Gurak Kayla, Weisman de Mamani Amy
University of Miami, Coral Gables, FL.
J Nerv Ment Dis. 2016 Aug;204(8):570-7. doi: 10.1097/NMD.0000000000000558.
The family environment can play either a detrimental or a protective role in symptom severity for people with schizophrenia. The current study examined both patient and caregiver perspectives of the family environment in an ethnically diverse sample of 221 patients with schizophrenia. We hypothesized that environments characterized by high levels of perceived caregiver criticism, low perceived caregiver warmth, and low family cohesion (from both the patient and caregiver perspective) would predict greater symptom severity. As expected, results demonstrated that lower patient ratings of family cohesion and caregiver warmth were associated with greater symptom severity. However, once put into a hierarchical regression analysis, only patient ratings of family cohesion remained significant. Ethnic patterns were also examined and revealed that family cohesion may be particularly protective for ethnic minorities. Study implications are discussed.
家庭环境对于精神分裂症患者的症状严重程度可能起到有害或保护作用。本研究在一个由221名精神分裂症患者组成的种族多样化样本中，考察了患者和照料者对家庭环境的看法。我们假设，以照料者高度批评、照料者温暖感低以及家庭凝聚力低（从患者和照料者双方角度来看）为特征的环境会预示着更严重的症状。正如预期的那样，结果表明，患者对家庭凝聚力和照料者温暖感的评分越低，症状就越严重。然而，一旦进行分层回归分析，只有患者对家庭凝聚力的评分仍然具有显著性。研究还考察了种族模式，结果显示家庭凝聚力可能对少数族裔具有特别的保护作用。本文讨论了研究的意义。
