家屬情緒表露與智能障礙者合併精神症狀之相關研究

張吏頡

doi:10.6840/CYCU.2009.00460、10.6840/cycu200900919

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家屬情緒表露與智能障礙者合併精神症狀之相關研究

The Relationship between Expressed Emotion of Relatives and Intellectual Disability with Psychiatric Symptoms

張吏頡 , Masters　　Advisor：譚偉象　　

繁體中文 DOI： 10.6840/CYCU.2009.00460、10.6840/cycu200900919

精神症狀；家庭；汙名化；照顧焦慮；成人發展性障礙精神症狀檢核表；智能障礙者；歸因；家屬；情緒表露； PAS-ADD Checklist ； Family ； care anxiety ； Mental Retardation ； Intellectual Disability ； Attribution ； Psychiatric symptoms ； Stigma ； Relatives ； Expressed Emotion

Abstract │ Reference (119) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Background and purpose: Expressed Emotion (EE) is a measurement of the emotional attitudes that a relative holds toward a particular family member, which is a reliable and dimensional concept. It includes Emotion Overinvolvement (EOI) and Critical Comments (CC). Many studies support a significant correlation between EE and relapse of schizophrenia, anxiety disorder and mood disorder. EE is an important clinical indicator of the psychosocial factor. It can effectually predict the relapse of mental disorder, and be an intervention focus in family therapy. Recent research also includes other factors such as attributions, culture, and stigma, and expands EE’s applicability into groups with different diagnoses. Individuals with intellectual disability (or mental retardation) are commly comorbid with psychiatric symptoms. Bidirectional effect may exist between the EE of the families and behavior problems of the those with intellectual disability. The purpose of this research is to investagate the relationship between the relatives’ EE and intellectual disability with psychiatric symptoms. Other research variables include relatives’ attribution toward the intellectual disability, family stigma, and care anxiety.
Method: This is a cross-sectional correlation study. The participants were recruited purposefully from the relatives of individuals with intellectual disability in Northern Taiwan (N=117).They were administered the Family Questionnaire(FQ), Care Anxiety Scale, Family Stigma Questionnaire(FSQ), Attribution of Mental Retardation Questionnaire, and the Psychiatric Assessment Schedule for Adults with Developmental Disability Checklist (PAS-ADD Checklist). Linear regression and structural equation model (SEM) were applied as the method of statistical analysis in this study.
Result: The effects of the families’ attribution toward the mental retardation (stability and controllability), family stigma (contamination) and care anxiety on the psychiatric symptoms of inviduals with the intellectual disability were mediated by expressed emotion (EE). The higher families’ EE, the higher was the score on PAS-ADD Checklist (p < .001). Family contamination could predict care anxiety(p < .05); the controllability attribution toward mental retardation affected EE via EOI, and stability attribution affects EE via CC. Base on the result of SEM, it suggested appropriate fit between the data and research model of this study〔χ2(38) =52.769, p > .05〕.
Disscussion: There was a statistically significant correlation between the relatives’ expressed emotion and psychiatric symptoms of individuals with intellectual disability. Family stigma, attribution toward mental retardation, and care anxiety related closely with EE. They could be the factors of the EE attribution model.

Reference ( 119 ) 〈TOP〉

汪文聖 (2003)。本土精神病患照顧倫理的現象學探討。本土心理學研究，19，65-108。
連結：
李志偉、嚴嘉楓、羅慶徽、李宗楠、林金定 (2005)。台灣地區智能障礙者的醫療利用特性與影響因素：以2001 年門診利用分析。身心障礙研究， 3，5-17。
連結：
張英熙 (2002)。特殊兒童家長的失落經驗。特殊教育季刊， 82， 16-22。
連結：
張淑雅 (2006)。腦部損傷病患照顧者出院前壓力感受與情緒反應探討。國立台灣大學護理研究所碩士論文，未發表，台北市。
連結：
楊逸鴻、周勵志 (1996)。精神分裂病病患家屬之情緒表露探討【摘要】。行政院國家科學委員會專題研究成果報告(編號：RB8610-1792)，未出版。
連結：

Times Cited (1) 〈TOP〉

鄭曉儀(2011)。「重度身心障礙者診斷性評估工具第二版(DASH-II)」應用在台灣重度智能障礙者之信效度研究。中原大學心理學研究所學位論文。2011。1-115。

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