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个体及家庭治疗对精神分裂症患者家庭情感氛围的影响。

The impact of individual and family treatment on the affective climate of families of schizophrenics.

作者信息

Doane J A, Goldstein M J, Miklowitz D J, Falloon I R

出版信息

Br J Psychiatry. 1986 Mar;148:279-87. doi: 10.1192/bjp.148.3.279.

DOI:10.1192/bjp.148.3.279
PMID:3719220
Abstract

Measures of parental affective style were compared for families of schizophrenics participating in a controlled treatment study which contrasted individual and family-based therapeutic programmes. The total number of critical statements and non-critical, intrusive remarks was significantly lower after three months for parents of schizophrenics participating in family therapy, compared to those whose offspring received only individual therapy. An increased risk for relapse was associated with an increase in the number of critical and/or intrusive remarks for patients in individual treatment. A significant increase in non-emotional, problem-solving statements was observed in parents who received family therapy, compared with those who did not. The results suggest that a behaviourally-oriented, problem-solving family approach may have reduced the risk of relapse in the first nine months after discharge from hospital by teaching families concrete ways of solving problems and concomitantly reducing the amount of negative emotional relating between family members.

摘要

在一项对照治疗研究中,对参与其中的精神分裂症患者家庭的父母情感风格测量指标进行了比较,该研究对比了个体治疗方案和基于家庭的治疗方案。与那些子女仅接受个体治疗的父母相比,参与家庭治疗的精神分裂症患者的父母在三个月后,批判性陈述和非批判性的侵扰性言论的总数显著更低。对于接受个体治疗的患者,批判性和/或侵扰性言论数量的增加与复发风险的增加相关。与未接受家庭治疗的父母相比,接受家庭治疗的父母在非情绪化的解决问题陈述方面有显著增加。结果表明,以行为为导向的解决问题的家庭治疗方法,可能通过教导家庭解决问题的具体方法,并同时减少家庭成员之间负面情绪交流的数量,降低了出院后头九个月的复发风险。

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