PREDICTORS OF RELAPSE IN UNIPOLAR DEPRESSIVES - EXPRESSED EMOTION, MARITAL DISTRESS, AND PERCEIVED CRITICISM
PREDICTORS OF RELAPSE IN UNIPOLAR DEPRESSIVES - EXPRESSED EMOTION, MARITAL DISTRESS, AND PERCEIVED CRITICISM
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DOI：
10.1037/0021-843x.98.3.229
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发表时间：
1989-08-01
影响因子：
4.6
通讯作者：
TEASDALE, JD
中科院分区：
文献类型：
--
作者：
HOOLEY, JM;TEASDALE, JD
表达的情绪（EE）和两个概念上相关的，但更容易测量的替代品，婚姻困扰，和患者的看法，从配偶的批评的预测效度进行了检查，在住院的单极抑郁症的样本。所有三个社会心理变量与9个月复发率显著相关。表达的情绪和婚姻痛苦预测患者的结果相同的方差比例。然而，复发的最佳预测因素是患者对“你的配偶对你有多重要”这个问题的回答。复发的患者对配偶的评价明显比保持良好的患者更重要。单独，感知批评变量占更多的复发率的方差比EE和婚姻痛苦的解释相结合。结果表明，询问抑郁症患者他们认为他们的亲属有多重要，可能有助于识别出院后复发的高风险个体。
The predictive validity of expressed emotion (EE) and two conceptually related but more easily measured alternatives—marital distress, and patients' perceptions of criticism from spouses—were examined in a sample of hospitalized unipolar depressives. All three psychosocial variables were significantly associated with 9-month relapse rates. Expressed emotion and marital distress predicted the same proportion of variance in patients' outcomes. The single best predictor of relapse, however, was a patient's response to the question “How critical is your spouse of you?” Patients who relapsed rated their spouses as significantly more critical than did patients who remained well. Alone, the perceived criticism variable accounted for more of the variance in relapse rates than that explained by EE and marital distress combined. The results suggest that asking depressed patients how critical they believe their relatives are may facilitate the identification of individuals at high risk for relapse subsequent to hospital discharge.