Asarnow J R, Lewis J M, Doane J A, Goldstein M J, Rodnick E H
J Abnorm Child Psychol. 1982 Sep;10(3):427-41. doi: 10.1007/BF00912331.
This study focused on evaluating the utility of three family measures for predicting outcome in a sample of disturbed but nonpsychotic adolescents: (a) the affective quality of the adolescents' voice tone when communicating with his/her parents; (b) the predominant affective quality of the parents' voice tones when communicating with the adolescent, and (c) the affective quality of the content of the parents' verbalizations to the adolescent. These measures were derived from 5-minute face-to-face discussions between parents and their disturbed adolescent. Results indicated that adolescents using positive or neutral voice tones during emotionally laden discussions with their parents tended to show relatively adequate levels of psychosocial adjustment as young adults, while adolescents using exclusively negative voice tones tended to show sufficient adjustment difficulties in early adulthood to warrant diagnoses within the extended schizophrenia spectrum. Although adolescent voice tone was associated with outcome, considering both adolescent and parent affective response led to improved prediction, with consideration of adolescent and parent variables leading to accurate prediction of outcome for 30 of the 33 sample cases.
（a）青少年与父母交流时语音语调的情感特质；（b）父母与青少年交流时语音语调的主要情感特质；（c）父母对青少年言语表达内容的情感特质。这些测量方法源自父母与其情绪困扰青少年之间5分钟的面对面讨论。结果表明，在与父母进行充满情感的讨论时使用积极或中性语音语调的青少年，成年后往往表现出相对充分的心理社会适应水平，而仅使用消极语音语调的青少年在成年早期往往表现出足够的适应困难，足以在精神分裂症谱系扩展范围内进行诊断。尽管青少年的语音语调与结果相关，但同时考虑青少年和父母的情感反应可提高预测准确性，考虑青少年和父母变量可对33个样本案例中的30个准确预测结果。
