MEASUREMENT OF EXPRESSED EMOTION IN FAMILIES OF PSYCHIATRIC-PATIENTS

MEASUREMENT OF EXPRESSED EMOTION IN FAMILIES OF PSYCHIATRIC-PATIENTS
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DOI:
10.1111/j.2044-8260.1976.tb00021.x
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发表时间:
1976-01-01
期刊:
BRITISH JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY
影响因子:
--
通讯作者:
LEFF, J
LEFF, J
中科院分区:
其他
文献类型:
--
作者:
VAUGHN, C;LEFF, J

文献摘要

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在一系列关于家庭生活对已确诊的精神分裂症病程影响的研究中,研究表明,精神分裂症患者入院后不久,亲属表达的情绪水平与出院后9个月内症状复发密切相关(Brownet al., 1962, 1972)。本文陈述了这些研究中使用的主要研究工具的缩写版本,Camberwell家庭访谈时间表。在1972年的研究中,对整体情绪表达指数做出贡献的最重要的衡量标准被证明是在单独采访时,患者亲属对患者发表的批评言论的数量。对本研究中15个录音采访的分析表明,大多数批评意见是在第一个小时内产生的,批评意见的总数与采访长度之间几乎没有关系(r= 0.08)。这一分析支持使用缩短面谈,其中最可能产生任何批评的领域在提问顺序中被优先考虑。这个简短的版本已经成功地用于复制和扩展1972年的研究。一组37名精神分裂症患者与一组31名抑郁神经症患者正在进行比较。讨论了这些患者亲属的情绪反应模式。
In a series of studies of the influence of family life on the course of an established schizophrenic illness, it has been shown that the level of emotion expressed by relatives shortly after a schizophrenic patient is admitted to hospital is strongly associated with symptomatic relapse during the nine months following discharge (Brownet al., 1962, 1972). This paper states the case for an abbreviated version of the primary research instrument used in these studies, the Camberwell Family Interview Schedule. In the 1972 study the single most important measure contributing to the overall expressed emotion index proved to be the number of critical remarks made about the patient by the relative when interviewed alone. An analysis of 15 tape‐recorded interviews from this study showed that the majority of critical comments were produced within the first hour and there was virtually no relationship between total number of critical comments and length of interview (r= 0.08). This analysis supported the use of a shortened interview in which the areas most likely to produce any criticism were given priority in the sequence of questioning. This abbreviated version has been used successfully in a replication and extension of the 1972 study. A group of 37 schizophrenic patients is being compared with a group of 31 depressed neurotic patients. Patterns of emotional response of these patients' relatives are discussed.