Miklowitz D J, Goldstein M J, Falloon I R, Doane J A
Br J Psychiatry. 1984 May;144:482-7. doi: 10.1192/bjp.144.5.482.
Measures of intrafamilial expressed emotion (EE) predict relapse in schizophrenic patients, but previous research has not investigated whether EE scores are representative of ongoing family transactions. Parents of 42 hospitalized schizophrenic patients were rated for level and type of EE. Following the patient's discharge, families participated in two 10-minute direct interaction tasks. Transcripts from these interactions were coded on dimensions of affective communication. High-EE parents exhibited more negatively charged emotional verbal behaviour in direct transaction with their schizophrenic offspring than did low-EE parents. Some parents rated high-EE were distinguished by their frequent usage of critical comments during the interactions, whereas high-EE overinvolved parents used more intrusive, invasive statements. These findings support the construct validity of expressed emotion.
家庭内部情感表达（EE）的测量方法可预测精神分裂症患者的复发，但以往研究并未调查EE分数是否代表正在进行的家庭互动情况。对42名住院精神分裂症患者的父母进行了EE水平和类型的评定。患者出院后，家庭参与了两项10分钟的直接互动任务。这些互动的文字记录按照情感交流维度进行编码。与低EE父母相比，高EE父母在与精神分裂症子女的直接互动中表现出更多带有负面情绪的言语行为。一些被评定为高EE的父母在互动中频繁使用批评性评论，而高EE过度介入型父母则使用更多侵扰性、侵犯性言论。这些发现支持了情感表达的结构效度。
