神经症患者家庭的情感表达方式及心理机制研究  

A study of family members’ expressed emotion and psychological mechanism of patients with neurosis

作　　者：方建忠[1] 张莉娟[2] 梅其一[1] 梁彦蕊[2] 李鸣[1] 

机构地区：[1]苏州市广济医院心身科,江苏苏州215008 [2]苏州大学应用心理系

出　　处：《临床心身疾病杂志》2006年第2期117-121,共5页Journal of Clinical Psychosomatic Diseases

基　　金：苏州市科技计划社会发展基金资助(编号SZD0442)

摘　　要：目的探讨神经症患者家庭的情感表达方式及其心理机制。方法对88例神经症患者和家属采用费氏情感表达量表将其分为高情感表达组34例和低情感表达组54例,并于入组时和随访9mo末进行评定,同时采用大体评定量表评定患者的总体病情,社会功能缺陷筛选量表评定患者的社会功能缺陷。结果两组家庭的情感表达方式入组前后无显著变化;父母和女性家属在情感过分参入、赞扬、热情和敌对方面显著高于配偶与男性家属,而配偶的批评显著多于父母;患者9mo末对治疗的主动性好于入组时,疾病急性期和缓解期的监护方式、日常生活、对外关系入组前后均以主动性为主。结论本研究支持情感表达的归因模型,不支持相互作用模型。Objective To explore family members＇ expressed emotion and psychological mechanism of patients with neurosis. Methods 88 in-patients with neurosis and their relatives were divided into high（n= 34） and low-expressed emotion（n= 54） group according to Philips＇ 10-subscale Chinese version of the Camberwell Family Interview （CFI-CV） and assessments conducted at enrolment and the end of 9 month follow-up. Global patient＇s condition was assessed with the Global Assessment Scale（GAS） and deficience of social function with the Social Disability Screening Schedule（SDSS）. Results There was no significant change in expressed emotion of both 2 groups at enrolment; emotional over-permeating, praise,enthusiasm and hostility were all higher in parents and female relatives than in spouse and male relatives, while spouse＇s criterism was more than the parents＇. Comparing with enrolment, patients＇ initiativity was better at the end of 9 month. Conclusion This study supports attribution theory of expressed emotion and doesn＇t support mutual action.

关 键 词：家庭 情感表达 心理机制 费氏情感表达量表 神经症 

分 类 号：R749.7[医药卫生—神经病学与精神病学]