Röpcke B
Rheinische Landes- und Hochschulklinik, Klinik für Kinder- und Jugendpsychiatrie, Essen.
Psychiatr Prax. 1996 Mar;23(2):74-8.
The rate of rehospitalisation of schizophrenic psychoses may attain 70% within 3 years, for juvenile schizophrenics up to 80%. Psychoeducative counseling for the reduction of High Expressed Emotions (HEE) of the relatives of the patients shall be able to reduce the rate of rehospitalisation below 20%. But it seems, that HEE in relatives of young schizophrenics (ICD-9:295.x, DSM-III-R:295.xx) with short duration of illness is different from HEE in unselected samples of adult patients. Diagnostic, therapy and experiences in counseling 8 families with a schizophrenic child for a period of 3 years are described. HEE in relatives of young schizophrenics seems to be different to HEE in relatives of unselected samples. Finally changing and extension to the current forms of treatment for juvenile schizophrenics and there families will be discussed.
精神分裂症性精神病的再住院率在3年内可能达到70%,青少年精神分裂症患者的再住院率可达80%。对患者亲属进行心理教育咨询以降低高表达情绪(HEE),应能将再住院率降至20%以下。但似乎病程短的青少年精神分裂症患者(ICD - 9:295.x,DSM - III - R:295.xx)亲属的高表达情绪与未经过挑选的成年患者样本中的高表达情绪有所不同。本文描述了对8个有精神分裂症患儿的家庭进行为期3年的诊断、治疗及咨询经验。青少年精神分裂症患者亲属的高表达情绪似乎与未经过挑选的样本亲属中的高表达情绪不同。最后将讨论针对青少年精神分裂症患者及其家庭当前治疗形式的改变和扩展。