Doane J A, West K L, Goldstein M J, Rodnick E H, Jones J E
Arch Gen Psychiatry. 1981 Jun;38(6):679-85. doi: 10.1001/archpsyc.1981.01780310079008.
In an attempt to assess the contributory role of family factors to the development of schizophrenia-like disorders, measures of parental communication deviance and affective styles of communication were obtained for a sample of families of disturbed but nonpsychotic adolescents. Outcome was assessed five years later. Absence of a pathologic affective style was associated with a benign outcome, but neither parental variable alone allowed precise identification of the schizophrenia-spectrum cases. However, an index using a combination of both variables was statistically predictive of subsequent psychiatric status at follow-up. Thus, adolescents whose parents had both a pathologic affective style of communication and a high level of communication deviance had schizophrenia-like disorders develop in young adulthood. Adolescents of parents who had both lower levels of communication deviance and a benign affective style had offspring with healthier outcomes.
为了评估家庭因素在精神分裂症样障碍发展中的作用，我们对受困扰但未患精神病的青少年家庭样本进行了父母沟通偏差和情感沟通方式的测量。五年后对结果进行评估。不存在病理性情感沟通方式与良好的结果相关，但仅单一的父母变量都无法精确识别精神分裂症谱系病例。然而，一个结合了这两个变量的指数在统计学上能够预测随访时的后续精神状态。因此，父母既有病理性情感沟通方式又有高水平沟通偏差的青少年在成年早期会患上精神分裂症样障碍。父母沟通偏差水平较低且情感沟通方式良好的青少年其后代的结果更健康。
