Szmukler G I, Eisler I, Russell G F, Dare C
Br J Psychiatry. 1985 Sep;147:265-71. doi: 10.1192/bjp.147.3.265.
The number of dropouts from a long-term treatment study of patients with anorexia nervosa (AN) and bulimia nervosa (BN) was substantial. A variety of social, clinical, parental, and treatment factors were examined for their association with early termination of treatment by the patient or the family. Parents' expressed emotion' (EE) (particularly critical comments), BN, and the type of therapy offered (family or individual) were found to interact in some manner to result in dropping out. Some other aspects of parents' EE were also examined, including a comparison of scores in parental pairs; EE was found to be influenced by social class, and there were significant associations with the patient's symptomatology and social adjustment. There was a strong relationship between mothers' and fathers' scores in parental pairs.
在一项针对神经性厌食症（AN）和神经性贪食症（BN）患者的长期治疗研究中，退出治疗的人数相当可观。研究考察了各种社会、临床、家庭及治疗因素与患者或其家庭提前终止治疗之间的关联。结果发现，父母的“表达性情绪”（EE）（尤其是批评性言论）、BN以及所提供的治疗类型（家庭治疗或个体治疗）以某种方式相互作用，导致患者退出治疗。研究还考察了父母EE的其他一些方面，包括父母双方得分的比较；发现EE受社会阶层影响，且与患者的症状表现和社会适应存在显著关联。父母双方的得分之间存在很强的相关性。
