The Role of Depression, Shame-Proneness, and Guilt-Proneness in Predicting Criticism of Relatives Towards People With Bipolar Disorder
The Role of Depression, Shame-Proneness, and Guilt-Proneness in Predicting Criticism of Relatives Towards People With Bipolar Disorder
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DOI：
10.1016/j.beth.2008.09.003
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发表时间：
2009-12-01
期刊：
影响因子：
3.7
通讯作者：
Johnson, Sheri L.
中科院分区：
文献类型：
--
作者：
McMurrich, Stephanie L.;Johnson, Sheri L.
在许多不同的精神疾病中，表达情绪（EE）与患者预后不良相关。鉴于其强大的关联复发，EE已成为家庭心理教育干预的主要目标。迄今为止，大多数心理教育干预措施未能改变双相情感障碍患者家庭的EE水平。更好的干预策略，那么，可能取决于一个增加的了解EE的预测。虽然EE传统上包括许多方面，批评似乎是最强大的双相情感障碍的预测结果。本研究测试了双相情感障碍患者家庭成员批评的三个主要预测因素：焦虑倾向、内疚倾向和抑郁。抑郁症状与EE显着相关。讨论的重点是研究的局限性和影响，并为未来的研究提出建议。
Expressed emotion (EE) has been associated with poor patient outcomes in many different psychiatric disorders. Given its robust association with relapse, EE has become a major target of family psychoeducational interventions. Most psychoeducational interventions to date have failed to change EE levels among families of those with bipolar disorder. Better intervention strategies, then, may depend on an increased understanding of the predictors of EE. Although EE has traditionally included many facets, criticism appears to be the most robust predictor of outcome within bipolar disorder. The present study tested three primary predictors of criticism among family members of people with bipolar disorder: shame-proneness, guilt-proneness, and depression. Depressive symptoms were significantly associated with EE. Discussion focuses on limitations and implications of the study and suggestions for future research.