精神分裂症或相关精神病患者父母的情感过度卷入：人口统计学和临床预测因素
Emotional overinvolvement in parents of patients with schizophrenia or related psychosis: demographic and clinical predictors.
作者信息
Bentsen H, Boye B, Munkvold O G, Notland T H, Lersbryggen A B, Oskarsson K H, Ulstein I, Uren G, Bjørge H, Berg-Larsen R, Lingjaerde O, Malt U F
机构信息
Department Group of Psychiatry, University of Oslo, Norway.
出版信息
Br J Psychiatry. 1996 Nov;169(5):622-30. doi: 10.1192/bjp.169.5.622.
BACKGROUND
Parental emotional overinvolvement (EOI) may entail a worse outcome in schizophrenia. In the present study we examined demographic and clinical predictors of EOI.
METHOD
The predictors were examined in a Norwegian sample of 41 recently admitted patients (schizophrenia or schizophreniform disorder) and 66 parents. Parents' expressed emotion was assessed by the Camberwell Family Interview.
RESULTS
Regression analyses showed that higher EOI was significantly related, on the part of the parent, to being a mother, single, spending more time with the patient; and, on the part of the patient, to no substance misuse, more anxiety-depression, and less uncritical and aggressive behaviour. EOI was not linked to previous hospital admissions.
CONCLUSION
Our analyses indicate that characteristics of the parent and of the parent-patient dyad seem to be the most important determinants of EOI. EOI is probably not linked to psychotic relapse, but rather to affective disturbances in the patient.
背景
父母情感过度卷入（EOI）可能会导致精神分裂症出现更差的预后。在本研究中，我们调查了EOI的人口统计学和临床预测因素。
方法
在挪威的一个样本中对预测因素进行了调查，该样本包括41名近期入院的患者（精神分裂症或精神分裂症样障碍）和66名患者的父母。通过坎伯韦尔家庭访谈评估父母的情感表达。
结果
回归分析表明，父母方面，较高的EOI与母亲、单身、与患者相处时间更长显著相关；患者方面，与无物质滥用、更多焦虑抑郁以及更少不加批判和攻击性行为显著相关。EOI与既往住院次数无关。
结论
我们的分析表明，父母及亲子二元组的特征似乎是EOI最重要的决定因素。EOI可能与精神病复发无关，而与患者的情感障碍有关。
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