Rumination, gender, and depressive symptoms associated with caregiving strain in bipolar disorder.
Rumination, gender, and depressive symptoms associated with caregiving strain in bipolar disorder.
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DOI：
10.1111/j.1600-0447.2012.01874.x
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发表时间：
2012-11
影响因子：
6.7
通讯作者：
Miklowitz DJ
中科院分区：
文献类型：
--
作者：
Perlick DA;Gonzalez J;Michael L;Huth M;Culver J;Kaczynski R;Calabrese J;Miklowitz DJ
目的探讨双相情感障碍患者家庭成员的照料压力、反刍方式、抑郁症状和性别指标之间的关系。150名参加双相情感障碍系统治疗强化项目（STEP-BD）的患者的主要护理人员参加了一项横断面研究，以评估反刍风格在维持与护理压力相关的抑郁症状中的作用。通过情感障碍评估和临床监测表对患者终生诊断和当前发作状态进行评估。在患者30天内对护理人员进行家庭紧张、抑郁症状和沉思风格的评估。男性和女性在抑郁、照顾者压力或沉思风格得分上没有差异。得分表明，样本的整体抑郁程度为轻度，照顾者的压力为中度。在控制患者临床状态和人口统计学变量的情况下，照顾者压力越大与反刍和抑郁症状水平显著相关（P < 0.05）。反刍使紧张和抑郁之间的明显联系减少了近一半。性别与抑郁或沉思没有显著关联。反刍有助于解释双相情感障碍患者的男性和女性护理者所经历的抑郁症状。应考虑对照顾者采取旨在减少反刍的干预措施。
To evaluate the associations between indices of caregiving strain, ruminative style, depressive symptoms, and gender among family members of patients with bipolar disorder. One hundred and fifty primary caregivers of patients enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) participated in a cross-sectional study to evaluate the role of ruminative style in maintaining depressive symptoms associated with caregiving strain. Patient lifetime diagnosis and current episode status were evaluated by the Affective Disorder Evaluation and the Clinical Monitoring Form. Caregivers were evaluated within 30 days of the patient on measures of family strain, depressive symptoms, and ruminative style. Men and women did not differ on depression, caregiver strain, or ruminative style scores. Scores suggest an overall mild level of depression and moderate caregiver strain for the sample. Greater caregiver strain was significantly associated (P < 0.05) with rumination and level of depressive symptoms, controlling for patient clinical status and demographic variables. Rumination reduced the apparent association between strain and depression by nearly half. Gender was not significantly associated with depression or rumination. Rumination helps explain depressive symptoms experienced by both male and female caregivers of patients with bipolar disorder. Interventions for caregivers targeted at decreasing rumination should be considered.
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