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CULTURE AND FAMILY REACTIONS TO SCHIZOPHRENIA

文化和家庭对精神分裂症的反应

基本信息

批准号：
2877685
负责人：
AMY Gina WEISMAN
金额：
$ 4.08万
依托单位：
UNIVERSITY OF MASSACHUSETTS BOSTON
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-06-01 至 2000-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2877685
关键词：
Hispanic Americans attitude attribution behavioral /social science research tag belief caucasian American clinical research culture emotions family family structure /dynamics human subject morals psychological values racial /ethnic difference religion schizophrenia

项目摘要

The proposed study expands on a program of research examining factors associated with family members' reactions to schizophrenia. Specifically, this study will test a conceptual model designed to clarify factors underlying observed differences between Anglo- American and Latino-American relatives' reactions to a family member with schizophrenia. Understanding reactions to schizophrenia is crucial because research in the area of expressed emotion (EE) strongly suggests that patients who live with relatives who are emotionally overinvolved, express an excessive number of critical comments, and/or express any degree of hostility (designated as high-EE relatives) when talking about the patient during a structured clinical interview have a poorer illness prognosis than patients whose relatives do not express as many of these unfavorable emotions. Studies associating high-EE with poor prognosis for schizophrenia have been replicated with a wide range of racial and ethnic groups (Asian-Indians, Anglo-Americans, Spanish, etc.), yet certain cultural differences in EE patterns have been found to exist. For example, when compared with "traditional" and/or "developing" societies, relatives from "industrialized" and/or less "traditional," cultures have been found to be designated as high-EE significantly more often and their patients show a poorer course of illness. In fact within the same geographic area of the United States, Anglo-Americans have been rated as high-EE three times more often than Latino-Americans of Mexican descent. Through a series of interviews with 25 Anglo- American and 25 Latino-American relatives, this study will examine whether cultural differences in EE patterns relate to relatives specific beliefs, values, and attributions about schizophrenia. It is hypothesized that, when compared to Anglo-Americans, relatives of Latino descent (Latinos are thought to represent a "traditional" cultural group) will report having a more interdependent self- construal, greater reported family cohesion, and greater moral- religious emphasis in their families in turn these values are expected to be associated with relatives attributing less blame to patients for bringing on the illness and the associated symptoms and consequently to lower levels of high EE in families. Findings from this study will further our theoretical understanding of EE and will inform the development of effective family focused intervention strategies for treating schizophrenia.

这项拟议中的研究扩展了一项研究计划，研究与家庭成员对精神分裂症的反应有关的因素。具体来说，本研究将测试一个概念模型，旨在澄清因素的基础上观察到的差异之间的英美和拉丁美洲亲属的反应与精神分裂症的家庭成员。了解对精神分裂症的反应至关重要，因为表达情绪（EE）领域的研究强烈表明，与情感过度参与的亲属一起生活的患者，表达了过多的批评意见，和/或表达任何程度的敌意（指定为高EE亲属）当在结构化临床访谈中谈论患者时，与亲属没有表达如此多这些内容的患者相比，其疾病预后较差不利的情绪。高EE与精神分裂症预后不良相关的研究已在广泛的种族和民族群体（亚裔印度人、英美人、西班牙人等）中重复，然而，已经发现在EE模式中存在某些文化差异。例如，与“传统”和/或“发展中”社会相比，来自“工业化”和/或不太“传统”文化的亲属被认为是高EE的频率更高，他们的患者表现出更差的病程。事实上，在美国的同一地理区域内，英美人被评为高EE的频率是墨西哥裔拉丁美洲人的三倍。通过对25名英美裔和25名拉美裔亲属的一系列访谈，本研究将探讨EE模式的文化差异是否与亲属对精神分裂症的特定信念、价值观和归因有关。据推测，与英裔美国人相比，（拉丁裔被认为代表了一个“传统”的文化群体）将报告有一个更相互依赖的自我安慰，更大的报告家庭凝聚力，更大的道德，在他们的家庭中，宗教的重视反过来又会使这些价值观与亲属较少指责病人带来的疾病和相关的疾病有关。症状，从而降低家庭中的高EE水平。这项研究的结果将进一步加深我们对EE的理论理解，并为制定有效的以家庭为中心的干预策略治疗精神分裂症提供信息。