THE VULNERABILITY/STRESS MODEL OF SCHIZOPHRENIC RELAPSE - A LONGITUDINAL-STUDY

被引:146
作者
NUECHTERLEIN, KH [1 ]
DAWSON, ME [1 ]
VENTURA, J [1 ]
GITLIN, M [1 ]
SUBOTNIK, KL [1 ]
SNYDER, KS [1 ]
MINTZ, J [1 ]
BARTZOKIS, G [1 ]
机构
[1] UNIV SO CALIF, DEPT PSYCHOL, LOS ANGELES, CA 90089 USA
关键词
SCHIZOPHRENIA; VULNERABILITY; STRESS; RELAPSE; ANTIPSYCHOTIC MEDICATION;
D O I
10.1111/j.1600-0447.1994.tb05867.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
A tentative model for conceptualizing the interplay of vulnerability factors, stressors, and protective factors in the course of schizophrenia is discussed. A study of the initial years after a first schizophrenic episode is testing the predictive role of key factors. During an initial 1-year period of depot antipsychotic medication, independent life events and expressed emotion were found to predict the likelihood of psychotic relapse. Initial analyses indicate that independent life events play less of a role in relapse prediction during a medication-free period. These results suggest that maintenance antipsychotic medication raises the threshold for return of psychotic symptoms, such that relapses are less likely unless major environmental stressors occur. A low expressed emotion environment may be a protective factor.
引用
收藏
页码:58 / 64
页数:7
相关论文
共 25 条
[1]  
[Anonymous], SEARCH CAUSES SCHIZO
[2]  
BROWN GW, 1968, J HEALTH SOC BEHAV, V9, P203
[3]   LOW-DOSE DEPOT MEDICATION IN SCHIZOPHRENIA [J].
BURNETT, PL ;
GALLETLY, CA ;
MOYLE, RJ ;
CLARK, CR .
SCHIZOPHRENIA BULLETIN, 1993, 19 (01) :155-164
[4]  
CARLSSON A, 1991, SEARCH CAUSES SCHIZO, V2, P373
[5]   PSYCHOPHYSIOLOGICAL DYSFUNCTIONS IN THE DEVELOPMENTAL COURSE OF SCHIZOPHRENIC DISORDERS [J].
DAWSON, ME ;
NUECHTERLEIN, KH .
SCHIZOPHRENIA BULLETIN, 1984, 10 (02) :204-232
[6]   ELECTRODERMAL ANOMALIES IN RECENT-ONSET SCHIZOPHRENIA - RELATIONSHIPS TO SYMPTOMS AND PROGNOSIS [J].
DAWSON, ME ;
NUECHTERLEIN, KH ;
SCHELL, AM .
SCHIZOPHRENIA BULLETIN, 1992, 18 (02) :295-311
[7]   STRESSFUL LIFE EVENTS PRECEDING THE ACUTE ONSET OF SCHIZOPHRENIA - A CROSS-NATIONAL-STUDY FROM THE WORLD-HEALTH-ORGANIZATION [J].
DAY, R ;
NIELSEN, JA ;
KORTEN, A ;
ERNBERG, G ;
DUBE, KC ;
GEBHART, J ;
JABLENSKY, A ;
LEON, C ;
MARSELLA, A ;
OLATAWURA, M ;
SARTORIUS, N ;
STROMGREN, E ;
TAKAHASHI, R ;
WIG, N ;
WYNNE, LC .
CULTURE MEDICINE AND PSYCHIATRY, 1987, 11 (02) :123-205
[8]   THE GENETICS OF SCHIZOPHRENIA - A CURRENT, GENETIC-EPIDEMIOLOGIC PERSPECTIVE [J].
KENDLER, KS ;
DIEHL, SR .
SCHIZOPHRENIA BULLETIN, 1993, 19 (02) :261-285
[9]   LIFE EVENTS AND MAINTENANCE THERAPY IN SCHIZOPHRENIC RELAPSE [J].
LEFF, JP ;
HIRSCH, SR ;
GAIND, R ;
ROHDE, PD ;
STEVENS, BC .
BRITISH JOURNAL OF PSYCHIATRY, 1973, 123 (577) :659-660
[10]  
LEFF JP, 1987, SEARCH CAUSES SCHIZO, P317