Warner R, Atkinson M
Department of Psychiatry, University of Colorado Health Sciences Center, Boulder.
Br J Psychiatry. 1988 Sep;153:344-53. doi: 10.1192/bjp.153.3.344.
Sixty-two schizophrenic patients completed the Parental Bonding Instrument (PBI), a measure of perceived parental characteristics, rating their parents on care and protection. PBI ratings were related to a one-year course of illness. Patients who perceived their parents positively tended to experience a milder course of illness if they were in frequent contact with them, and a more severe course if they were not; the reverse was true for patients who perceived their parents negatively. PBI ratings were unrelated to the age at onset of illness. This suggests that patients' perceptions of parental attitudes influence the course of schizophrenia by a current stress effect. The PBI, used alone or in conjunction with other predictors, distinguished good- and poor-outcome cases and appears to be a potentially clinically valuable tool.
62名精神分裂症患者完成了父母教养方式问卷（PBI），这是一种用于衡量感知到的父母特征的工具，他们根据关爱和保护程度对自己的父母进行评分。PBI评分与一年的病程相关。如果与父母经常接触，对父母有积极认知的患者往往经历较轻微的病程，而如果不经常接触，则病程较严重；对父母有消极认知的患者情况则相反。PBI评分与发病年龄无关。这表明患者对父母态度的认知通过当前的应激效应影响精神分裂症的病程。单独使用或与其他预测因素结合使用时，PBI能够区分预后良好和不良的病例，似乎是一种具有潜在临床价值的工具。
