Parental expressed emotion and suicidal ideation in adolescents with bipolar disorder

被引：29

作者：

Ellis, Alissa J. ^{[1
]}

Portnoff, Larissa C. ^{[1
]}

Axelson, David A. ^{[2
]}

Kowatch, Robert A. ^{[3
,4
]}

Walshaw, Patricia ^{[1
]}

Miklowitz, David J. ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Semel Inst Neurosci & Human Behav, Div Child & Adolescent Psychiat, Los Angeles, CA 90025 USA

[2] Univ Pittsburgh, Med Ctr, Western Psychiat Inst, Pittsburgh, PA USA

[3] Ohio State Wexner Med Ctr, Columbus, OH USA

[4] Nationwide Childrens Hosp, Columbus, OH USA

来源：

PSYCHIATRY RESEARCH | 2014年 / 216卷 / 02期

关键词：

Expressed emotion; Bipolar disorder; Suicidal ideation; Family; SCHOOL-AGE-CHILDREN; FAMILY-FOCUSED TREATMENT; SCHIZOPHRENIA; SCHEDULE; YOUTH; RELIABILITY; PREDICTOR; HISTORY; VERSION; RISK;

D O I：

10.1016/j.psychres.2014.02.013

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Family environmental variables are risk factors for recurrent courses of mood disorder in adolescents. The present study examined the association between parental expressed emotion (EE)-critical, hostile and/or emotionally overinvolved attitudes toward a concurrently ill offspring-and suicidal ideation in adolescents with bipolar disorder. The sample consisted of 95 adolescents with a bipolar I or II diagnosis who had experienced a mood episode in the prior 3 months. Participants (mean age = 15.54 years, S.D.=1.4) were interviewed and completed questionnaires regarding current and past suicidal ideation prior to their participation in a treatment trial. Parents completed five-minute speech samples from which levels of BE were assessed. High EE attitudes in parents were associated with current suicidal ideation in adolescents. This relationship was independent of the effects of age, gender, current depressive or manic symptoms, comorbid diagnoses, bipolar I/II subtypes, family adaptability, and family cohesion. These results underscore the importance of addressing the emotional reactivity of caregivers in treating adolescents with bipolar disorder who have suicidal ideation. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

引用

页码：213 / 216

页数：4

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