Cañivé J M, Sanz-Fuentenebro J, Vázquez C, Qualls C, Fuentenebro F, Tuason V B
Post-traumatic Stress Disorder Program, Veterans Affairs Medical Center, Albuquerque, NM 87108, USA.
Acta Psychiatr Scand. 1995 Nov;92(5):371-7. doi: 10.1111/j.1600-0447.1995.tb09599.x.
This study investigates the effects of perceived family environment on clinical outcome among patients in Spain who suffer from schizophrenia. Forty-five consecutively admitted DSM-III-R schizophrenic patients were assessed monthly with the Brief Psychiatric Rating Scale during a 9-month period. Patients and parents rated the family environment through the Family Environment Scale (FES). FES factors were considered separately for each family member, since parents' and patient's perceptions of the family environment were weakly correlated. Stepwise multiple regression analysis showed that patients' perceptions of family control and intellectual-cultural orientation predicted rehospitalization. Patients' and mothers' ratings of family control and fathers' scores of conflict and moral religious emphasis predicted psychotic relapse. However, fathers' scores of family cohesion predicted higher negative symptoms. Prior admissions, age of onset and use of depot medication tended to predict outcome in conjunction with the family variables.
本研究调查了西班牙精神分裂症患者所感知的家庭环境对临床结局的影响。在9个月的时间里，对45例连续入院的DSM-III-R精神分裂症患者每月使用简明精神病评定量表进行评估。患者和父母通过家庭环境量表（FES）对家庭环境进行评分。由于父母和患者对家庭环境的认知相关性较弱，因此针对每个家庭成员分别考虑FES因素。逐步多元回归分析表明，患者对家庭控制和智力文化取向的认知可预测再次住院情况。患者和母亲对家庭控制的评分以及父亲在冲突和道德宗教强调方面的得分可预测精神病复发。然而，父亲的家庭凝聚力得分预示着更高的阴性症状。既往住院史、发病年龄和长效药物的使用往往与家庭变量共同预测结局。
