Paths to Relapse: Possible Transactional Processes Connecting Patient Illness Onset, Expressed Emotion, and Psychotic Relapse

Paths to Relapse: Possible Transactional Processes Connecting Patient Illness Onset, Expressed Emotion, and Psychotic Relapse
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复发路径:连接患者疾病发作、情绪表达和精神病复发的可能的交易过程

DOI:
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发表时间:
1992
影响因子:
10.5
通讯作者:
J. Mintz
J. Mintz
中科院分区:
医学1区
文献类型:
--
作者:
K. Nuechterlein;K. Snyder;J. Mintz

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精神分裂症的脆弱性/压力框架是一种方法,通过这种方法,精神分裂症的遗传和其他生物学因素的有力证据可以有效地与压力环境可能在精神病发作中起作用的持续证据相结合(Gottesman & Shields, 1972; Zubin & Spring, 1977; Nuechterlein & Dawson, 1984; Nuechterlein, 1987; Ciompi, 1989)。在一项针对精神分裂症早期病程的大型纵向研究中,我们一直试图研究患者的心理生物学脆弱性因素(Dawson & Nuechterlein, 1987; Nuechterlein等人,1991)和外部环境压力因素(Ventura等人,1989)各自或共同影响精神分裂症病程的几种可能方式。在伯尔尼举行的第二届精神分裂症国际研讨会上,我们重点关注了精神分裂症的两个有希望的介导因素——那些涉及持续信息处理异常和应激触发的自主神经觉醒的因素(Nuechterlein et al, 1989)。在这里,我们关注的是最近的分析,这些分析与当前文献中关于人际态度的争议有关,人际态度通常被称为表达情感(EE)——社会环境属性,在统计上与精神分裂症的精神病复发有关。
A vulnerability/stress framework for schizophrenia is one means by which the strong evidence for genetic and other biological factors in schizophrenia can be combined in a useful way with persistent evidence that stressful environments may play a role in precipitating psychotic episodes (Gottesman & Shields, 1972; Zubin & Spring, 1977; Nuechterlein & Dawson, 1984; Nuechterlein, 1987; Ciompi, 1989). Within a large longitudinal study of the early course of schizophrenia, we have been attempting to examine several possible ways in which both psychobiological vulnerability factors in the patient (Dawson & Nuechterlein, 1987; Nuechterlein et al, 1991) and external environmental stressors (Ventura et al, 1989) individually and jointly influence the course of schizophrenia. At the Second International Symposium on Schizophrenia in Bern, we focused on two promising mediating factors in schizophrenia — those involving persistent information-processing abnormalities and stress-triggered autonomic arousal (Nuechterlein et al, 1989). We focus here on recent analyses that relate to current controversies in the literature on interpersonal attitudes that are typically called expressed emotion (EE) — socio-environmental attributes that have been statistically associated with psychotic relapse in schizophrenia.
DOI: 10.1093/schbul/10.2.300
发表时间: 1984-01-01
影响因子: 6.6
作者:
NUECHTERLEIN, KH;DAWSON, ME
通讯作者: DAWSON, ME
DOI: 10.1111/j.1545-5300.1989.00169.x
发表时间: 1989
期刊: Family process
影响因子: 3.9
作者:
Strachan,AM;Feingold,D;Goldstein,MJ;Miklowitz,DJ;Nuechterlein,KH
通讯作者: Nuechterlein,KH
关于压力生活事件和精神分裂症复发的前瞻性研究。
DOI: 10.1037//0021-843x.98.4.407
发表时间: 1989
影响因子: 4.6
作者:
Ventura,J;Nuechterlein,KH;Lukoff,D;Hardesty,JP
通讯作者: Hardesty,JP
家庭因素和双相情感障碍的病程。
DOI: 10.1001/archpsyc.1988.01800270033004
发表时间: 1988
影响因子: --
作者:
Miklowitz,DJ;Goldstein,MJ;Nuechterlein,KH;Snyder,KS;Mintz,J
通讯作者: Mintz,J
DOI: 10.1001/archpsyc.1986.01800070019003
发表时间: 1986-07
影响因子: --
作者:
G. Hogarty;C. Anderson;D. Reiss;S. Kornblith;D. Greenwald;C. D. Javna;M. J. Madonia
通讯作者: G. Hogarty;C. Anderson;D. Reiss;S. Kornblith;D. Greenwald;C. D. Javna;M. J. Madonia