Barrowclough C, Tarrier N
Psychol Med. 1984 Aug;14(3):629-42. doi: 10.1017/s0033291700015233.
Recent interest in the way social factors influence the course of schizophrenia has led to attempts to monitor and manipulate these factors. The work on the Expressed Emotion of the relative has been especially influential in this area. A number of studies have now been conducted in which a psychosocial intervention has been employed in an attempt to prevent relapse after discharge from hospital. These studies are reviewed with an emphasis on their methodological adequacy and on the nature of the intervention used. Recent studies have demonstrated a positive result for psychosocial interventions used in combination with neuroleptic medication. However, analysis of these studies does not allow us to conclude that we can identify the 'active ingredients' in these psychosocial treatment regimes. Although there is cause for optimism, further investigation is required.
近期，人们对社会因素影响精神分裂症病程的方式产生了兴趣，这促使人们尝试监测和控制这些因素。亲属的情感表达研究在这一领域尤其具有影响力。现在已经进行了多项研究，其中采用了社会心理干预措施，试图预防出院后复发。对这些研究进行了综述，重点关注其方法的适当性以及所采用干预措施的性质。近期研究表明，社会心理干预与抗精神病药物联合使用能产生积极效果。然而，对这些研究的分析并不能使我们得出结论，即能够确定这些社会心理治疗方案中的“有效成分”。尽管有理由感到乐观，但仍需要进一步研究。
