Charlesworth B, Sacks J, Templer D I, Thackrey M
California School of Professional Psychology-Fresno 93721.
Community Ment Health J. 1993 Jun;29(3):261-8. doi: 10.1007/BF00778811.
Negative emotion exhibited by the board and care providers toward residents, resident behavior, medication dosage, medication noncompliance, and gender were used to predict resident relapse over a 6-month period. Relapse was defined as movement to a higher, more intensive level of care. Eighty-four residents with a diagnosis of chronic schizophrenia disorder, living in board and care homes in the Fresno, California, area participated in the study. Board and care providers were interviewed using Kreisman's Patient Rejection Scale and Gurel's Behavior Rating Scale. Neither patient rejection nor resident behavior was predictive of relapse; however, medication noncompliance did predict relapse with the male residents and lower medication dose predicted relapse with the female residents. Rejection of the patient by the board and care operator was found to correlate .73 and .64 with negative behavior of the male and female residents respectively. Implications of these results for expressed emotion research were discussed.
研究人员利用寄宿护理机构工作人员及护理人员对居民、居民行为、药物剂量、药物治疗依从性以及性别的负面情绪，来预测居民在6个月内是否会病情复发。复发被定义为护理级别提升至更高、更强化的水平。84名被诊断患有慢性精神分裂症的居民参与了此项研究，他们居住在加利福尼亚州弗雷斯诺地区的寄宿护理机构中。研究人员使用克雷斯曼患者拒绝量表和古雷尔行为评定量表对寄宿护理机构工作人员及护理人员进行了访谈。患者拒绝和居民行为均无法预测病情复发；然而，药物治疗不依从确实可预测男性居民病情复发，而较低的药物剂量则可预测女性居民病情复发。研究发现，寄宿护理机构工作人员及护理人员对患者的拒绝与男性和女性居民的负面行为的相关性分别为0.73和0.64。文章还讨论了这些结果对情感表达研究的启示。
