、敌意和情感过度卷入）时，也不能预测抑郁症状的出现。
鉴于本研究中有大量患者接受了1年的随访，以及另一项研究使用本研究中的部分患者发现EE与精神病性复发之间存在显著关系，数据表明，虽然EE与近期发病的精神分裂症患者的精神病性复发以及重度抑郁症患者的抑郁复发均有关，但EE似乎不能预测近期发病的精神分裂症患者的抑郁加重。
