FAMILY ENVIRONMENT PREDICTORS OF OUTCOME IN SCHIZOPHRENIC-PATIENTS IN SPAIN - A 9-MONTH FOLLOW-UP-STUDY
FAMILY ENVIRONMENT PREDICTORS OF OUTCOME IN SCHIZOPHRENIC-PATIENTS IN SPAIN - A 9-MONTH FOLLOW-UP-STUDY
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DOI：
10.1111/j.1600-0447.1995.tb09599.x
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发表时间：
1995-11-01
影响因子：
6.7
通讯作者：
TUASON, VB
中科院分区：
文献类型：
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作者：
CANIVE, JM;SANZFUENTENEBRO, J;TUASON, VB
本研究调查感知家庭环境对西班牙精神分裂症患者临床结果的影响。在9个月的时间里，对45名连续入院的DSM-III-R型精神分裂症患者进行每月一次的简短精神病学评定量表评估。患者和家长通过家庭环境量表（FES）对家庭环境进行评价。由于父母和患者对家庭环境的感知呈弱相关，因此对每个家庭成员分别考虑FES因素。逐步多元回归分析显示，患者的家庭控制感知和智力文化取向对再住院有预测作用。患者和母亲对家庭控制的评分以及父亲对冲突和道德宗教强调的评分预示着精神病的复发。然而，父亲的家庭凝聚力得分预示着更高的负面症状。既往入院、发病年龄和使用储备药物倾向于与家庭变量一起预测结果。
This study investigates the effects of perceived family environment on clinical outcome among patients in Spain who suffer from schizophrenia. Forty-five consecutively admitted DSM-III-R schizophrenic patients were assessed monthly with the Brief Psychiatric Rating Scale during a 9-month period. Patients and parents rated the family environment through the Family Environment Scale (FES). FES factors were considered separately for each family member, since parents' and patient's perceptions of the family environment were weakly correlated. Stepwise multiple regression analysis showed that patients' perceptions of family control and intellectual-cultural orientation predicted rehospitalization. Patients' and mothers' ratings of family control and fathers' scores of conflict and moral religious emphasis predicted psychotic relapse. However, fathers' scores of family cohesion predicted higher negative symptoms. Prior admissions, age of onset and use of depot medication tended to predict outcome in conjunction with the family variables.