Sennekamp W, Cohen R, Schönberger R
Psychiatr Prax. 1987 May;14(3):84-7.
A sample of 45 schizophrenic (DSM-III) inpatients was used to investigate which types of behavior were experienced by family members during the first weekend leave as an emotional strain, and how this strain relates to the patients' symptoms. No type of behavior predominated in being found particularly disturbing: the strain was distributed evenly over all pathological behaviors. Estimation of pathological symptoms by nursing staff and therapists immediately before weekend leave did not predict the emotional load on family members. These results lead to the recommendation that patients' behavior on a psychiatric ward should not be used to make broad predictions about difficulties that will be experienced in family relationships. A better judgment will be obtained by sending patients home for trial periods and holding subsequent discussions with family members as well as patients.
选取了45名精神分裂症(DSM-III)住院患者作为样本,以调查家庭成员在首个周末假期期间会将哪些行为类型体验为一种情感压力,以及这种压力与患者症状之间的关系。没有哪种行为类型在被认为特别令人困扰方面占主导地位:压力均匀分布于所有病态行为。护理人员和治疗师在周末假期前对病态症状的评估并不能预测家庭成员的情感负担。这些结果表明,不应根据患者在精神科病房的行为来广泛预测家庭关系中将会遇到的困难。通过让患者回家进行试验期,并随后与家庭成员以及患者进行讨论,可以获得更好的判断。