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Titolo:
Family transactions and relapse in bipolar disorder
Autore:
Rosenfarb, IS; Miklowitz, DJ; Goldstein, MJ; Harmon, L; Nuechterlein, KH; Rea, MM;
Indirizzi:
Univ Calif Los Angeles, Dept Psychiat, Los Angeles, CA USA Univ Calif Los Angeles Los Angeles CA USA Psychiat, Los Angeles, CA USA Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA Univ CalifLos Angeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA Univ Colorado, Dept Psychol, Boulder, CO 80309 USA Univ Colorado Boulder CO USA 80309 o, Dept Psychol, Boulder, CO 80309 USA
Titolo Testata:
FAMILY PROCESS
fascicolo: 1, volume: 40, anno: 2001,
pagine: 5 - 14
SICI:
0014-7370(200121)40:1<5:FTARIB>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPRESSED EMOTION; PSYCHIATRIC-ILLNESS; AFFECTIVE STYLE; SCHIZOPHRENIA; REPLICATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Rosenfarb, IS US Int Univ, Dept Psychol & Family Studies, 10455 Pomerado Rd, San Diego, CA 92131 USA US Int Univ 10455 Pomerado Rd San Diego CA USA 92131 131 USA
Citazione:
I.S. Rosenfarb et al., "Family transactions and relapse in bipolar disorder", FAM PROCESS, 40(1), 2001, pp. 5-14

Abstract

This study examined whether patient symptoms and relatives' affective behavior, when expressed during directly observed family interactions, are associated with the short-term course of bipolar disorder. Twenty-seven bipolarpatients and their relatives participated in two 10-minute family interactions when patients were discharged after a manic episode. Results indicatedthat patients who showed high levels of odd and grandiose thinking during the interactions were more likely to relapse during a 9-month followup period than patients who did not show these symptoms during the family discussions Relapse was also associated with high rates of harshly critical and directly supportive statements by relatives. Patients' odd thinking and relatives' harsh criticism were significantly more likely to be correlated when patients relapsed (r =.53) than when they did not relapse (r=.12). Results suggest that bipolar patients who show increased signs of residual symptomatology during family transactions during the post-hospital period are at increased relapse risk. The data also suggest that relatives of relapsing patients cope with these symptoms by increasing both positive and negative affective behaviors. Moreover, a bidirectional, interactional relationship between patients' symptoms and relatives' coping style seems to capture best the role of the family in predicting relapse in bipolar disorder.

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Documento generato il 25/01/20 alle ore 15:53:07