精神分裂病患主要照顧者之情緒表露

Expressed Emotion in the Primary Caregivers of Schizophrenia Patients

楊逸鴻(Yi-Hong Yang)

《北市醫學雜誌》 2卷9期 (2005/09) Pp. 803-809

https://doi.org/10.6200/TCMJ.2005.2.9.05

摘要

目的：探索臺灣精神分裂病患者主要照顧者之情緒表露狀況。方法：以「診斷統計手冊第三版增訂版」(DSM-Ⅲ-R)為診斷準則，篩選出28位精神分裂病患者，以「中國人五分鐘演說樣本」(Chinese Five-Minute Speech Sample; CFMSS)評估主要照顧者。結果：10個樣本有明顯的情緒展現、或表現哭泣、哽咽或流淚，17個樣本表現出無奈及怨天尤人的想法。結論：28位主要照顧者中有20位屬於高情緒表露者，足見主要照顧者與病患間之緊張關係非常普遍，應由精神醫療團隊及早介入處理，以避免精神分裂患者復發。

關鍵字

情緒表露 ； 批評 ； 敵意 ； 情緒過度介入 ； 溫和的態度

並列摘要

Background and Purpose: The expressed emotions of key people within the families of patients suffering from schizophrenia were surveyed in Taiwan. Methods: Schizophrenia was diagnosed using the DSM-Ⅲ-R (Diagnostic and Statistical Manual of Mental Disorders Ill Revised) definition and 28 key people who take care of family members suffering from schizophrenia were selected and measured using the ”Chinese Five-Minute Speech Sample” (CFMSS). Results: Ten key people had obvious signs of emotion or wept. Eighteen probands laid the blame on others or fate, or felt hopeless. Conclusions: Twenty out of 28 key people had highly expressed emotion. We therefore presume that tense relationships between the key people and their family member suffering from schizophrenia are common. We suggest that psychiatric intervention is necessary to prevent further relapses.

並列關鍵字

expressed emotion ； criticism ； hostility ； emotional over-involvement ； warmth