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父母情感风格与精神分裂症的治疗。预测疾病进程和社会功能。

Parental affective style and the treatment of schizophrenia. Predicting course of illness and social functioning.

作者信息

Doane J A, Falloon I R, Goldstein M J, Mintz J

出版信息

Arch Gen Psychiatry. 1985 Jan;42(1):34-42. doi: 10.1001/archpsyc.1985.01790240036004.

DOI:10.1001/archpsyc.1985.01790240036004
PMID:3966851
Abstract

In a randomized controlled study, the affective style (AS) of parents of schizophrenics in clinic-based individual treatment groups and home-based family treatment groups was compared prior to treatment and again three months after treatment had begun. Affective style is an index reflecting the quality of the family emotional climate, measured from face-to-face discussion. Pretherapy and posttherapy measures of negative AS were significantly predictive of relapse within the nine-month treatment period for patients in individual treatment. In addition, for both treatment groups, a negative AS pattern at the posttherapy reassessment was significantly associated with decreased patient social functioning, reduced ability of the family to absorb the family intervention, and lower capacity of the family to cope with everyday family stresses. The results suggest that AS is an important intrafamilial attribute, with implications for treatment strategy and planning.

摘要

在一项随机对照研究中,对基于门诊的个体治疗组和基于家庭的家庭治疗组中精神分裂症患者父母的情感风格(AS)在治疗前以及治疗开始三个月后再次进行了比较。情感风格是一个反映家庭情感氛围质量的指标,通过面对面讨论来衡量。个体治疗患者在治疗前和治疗后对消极情感风格的测量结果能显著预测其在九个月治疗期内的复发情况。此外,对于两个治疗组而言,治疗后重新评估时消极的情感风格模式与患者社会功能下降、家庭接受家庭干预能力降低以及家庭应对日常家庭压力的能力较低显著相关。研究结果表明,情感风格是一种重要的家庭内部属性,对治疗策略和规划具有启示意义。

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