Cohen R E, Anderson D L
J Psychosom Res. 1986;30(3):321-6. doi: 10.1016/0022-3999(86)90009-7.
During the third largest outbreak of botulism reported in the United States, affective responses of patients and their family members were assessed to monitor and compare the emotional distress experienced by the two groups during the initial, acute phase of the life-threatening illness. Ratings of 12 patients and 16 family members indicated that family members were significantly more fearful and depressed than patients during the first week and as fearful and depressed as patients during the second week of hospitalization/treatment. Anxiety and helplessness decreased significantly in both groups by week 2. Results illustrate the impact of catastrophic illness on the entire family system and provide support for the utility of family-oriented, crisis interventions. In future outbreaks of catastrophic illness, the early identification of emotional distress and informational needs and provision of appropriate counselling to family members as well as patients may be clinically indicated and valuable in facilitating the coping process.
在美国报告的第三大肉毒杆菌中毒疫情期间，对患者及其家庭成员的情感反应进行了评估，以监测和比较两组人员在这种危及生命疾病的初始急性期所经历的情绪困扰。对12名患者和16名家庭成员的评分表明，在住院/治疗的第一周，家庭成员比患者明显更恐惧和抑郁，在第二周则与患者一样恐惧和抑郁。到第二周时，两组的焦虑和无助感均显著下降。结果说明了灾难性疾病对整个家庭系统的影响，并为以家庭为导向的危机干预措施的效用提供了支持。在未来的灾难性疾病疫情中，早期识别情绪困扰和信息需求，并为家庭成员以及患者提供适当的咨询，在临床治疗中可能是必要的，并且对于促进应对过程具有重要价值。
