Vaughn C E, Snyder K S, Jones S, Freeman W B, Falloon I R
Arch Gen Psychiatry. 1984 Dec;41(12):1169-77. doi: 10.1001/archpsyc.1984.01790230055009.
Our study of the emotional atmosphere of the homes of schizophrenic patients in southern California has replicated British findings concerning the influence of the family environment on the course of schizophrenia. As in the British studies, criticism and overinvolvement expressed by a key relative about the patient at the time of the key admission proved to be the best single predictor of symptomatic relapse in the nine months after discharge from the hospital. Replicating the British results, the association between relatives' expressed emotion and relapse was independent of all other variables investigated. Cross-cultural results concerning the prophylactic effects of medication suggest that clinicians should look to the emotional atmosphere in the home for explanations of medication failures.
我们对南加州精神分裂症患者家庭情感氛围的研究重现了英国关于家庭环境对精神分裂症病程影响的研究结果。与英国的研究一样，在首次入院时一位关键亲属对患者表达的批评和过度卷入被证明是出院后九个月内症状复发的最佳单一预测指标。重现英国的研究结果，亲属表达的情感与复发之间的关联独立于所有其他调查变量。关于药物预防效果的跨文化研究结果表明，临床医生应该从家庭情感氛围中寻找药物治疗失败的原因。
