Parental Communication Deviance and Affective Style

摘要: \s=b\In an attempt to assess the contributory role of family factors development schizophrenia-like disorders, measures parental communication deviance and affective styles were obtained for a sample families disturbed but nonpsychotic adolescents. Outcome was assessed five years later. Absence pathologic style associated with benign outcome, neither variable alone allowed precise identification schizophrenia-spectrum cases. However, index using combination both variables statistically predictive subsequent psychiatric status at follow-up. Thus, adolescents whose parents had high level disorders develop in young adulthood. Adolescents who lower levels offspring healthier outcomes. (Arch Gen Psychiatry 1981;38:679-685) Disordered relationships may be important factor schizophrenia, meaningful empirical evidence process is difficult obtain. Most comes from cross-sectional studies which diagnosed schizophrenic are contrasted psychiatrically or normal offspring. Such designs, course, cannot separate antecedent patterns accom¬ modations presence psychotic We report prospective longitudinal study relation¬ ships examine whether specific disordered intrafamilial antedate actual onset symptoms There several recent reviews studies.'-' Those measuring disorder have shown most consistent results. In particular, Singer Wynne (CD) has identified schizophrenics border¬ line diverse measurement contexts.410 This reflects inability parent establish maintain shared focus attention during transactions another person. The theory maintains that extent fail communicate effectively child will become confused, lost, distressed, more vulnerable breakdown.1 findings been repli¬ cated studies, although one study" parental-group separation less sharp than Singer-Wynne studies. implication these play schizophrenia. before any etiological considered, it necessary demonstrate this attribute present substantially prodromal clinical features disorder. A basic goal determine CD does indeed schizophrenia related disorders. subjects our first studied midadolescence, time when all none showed signs disor¬ ders. While focused on issues family's potential etiology Vaughn Leff,'- building work Brown et al,'3 reported course affected by tone expressed emotion (EE) environment patient returns after hospitalization. Expressed con¬ struct includes negative attitudes directed toward target patient, including criticism, hostility, overinvolvement; likelihood relapse greater patients return high-EE environments.