Bidirectional effects of expressed emotion and behavior problems and symptoms in adolescents and adults with autism.

Jan S Greenberg, Marsha Mailick Seltzer, Jinkuk Hong, Gael I Orsmond
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引用次数: 176

Abstract

Expressed emotion measures the emotional climate of the family and is predictive of symptom levels in a range of medical and psychiatric conditions. This study extends the investigation of the effects of expressed emotion to families of individuals with autism. A sample of 149 mothers co-residing with their adolescent or adult child with autism over an 18-month period was drawn from a large multiwave longitudinal study. High expressed emotion was related to increased levels of maladaptive behavior and more severe symptoms of autism over time. Also, characteristics of the son or daughter influenced levels of maternal expressed emotion over time. Although autism is a complex genetic disorder, the effect of the family environment in shaping the behavioral phenotype should not be underestimated.

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青少年和成人自闭症患者表达情绪和行为问题及症状的双向效应。
表达情感衡量家庭的情感氛围,并预测一系列医学和精神疾病的症状水平。本研究将情绪表达对自闭症患者家庭的影响的研究扩展。从一项大型多波纵向研究中抽取了149名母亲与患有自闭症的青少年或成年子女共同居住18个月的样本。随着时间的推移,高表达的情绪与适应不良行为水平的增加和自闭症症状的加重有关。此外,随着时间的推移,儿子或女儿的特征会影响母亲表达情感的水平。虽然自闭症是一种复杂的遗传疾病,但家庭环境在塑造行为表型方面的作用不可低估。
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