Bentsen H, Notland T H, Munkvold O G, Boye B, Ulstein I, Bjørge H, Uren G, Lersbryggen A B, Oskarsson K H, Berg-Larsen R, Lingjaerde O, Malt U F
Blakstad Hospital, Akershus County, Gaustad Hospital, Oslo, Norway.
Br J Med Psychol. 1998 Jun;71(2):125-38. doi: 10.1111/j.2044-8341.1998.tb01374.x.
Knowledge of what predicts relatives' expressed emotion (EE) may contribute to improved family work in schizophrenia. In the present study we examined guilt proneness as a determinant of EE components.
In a Norwegian sample of 46 recently hospitalized patients (schizophrenia or schizophreniform disorder) and 69 relatives, relatives' expressed emotion was assessed by means of the Camberwell Family Interview, and guilt proneness by means of the Revised Mosher Guilt Inventory. (RMGI).
Confirmatory multiple regression analyses showed that hostility-guilt (RMGI) was negatively related to high levels of criticism and hostility and, for men, positively related to emotional overinvolvement. There was a strong positive relationship between relatives' guilty conscience (RMGI) and emotional overinvolvement if the patient had a diagnosis of schizophrenia.
Our analyses indicate that relatives' guilt proneness may be a determinant of their criticism, hostility and emotional overinvolvement towards a schizophrenic family member. This personality trait should be taken into account in family work which aims at modifying relatives' expressed emotion.
了解哪些因素可预测亲属的情感表达（EE），这可能有助于改善针对精神分裂症患者家庭的工作。在本研究中，我们考察了内疚倾向作为情感表达各成分的一个决定因素。
在一个挪威样本中，有46名近期住院的患者（精神分裂症或精神分裂症样障碍）以及69名亲属，通过坎伯韦尔家庭访谈评估亲属的情感表达，通过修订版莫舍尔内疚量表（RMGI）评估内疚倾向。
验证性多元回归分析表明，敌意-内疚（RMGI）与高水平的批评和敌意呈负相关，对男性而言，与情感过度卷入呈正相关。如果患者被诊断为精神分裂症，亲属的内疚感（RMGI）与情感过度卷入之间存在很强的正相关。
我们的分析表明，亲属的内疚倾向可能是他们对精神分裂症家庭成员的批评、敌意和情感过度卷入的一个决定因素。在旨在改变亲属情感表达的家庭工作中，应考虑到这种人格特质。
