Nugter M A, Dingemans P M, Linszen D H, Van der Does A J, Gersons B P
Psychiatric Centre Willibrord, Heiloo, The Netherlands.
Acta Psychiatr Scand. 1997 Mar;95(3):199-204. doi: 10.1111/j.1600-0447.1997.tb09620.x.
The influence of a behavioural family treatment on parental communication deviance (CD) was investigated in a longitudinal treatment study. Subjects were the parents of young patients with recent-onset schizophrenia or related disorders. Parents and patients were randomly assigned to one of two treatment conditions: individual out-patient treatment or a combination of individual out-patient and family treatment. Parental CD was assessed with the Thematic Apperception Test (TAT) both at the start of the out-patient treatment and after completion of treatment 1 year later. Most families had high levels of CD, a finding which is in agreement with previous CD studies. These high CD levels remained stable over the 12-month period. Family treatment was not effective in influencing the level of CD. The findings suggest that high CD is a stable trait-marker of parents, and they support the notion that high levels of CD may precede the onset of serious psychotic disorders. Studies with more chronic patients are needed to replicate the findings.
在一项纵向治疗研究中，调查了行为家庭治疗对父母沟通偏差（CD）的影响。研究对象是近期发病的精神分裂症或相关障碍的年轻患者的父母。父母和患者被随机分配到两种治疗条件之一：个体门诊治疗或个体门诊和家庭治疗相结合。在门诊治疗开始时和1年后治疗结束时，用主题统觉测验（TAT）评估父母的CD。大多数家庭的CD水平较高，这一发现与之前关于CD的研究一致。这些高CD水平在12个月期间保持稳定。家庭治疗对影响CD水平无效。研究结果表明，高CD是父母的一个稳定特质标记，它们支持高CD水平可能先于严重精神障碍发作的观点。需要对更多慢性病患者进行研究以重复这些发现。
