Fiedler P, Backenstrass M, Kronmüller K T, Mundt C
Psychologisches Institut der Universität Heidelberg.
Nervenarzt. 1998 Jul;69(7):600-8. doi: 10.1007/s001150050317.
Long-term course of depression appears to be clearly correlated to marital quality and quality of the relationship with spouses. Aim of the present study is the replication of results, indicating that expressed emotion (EE) is an important factor in prediction of relapse in depression. Additionally, the correlation between EE shown by spouses and the severeness of depressive symptomatology as well as the importance of martial quality as seen by patients for relapse are investigated. Results of our study indicate that spouses EE does not predict relapse, and status of EE does not correlate with the extent of depressive symptoms. However, patient self ratings of satisfaction with marital relationship and of perceived criticism are related to relapse frequency. Additionally, discrepant ratings of marital satisfaction given by spouses predict relapse to some extent. Implications for research in affective disorders and clinical practice are discussed.
抑郁症的长期病程似乎与婚姻质量以及与配偶关系的质量明显相关。本研究的目的是重复相关结果，即表明表达性情绪（EE）是预测抑郁症复发的一个重要因素。此外，还研究了配偶表现出的EE与抑郁症状严重程度之间的相关性，以及患者所认为的婚姻质量对复发的重要性。我们的研究结果表明，配偶的EE不能预测复发，EE状态与抑郁症状的程度也不相关。然而，患者对婚姻关系满意度和感知到的批评的自我评分与复发频率有关。此外，配偶对婚姻满意度的不同评分在一定程度上可预测复发。本文还讨论了对情感障碍研究和临床实践的启示。
