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The Relationship between Schizophrenic Patients' Perceptions of Their Parents and the Course of Their Illness

Published online by Cambridge University Press:  02 January 2018

Richard Warner*
Affiliation:
Department of Psychiatry, University of Colorado Health Sciences Center and Mental Health Center of Boulder County
Monte Atkinson
Affiliation:
Department of Psychology, University of Colorado
*
Mental Health Center of Boulder County InC., 1333 Iris Avenue, Boulder, Colorado 80302, USA

Abstract

Sixty-two schizophrenic patients completed the Parental Bonding Instrument (PBI), a measure of perceived parental characteristics, rating their parents on care and protection. PBI ratings were related to a one-year course of illness. Patients who perceived their parents positively tended to experience a milder course of illness if they were in frequent contact with them, and a more severe course if they were not; the reverse was true for patients who perceived their parents negatively. PBI ratings were unrelated to the age at onset of illness. This suggests that patients' perceptions of parental attitudes influence the course of schizophrenia by a current stress effect. The PBI, used alone or in conjunction with other predictors, distinguished good- and poor-outcome cases and appears to be a potentially clinically valuable tool.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Bland, R. C., Parker, J. H. & Orn, H. (1978) Prognosis in schizophrenia: prognostic predictors and outcome. Archives of General Psychiatry, 35, 7277.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241258.Google Scholar
Doane, J. A., West, K. L., Goldstein, M. J., Rodnick, E. H. & Jones, J. E. (1981) Parental communication deviance and affective style: predictors of subsequent schizophrenia spectrum disorders in vulnerable adolescents. Archives of General Psychiatry, 38, 679685.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Williamson, M., Razani, J., Moss, H. B., Gilderman, A. M. & Simpson, G. M. (1985) Family management in the prevention of morbidity of schizophrenia: clinical outcome of a two-year longitudinal study. Archives of General Psychiatry, 42, 887896.Google Scholar
Hirsch, S. R. & Leff, J. P. (1975) Abnormalities in Parents of Schizophrenics. London: Oxford University Press.Google Scholar
Hooarty, G. E., Anderson, C. M., Reiss, D. J., Kornblith, S. J., Greenwald, D. P., Jauna, C. D. & Madonia, M. J. (1986) Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. I. One-year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry, 43, 633642.Google Scholar
Leff, J. & Vaughn, C. (1980) The interaction of life events and relatives' expressed emotion in schizophrenia and depressive neurosis. British Journal of Psychiatry, 136, 146153.Google Scholar
Leff, J. & Vaughn, C. (1981) The role of maintenance therapy and relatives' expressed emotion in relapse of schizophrenia: a two-year follow-up. British Journal of Psychiatry, 139, 102104.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Fries, R. & Sturgeon, D. (1982) A controlled trial of intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R. & Sturgeon, D. (1985) A controlled trial of social intervention in the families of schizophrenic patients: two-year follow-up. British Journal of Psychiatry, 146, 594600.Google Scholar
Parker, G., Tupling, H. & Brown, L. B. (1979) A Parental Bonding Instrument. British Journal of Medical Psychology, 52, 110.CrossRefGoogle Scholar
Parker, G., Fairley, M., Greenwood, J., Jurd, S. & Silove, D. (1982) Parental representations of schizophrenics and their association with onset and course of schizophrenia. British Journal of Psychiatry, 141, 573581.CrossRefGoogle ScholarPubMed
Parker, G., (1983) Parental Overprotection: A Risk Factor in Psychosocial Development. New York: Grune & Stratton.Google Scholar
Strauss, J. S. & Carpenter, W. T. (1978) The prognosis of schizophrenia: rationale for a multidimensional concept. Schizophrenia Bulletin, 4, 5667.Google Scholar
Sturgeon, D., Turpin, G., Kuipers, L., Berkowitz, R. & Leff, J. (1984) Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives: a follow-up study. British Journal of Psychiatry, 145, 6269.Google Scholar
Tarrier, N., Vaughn, C., Lader, M. H. & Leff, J. P. (1979) Bodily reactions to people and events in schizophrenics. Archives of General Psychiatry, 36, 311315.Google Scholar
Tarrier, N. & Barrowclough, C. (1984) Psychophysiological assessment of expressed emotion in schizophrenia: a case example. British Journal of Psychiatry, 145, 197203.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of a psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125137.CrossRefGoogle ScholarPubMed
Vaughn, C. E., Snyder, K. S., Jones, S., Freeman, W. B. & Falloon, I. R. H. (1984) Family factors in schizophrenic relapse: a Californian replication of the British research in expressed emotion. Archives of General Psychiatry, 41, 11691177.Google Scholar
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