Expressed emotion and relapse in alcoholic patients

Expressed emotion and relapse in alcoholic patients
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DOI:
10.1037/0022-006x.66.5.744
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发表时间:
1998-10-01
影响因子:
5.9
通讯作者:
Cutter, HSG
Cutter, HSG
中科院分区:
心理学1区
文献类型:
--
作者:
O'Farrell, TJ;Hooley, J;Cutter, HSG

文献摘要

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虽然家庭成员表达的情绪(EE)预测患者的复发率升高精神分裂症和情绪障碍,很少有人知道EE和酗酒复发之间的关系。对于86名酗酒患者(78名男性,8名女性),配偶的EE和酗酒患者的后续复发状态在12个月后,这对夫妇开始了门诊行为婚姻治疗(BMT)计划酗酒之间的关联进行了检查。与低EE配偶的酒精中毒患者相比,高EE配偶的酒精中毒患者更容易复发,复发时间更短,并且在开始BMT后的12个月内饮酒的天数比例更高。在考虑了患者的年龄、教育程度和酒精问题严重程度后,EE继续与复发相关。更多地使用Antabuse和更多的BMT疗程与具有高EE配偶的酒精患者的复发率降低相关。
Although family members' expressed emotion (EE) predicts patients' elevated relapse rates in schizophrenia and mood disorders, little is known about the relationship between EE and relapse in alcoholism. For 86 alcoholic patients (78 men, 8 women), the association between the spouse's EE and the alcoholic patient's subsequent relapse status in the 12 months after the couple began an outpatient behavioral marital therapy (BMT) program for alcoholism was examined. Alcoholic patients with high EE spouses, when compared with their counterparts with low EE spouses, were more likely to relapse, had a shorter time to relapse, and drank on a greater percentage of days in the 12 months after starting BMT. EE continued to be associated with relapse after patients' age, education, and alcohol problem severity were taken into account. Greater use of Antabuse and more sessions of BMT were associated with reduced relapse for alcoholic patients with high EE spouses.