Social support and social strain in inter-episode bipolar disorder.
Social support and social strain in inter-episode bipolar disorder.
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DOI：
10.1111/j.1399-5618.2012.01049.x
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发表时间：
2012-09
影响因子：
5.4
通讯作者：
Harvey AG
中科院分区：
文献类型：
--
作者：
Eidelman P;Gershon A;Kaplan K;McGlinchey E;Harvey AG
本研究关注社会支持和社会压力，以及它们与双相情感障碍（BD）发作间睡眠和社会节律不稳定性的横截面关联。35名诊断为I型BD发作间的成年人和38名健康对照完成了感知社会支持和社会压力的测量。研究了支持和应变的组间差异。在BD组中，通过28天的每日日记和活动记录仪评估睡眠和社会节律的不稳定性。相关和回归分析被用来检查社会支持，社会压力，睡眠和社会节奏的不稳定性，情绪症状之间的横截面和前瞻性的关联。与对照组相比，BD组的社会支持较低，社会压力较高。此外，社交紧张与BD组的躁狂和抑郁症状呈正相关。此外，在BD组中，社会支持和更稳定的睡眠之间存在横截面关联，尽管社会支持并不能预测未来的睡眠不稳定。这些结果表明，与对照组相比，发作间BD与社会支持不足和社会压力升高有关，这可能是由于持续的发作间情绪症状。社会压力可能特别重要，因为它与躁狂和抑郁症状有关。研究结果还提出了睡眠不稳定与BD患者社会支持不足有关的可能性。
This study focused on social support and social strain and their cross-sectional associations with instabilities in sleep and social rhythms in inter-episode bipolar disorder (BD). Thirty-five adults diagnosed with inter-episode BD type I and 38 healthy controls completed measures of perceived social support and social strain. Group differences in support and strain were examined. Within the BD group, instabilities in sleep and social rhythms were assessed with 28 days of daily diary and actigraphy. Correlation and regression analyses were used to examine cross-sectional and prospective associations between social support, social strain, instabilities in sleep and social rhythms, and mood symptoms. The BD group reported lower social support and higher social strain than the control group. Additionally, social strain was positively correlated with manic and depressive symptoms in the BD group. Furthermore, there was a cross-sectional association between social support and more stable sleep on actigraphy in the BD group, although social support did not predict future sleep instability. These results indicate that inter-episode BD is associated with deficient social support and elevated social strain compared to controls, and that this may be due to persistent inter-episode mood symptoms. Social strain may be particularly important given its association withmanic and depressive symptoms. The results also raise the possibility that sleep instability is related to poor social support in BD.
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影响因子：
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作者：
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通讯作者：
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