Social support and self-esteem predict changes in bipolar depression but not mania
Social support and self-esteem predict changes in bipolar depression but not mania
复制标题
DOI：
10.1016/s0165-0327(99)00133-0
复制
发表时间：
2000-04-01
影响因子：
6.6
通讯作者：
Small, J
中科院分区：
文献类型：
--
作者：
Johnson, SL;Meyer, B;Small, J
简介：我们自己和其他研究表明，社会支持可以预测双相情感障碍的病程，对抑郁症状的影响尤其强烈。在本文中，我们研究了社会支持的哪些组成部分似乎最强大。方法：对 31 名 I 型双相情感障碍患者进行了为期 9 个月的纵向随访。参与者每月完成一次标准化症状严重程度访谈，并在 2 个月的随访中完成人际支持评估清单。在 6 个月的随访中，他们完成了罗森伯格自尊量表。结果：在 6 个月的随访中，自尊支持似乎是抑郁症变化的最重要预测因素，多元回归分析表明，社会支持效应是通过自尊来调节的。局限性和影响：尽管样本量小表明需要重复，但目前的结果强调了心理社会变量在双相抑郁症过程中的重要性。自尊可能是临床干预的一个特别重要的目标。 (C) 2000 爱思唯尔科学 BN。版权所有。
Introduction: Our own and other research has suggested that social support predicts course of bipolar disorder, with particularly strong effects on depressive symptoms. Within this paper, we examine which components of social support appear most powerful. Methods: Thirty-one individuals with Bipolar I disorder were followed longitudinally for 9 months. Participants completed a standardized symptom severity interview monthly, and at a 2-month follow-up, they completed the Interpersonal Support Evaluation List. At a 6-month follow-up, they completed the Rosenberg Self-Esteem Inventory. Results: Self-esteem support appeared to the most important predictor of change in depression across a 6-month follow-up, and multiple regression analyses suggested that social support effects were mediated through self-esteem. Limitations and implications: Although the small sample size suggests a need for replication, current results highlight the importance of psychosocial variables in the course of bipolar depression. Self-esteem may be a particularly important target for clinical interventions. (C) 2000 Elsevier Science BN. All rights reserved.