Symptoms and functioning of patients with bipolar disorder six months after hospitalization.

Symptoms and functioning of patients with bipolar disorder six months after hospitalization.
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双相情感障碍患者住院六个月后的症状和功能。

DOI:
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发表时间:
1988
期刊:
Hospital & community psychiatry
影响因子:
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通讯作者:
C. Waternaux
C. Waternaux
中科院分区:
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文献类型:
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作者:
G. L. Dion;M. Tohen;W. Anthony;C. Waternaux

文献摘要

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在一项前瞻性研究中,研究了因躁狂发作而住院的双相情感障碍患者的症状和功能之间的关系。在6个月的随访中,症状结果明显优于功能结果。几乎80%的患者没有症状或症状轻微。然而,只有43%的患者有工作,只有21%的患者在他们预期的就业水平上工作。30%的人被评为无法工作。另外的分析显示,在第一次录取的受试者中,在后续工作中有一定程度的就业,而在多次录取的受试者中,这一比例仅为33%。结果表明,症状以外的因素与双相情感障碍患者的功能有关,治疗应该针对患者的残疾以及症状的改善。
The relationship between symptoms and functioning of patients with bipolar disorder who were hospitalized for a manic episode was examined in a prospective study. At six-month follow-up, symptomatic outcome was clearly superior to functional outcome. Almost 80 percent of patients were symptom free or mildly symptomatic. However, only 43 percent of patients were employed, and only 21 percent were working at their expected level of employment. Thirty percent were rated as being unable to work. Additional analyses showed that 64 percent of the first-admission subjects were employed at some level at follow-up, compared with only 33 percent of subjects with multiple admissions. The results suggest that factors other than symptoms are related to the functioning of patients with bipolar disorder and that treatment should be targeted to the patient's disability as well to symptom amelioration.