Shame and guilt/self-blame as predictors of expressed emotion in family members of patients with schizophrenia.
Shame and guilt/self-blame as predictors of expressed emotion in family members of patients with schizophrenia.
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DOI：
10.1016/j.psychres.2011.08.009
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发表时间：
2012-03-30
影响因子：
11.3
通讯作者：
Suro, Giulia
中科院分区：
文献类型：
--
作者：
Wasserman, Stephanie;de Mamani, Amy Weisman;Suro, Giulia
关键词：
情感表达（EE）是一种衡量家庭环境的指标，反映了关键亲属对患有疾病或损伤的家庭成员表达的批评和情感过度投入的数量。来自高情感表达家庭的患者比来自低情感表达家庭的患者预后更差。尽管情感表达具有公认的预测有效性，但关于为什么有些家庭成员表达出高水平的情感表达态度而另一些家庭成员却没有的问题仍然存在。基于先前研究的间接证据，目前的研究测试了有精神分裂症亲属的羞耻和内疚/自责是否能预测情感表达。一个由72名精神分裂症患者的家庭成员组成的样本完成了五分钟言语样本来测量情感表达，以及评估自我导向情绪的问卷。与假设一致，有精神分裂症亲属的羞耻感和内疚/自责程度越高，情感表达就越高。目前的研究结果阐明了情感表达的结构，并对精神分裂症患者的家庭工作具有启示意义。
Expressed emotion (EE) is a measure of the family environment reflecting the amount of criticism and emotional over-involvement expressed by a key relative towards a family member with a disorder or impairment. Patients from high EE homes have a poorer illness prognosis than do patients from low EE homes. Despite EE's well-established predictive validity, questions remain regarding why some family members express high levels of EE attitudes while others do not. Based on indirect evidence from previous research, the current study tested whether shame and guilt/self-blame about having a relative with schizophrenia serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed the Five Minute Speech Sample to measure EE, along with questionnaires assessing self-directed emotions. In line with the hypotheses, higher levels of both shame and guilt/self-blame about having a relative with schizophrenia predicted high EE. Results of the current study elucidate the EE construct and have implications for working with families of patients with schizophrenia.
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