早期适应不良模式 (EMS) 在双相情绪障碍患者在euthymic阶段的关系功能障碍中的目的
Manon Dupouy1, Paul Roux2, Caroline Munuera3
1Centre Hospitalier Charles Perrens, Pôle PGU, Bordeaux, 121, rue de la Béchade, Bordeaux, France.
L'Encephale
|August 21, 2023
概括
早期的不适应模式 (EMS) 与双相情感障碍 (BD) 患者的关系困难有关. 解决EMS可以改善关系功能,并支持BD患者的缓解.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 双极性障碍 (BD) 患者在euthymic阶段经历显著的关系困难,影响脆弱性和复发.
- 早期的不适应性模式 (EMS) 提供了一个框架,用于理解BD中的关系感知和功能障碍.
- 有限的研究存在于特定的EMS相关的关系问题在euthymic BD人群.
研究的目的:
- 为了研究EMS领域和euthymicBD患者的关系功能障碍之间的关联.
- 确定特定的EMS在BD的稳定时期有助于心理社会障碍.
- 为改善 BD 中的关系功能提供信息,以提供有针对性的干预措施.
主要方法:
- 利用了FACE-BD队列的数据,包括被诊断患有双相情感障碍的门诊患者 (DSM-IV-TR).
- 包括年龄在18-65岁的患者 (MADRS ≤14,YMRS ≤14),并排除了那些目前有抑郁或躁狂发作的人.
- 使用YSQ-R简体形式评估EMS,并通过FAST子级通过线性回归分析评估关系功能障碍.
主要成果:
- 激活EMS,特别是在分离/拒绝,其他方向性和过度警/抑制领域,与关系功能障碍有显著的相关性 (p<0.0001,p=0.031,p=0.005).
- 其余的抑郁症状也导致了euthymic BD患者的关系困难.
- 多重回归分析在调整年龄和残留症状严重程度后证实了这些关联.
结论:
- 这项研究是第一个确定EMS领域作为关系困难的风险因素的研究.
- 识别和解决特定的EMS对于预防和减少关系问题,促进功能性缓解至关重要.
- 方案疗法推给经历关系问题,支持个性化护理和改善功能结果的BD个体.
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