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双極性障害における睡眠覚醒サイクルと社会的機能の安定化:対人および社会的リズム療法による効果

Mona Metwally El-Sayed¹, Dauda Salihu¹, Abdelaziz Hendy²

¹Department of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah 52571, Saudi Arabia.

Journal of clinical medicine

|February 13, 2026

まとめ

インターパーソナル・アンド・ソーシャル・リズム・セラピー (IPSRT) は,双極性障害の患者における社会的リズムの規則性および社会的機能の有意な改善をもたらした. これらのポジティブな効果は3ヶ月のフォローアップで持続し,IPSRTを強調しました.

科学分野:

精神医学と行動科学
クロノバイオロジークロノバイオロジー
社会心理学社会心理学とは

背景:

双極性障害は,日常の機能に重大な影響を及ぼし,薬剤療法によって,しばしば再発と副作用が生じます.
心理社会的な介入は,双極性障害の遵守,自己管理,コミュニケーションの改善に有望であることが示されています.
双極性障害における昼夜リズムの安定性および社会的機能に対する対人および社会的リズム療法 (IPSRT) の影響については,さらなる調査が必要である.

研究の目的:

双極性障害を有する個体において,社会的リズムの安定性と社会的機能の向上における,人際的および社会的リズム療法 (IPSRT) の有効性を評価する.
3ヶ月のフォローアップで,IPSRTの主要な成果測定に対する持続的な影響を評価する.

主な方法:

準実験的な設計が採用され,参加者はランダムにIPSRT介入グループまたはコントロールグループに割り当てられました.
IPSRTの介入には,12週間にわたって毎週75分間のセッションが含まれていました.
結果指標には,社会リズムメトリックスケールII-5と,マルトノマコミュニティ能力スケールが含まれており,ベースライン,介入後,および3ヶ月のフォローアップで評価されました.

主要な成果:

IPSRTは,社会的リズムの規則性を著しく改善しました (SRM-II-5スコアは増加し,p <0.05),フォローアップでは持続的な利点がありました.
マルトノマ・コミュニティ・アビリティ・スケール (MCAS) で測定された社会的機能は,IPSRTグループ (p <0.05) で,介入直後およびフォローアップ時に顕著な改善を示した.
3ヶ月のフォローアップで,社会的リズムの規則性と社会的機能の両方について,IPSRTを好むグループ間の有意な差異が観察されました.

結論:

IPSRTは,双極性障害を持つ個人の社会的リズムの安定性を持続的に改善することによって,臨床的価値を示しています.
この治療は,双極性障害の患者の社会的機能を効果的に改善し,介入後の効果は持続します.
IPSRTは,双極性障害の管理のための貴重な補助療法であり,薬剤療法を超えた機能障害に対処しています.

キーワード:

双極性障害双極性障害双極性障害双極性障害シルカディアンリズム安定性人際的および社会的リズム療法です.患者のケア患者のケア患者のケア社会的機能が向上する.

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