稳定睡眠-清醒周期和双极性障碍的社会功能:人际和社会节奏治疗的影响
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
概括
人际和社会节奏疗法 (IPSRT) 显著改善了双相情感障碍患者的社会节奏规律性和社会功能. 这些积极影响在三个月的随访中持续存在,突出了IPSRT.
科学领域:
- 精神病学和行为科学
- 时间生物学 时间生物学
- 社会心理学 社会心理学
背景情况:
- 双极性障碍显著影响日常功能,药物治疗往往导致复发和副作用.
- 心理社会干预措施在改善双相情感障碍的坚持,自我管理和沟通方面表现有前途.
- 人际和社会节律疗法 (IPSRT) 对双相情感障碍患者的昼夜节律稳定性和社会功能的影响需要进一步研究.
研究的目的:
- 评估人际和社会节奏疗法 (IPSRT) 在提高双相情感障碍患者的社会节奏稳定性和社会功能方面的有效性.
- 评估IPSRT在三个月后续对关键成果措施的持续影响.
主要方法:
- 采用准实验性设计,参与者随机分配到IPSRT干预组或对照组.
- IPSRT干预涉及12周的每周75分钟的会议.
- 结果指标包括社会节奏度量尺度-II-5和Multnomah社区能力尺度,在基线,干预后和三个月后续评估.
主要成果:
- IPSRT显著改善了社会节律的规律性 (SRM-II-5得分增加,p <0.05) 在随访时持续的好处.
- 用Multnomah社区能力量表 (MCAS) 衡量社会功能,在干预后和随访时,IPSRT组 (p <0.05) 立即显示出显著的改善.
- 在三个月后的随访中,在社会节律的规律性和社会功能方面,观察到有利于IPSRT的群体间显著差异.
结论:
- IPSRT通过对双相情感障碍患者的社会节律稳定性的持续改善来证明其临床价值.
- 该疗法有效地提高双相情感障碍患者的社会功能,在干预后仍然存在好处.
- IPSRT代表了一种有价值的辅助疗法来管理双相情感障碍,解决除了药物治疗之外的功能障碍.
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