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題名：精神分裂症病患照顧者表露情緒與社會心理因素之關係--兩年追蹤研究
書刊名：臺大社會工作學刊
作者：吳就君／黃梅羹／胡海國／蔡春美 引用關係／鄭若瑟／張宏俊／鄭夙芬 引用關係
作者(外文)：Wu, Agnes Chew-chung／Huang, Mei-kung／Hwu, Hai-gwuo／Tsai, Chun-mei／Cheng, Joseph J／Chang, Hung-jung／Cheng, Su-fen
出版日期：2001
卷期：4
頁次：頁1+3-44
主題關鍵詞：表露情緒；社會心理因素；精神分裂症；Expressed emotion；Psychosocial factors；Schizophrenia
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:17
  • 點閱點閱:238
目的：本研究目的在探究精神分裂症病患照顧者表露情緒 (EE) 之社會心理相關因素，以作為精神病患照顧者衛生教育及家庭介入之依據。 方法：以臺灣北部三大醫學中心近三年 (1994-1996) 住院時診斷早已精神分裂症 (DSM-IV) 之照顧者168名為研究對象，用「中國人五分鐘演說樣本 (CFMSS) 」測量照顧者的EE ；另有十個社會心理因素評估量表：「社會支持」、「醫療滿意度」、「羞恥感」、「疾病歸因」、「疾病認知」、「家庭負荷」、「家庭調過」、「照顧者需求」、「生活事件」、「生活品質」等，分別於入院時、一年、二年等共三個時間點測量。統計方法援用卡方檢定、t值檢定及單因子共變數分析 (ANCOVA) 檢視。 結果：1.高表露情緒 (HEE) 和低表露情緒 (LEE) 兩組之間的社會心理因素有顯著差異，包括：社會支持滿意度、羞恥感、對疾病歸因、家庭負荷、家庭調適及家庭需求等。2.兩年下來各組的變化，HEE組的社會心理正向驅力如社會支持滿意度及家庭調適等，以入院時最高而後下降；LEE組社會心理負向驅力如羞恥感、家庭負荷以入院時最高而後下降。3.HEE 組表示對資源和支持的需求強，卻採封閉性社會調適，互為矛盾和困頓。 結論：支持EE的概念是人與環境多元因素互動的動態過程，是為患與照顧者之間調適的信號；本研究發現提供HEE的家族治療及心理衛生教育之參考。
Objective: The purpose of this study was to examine the relationship between psychosocial factors and expressed emotion (EE) of family caregivers for schizophrenic patients. Methods: Expressed-emotion scores of the caregivers were obtained using the CFMSS when the patient was admission in the hospital, and on four subsequent occasions at three, six, 12 and 24 months after admission. A total of 161 patients and their respective family caregivers were included in the study. Psychosocial variables included social support, satisfaction for medical services, feeling of stigma, mental illness attribution, cognition of illness, family burden, family adaptation, caregivers' needs, life events and quality of life. Chi -square, t-test and ANCOVA were used to examine the relationship between psychosocial variables and the care­givers' EE. Results: (1) Significantly different scores between HEE (High Expressed Emotion) and LEE (Low Expressed Emotion) caregivers were found in psychosocial variables including: social support, satisfaction for medical services, feeling of stigma, mental illness attribution, family burden, family adaptation and caregivers needs. (2) The data of two-year follow-up demonstrated that the positive aspects of psychosocial variables in HEE caregivers, for example, the social support and family adaptation scores were significantly decreased. On the other hand, the negative aspects of psychosocial variables in LEE caregivers, for example, the feeling of stigma and family burden scores were significantly decreased. (3) the result in HEE caregivers indicated paradoxical conflicting situation which limited family life adaptation and needs for social support. Conclusion: This study presents the evidence supporting the EE concept is the result of multiple variables in a dynamic process. It is not simply cause-effect, one way relationship or an interaction between two variables. EE differs significantly according to the psychosocial variables of the caregivers.
期刊論文
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2.吳就君、周立修、蔡春美、黃梅羹(20000500)。精神刺激物質依賴與精神病患兩組之照顧者住院時的表露情緒初探。衛生教育學報，13，1-15。new window  延伸查詢new window
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5.吳就君(19950200)。精神病患家庭照護者的負荷研究:跨國文化比較。中華心理衛生學刊，8(1)，37-52。new window  延伸查詢new window
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9.吳就君、楊延光、黃梅羹(1996)。簡式工具評估精神病患照顧者表露情緖行爲與家庭負荷、拒絕病患之關係。衛生教育論文集刊，9，37-62。  延伸查詢new window
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會議論文
1.Pearlin, L. I.(1997)。Directions for social research into the stress process。  new window
研究報告
1.陳珠璋(1991)。台灣北部地區精神分裂症住院患者家屬外顯情緒表露之研究。  延伸查詢new window
學位論文
1.蔡春美(1998)。藥癮患者求助行爲與藥癮患者家屬表露情緒行爲、拒絕患者態度之研究。國立台灣師範大學。  延伸查詢new window
圖書
1.Lazarus, R. S.(1976)。Psychological stress and the coping process。New York：McGraw-Hill。  new window
2.Falloon, I. R. H.(1985)。Family management of schizophrenia: A study of clinical, family and economic benefits。Baltimore。  new window
3.Leff, J.、Vaughn, C.(1985)。Expression Emotion in Family。London。  new window
4.Leventhal, H.、Nerenz, D. R.、Straus, A.(1980)。A self-regulation and the mechanism of symptoms appraisal。Psychosocial Epidemiology \\ D. Mechanic (Ed.)。New York。  new window
其他
1.吳就君，楊慕慈，蔡春美(2001)。家庭照顧者A型行爲與表露情緒之相關研究(未發表)。  延伸查詢new window
 
 
 
 
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