Marsella A J, Snyder K K
Schizophr Bull. 1981;7(1):152-63. doi: 10.1093/schbul/7.1.152.
The present article proposes an interactional model of schizophrenic disorders in which three parameters of stressors (e.g. stressor category, stressor content, stressor descriptors) interact with four parameters of social networks/supports (e.g. structure, interactional properties, qualitative properties, functional indices) to produce a stress state characterized by positions along three orthogonal dimensions: overload-underload, positive-negative affect, high arousal-low arousal. The stress state, it is speculated, is reciprocally related to various clinical dimensions, functional system impairments, quantitative response parameters, and qualitative response parameters which constitute the "schizophrenic" disorder. The basic point of the model is that the formative, precipitative, expressive, and maintaining forces of schizophrenic-type disorders are influenced by the simultaneous interaction of stressors, supports, and stress states.
本文提出了一种精神分裂症障碍的交互模型，其中应激源的三个参数（如应激源类别、应激源内容、应激源描述）与社会网络/支持的四个参数（如结构、交互特性、质性特性、功能指标）相互作用，产生一种以沿三个正交维度的位置为特征的应激状态：过载-欠载、积极-消极情绪、高唤醒-低唤醒。据推测，这种应激状态与构成“精神分裂症”障碍的各种临床维度、功能系统损害、定量反应参数和定性反应参数相互关联。该模型的基本观点是，精神分裂症类型障碍的形成、促发、表达和维持力量受到应激源、支持和应激状态同时相互作用的影响。
