高情感表达父母的特征及相关因素：一项针对精神分裂症成年患者父母的研究。

Characteristics of Parents With High Expressed Emotion and Related Factors: A Study of Parents of Adults With Schizophrenia.

作者信息

Kageyama Masako, Solomon Phyllis

机构信息

Department of Health Promotion Science, Osaka University Graduate School of Medicine, Osaka, Japan.

School of Social Policy & Practice, University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

J Nerv Ment Dis. 2018 Dec;206(12):955-961. doi: 10.1097/NMD.0000000000000902.

DOI:10.1097/NMD.0000000000000902

PMID:30439779

Abstract

This study aimed to clarify characteristics of parents with high expressed emotion (EE) and related factors among parents of adults with schizophrenia. In total, 73 (25.3%) of the 289 parents had high EE (Family Attitude Scale [FAS] score ≥60), and 216 (74.7%) had low EE (FAS score <60). A multiple logistic regression analysis showed that high EE parents were more distressed (odds ratio [OR] = 1.27; 95% confidence interval [CI] = 1.16-1.39) and experienced more physical violence from their adult children with schizophrenia (OR = 2.86; 95% CI = 1.28-6.43); the children with schizophrenia had been hospitalized at time of survey (OR = 6.54; 95% CI = 1.10-38.89) and were less likely to attend rehabilitation services (OR = 2.56; 95% CI = 1.06-6.17). Practitioners need to provide crisis intervention, home-visiting services, and support services for parents during hospitalization of their children with schizophrenia.

摘要

本研究旨在阐明精神分裂症成年患者父母中高情感表达（EE）的特征及相关因素。在289名父母中，共有73名（25.3%）具有高EE（家庭态度量表[FAS]得分≥60），216名（74.7%）具有低EE（FAS得分<60）。多元逻辑回归分析显示，高EE的父母更痛苦（优势比[OR]=1.27；95%置信区间[CI]=1.16 - 1.39），且遭受患有精神分裂症成年子女的身体暴力更多（OR = 2.86；95% CI = 1.28 - 6.43）；患有精神分裂症的子女在调查时曾住院（OR = 6.54；95% CI = 1.10 - 38.89），且参加康复服务的可能性较小（OR = 2.56；95% CI = 1.06 - 6.17）。从业者需要在精神分裂症患儿住院期间为其父母提供危机干预、家访服务和支持服务。