School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, Australia; Monash-Epworth Rehabilitation Research Centre, Epworth Hospital, Melbourne, Australia.
School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, Australia; Monash-Epworth Rehabilitation Research Centre, Epworth Hospital, Melbourne, Australia; National Trauma Research Institute, Melbourne, Australia.
Psychiatry Res. 2016 Dec 30;246:827-832. doi: 10.1016/j.psychres.2016.10.019. Epub 2016 Oct 17.
Family expressed emotion (EE) is a strong predictor of outcome in a range of psychiatric and medical conditions. This study aimed to examine the relationship between family EE-criticism, patient perceived criticism and criticism sensitivity and psychiatric disorders following moderate to severe traumatic brain injury (TBI). Participants were 60 patients with TBI and their family members. Patients were assessed for psychiatric disorders using the Structured Clinical Interview for DSM-IV (SCID-I) and completed the Perceived Criticism Measure (PCM) to determine levels of perceived criticism and criticism sensitivity. Family members completed the Family Questionnaire (FQ) to assess patient directed EE-criticism. Patients were reassessed approximately 12-months post-baseline. After controlling for diagnostic status at baseline, high criticism sensitivity at baseline was associated with greater probability of psychiatric diagnosis at follow-up (odds ratio=3.99, 95% CI=1.15-13.71). Family EE-criticism and perceived criticism were not predictive of patient diagnostic status at follow-up, but patients with high EE-family members were more likely to have a concurrent psychiatric diagnosis at baseline. Findings suggest that sensitivity to interpersonal criticism may have a role in the development and course of psychiatric disorders following TBI.
家庭情绪表达（EE）是多种精神和医学疾病结果的有力预测因素。本研究旨在探讨中度至重度创伤性脑损伤（TBI）后家庭 EE-批评、患者感知的批评和批评敏感性与精神障碍之间的关系。参与者为 60 名 TBI 患者及其家庭成员。使用 DSM-IV 结构临床访谈（SCID-I）评估患者的精神障碍，并完成感知批评量表（PCM），以确定感知批评和批评敏感性的水平。家庭成员填写家庭问卷（FQ）以评估患者定向的 EE-批评。大约在基线后 12 个月对患者进行重新评估。在控制基线时的诊断状态后，基线时的高批评敏感性与随访时出现精神诊断的可能性更大相关（优势比=3.99，95%CI=1.15-13.71）。家庭 EE 批评和感知批评与随访时的患者诊断状态无关，但 EE 高的家庭患者在基线时更有可能同时出现精神诊断。研究结果表明，对人际批评的敏感性可能在 TBI 后精神障碍的发生和病程中起作用。
