Interpersonal and social rhythm therapy: Managing the chaos of bipolar disorder
Interpersonal and social rhythm therapy: Managing the chaos of bipolar disorder
复制标题
DOI：
10.1016/s0006-3223(00)00969-0
复制
发表时间：
2000-09-15
影响因子：
10.6
通讯作者：
Kupfer, DJ
中科院分区：
文献类型：
--
作者：
Frank, E;Swartz, HA;Kupfer, DJ
人际和社会节律疗法是一种专门为治疗双相情感障碍而设计的个体心理疗法。人际和社会节律疗法起源于双相情感障碍的时间生物学模型，该模型假设双相情感障碍患者具有昼夜节律和睡眠-觉醒周期异常的遗传易感性，这可能是疾病症状表现的部分原因。在我们的模型中，生活事件（消极和积极的）可能会导致患者的社会节奏中断，反过来，扰乱昼夜节律和睡眠-觉醒周期，并导致双相症状的发展。人际和社会节律疗法结合了人际心理治疗的基本原则和行为技术，帮助患者规范日常生活，减少人际关系问题，并坚持药物治疗。它调节生物和心理社会因素，以减轻患者的昼夜节律和睡眠-觉醒周期的脆弱性，改善整体功能，并更好地管理双相情感障碍的潜在混乱。(C)2000年生物精神病学学会。
Interpersonal and social rhythm therapy is an individual psychotherapy designed specifically for the treatment for bipolar disorder. Interpersonal and social rhythm therapy grew from a chronobiological model of bipolar disorder postulating that individuals with bipolar disorder have a genetic predisposition to circadian rhythm and sleep-wake cycle abnormalities that may be responsible, in part, for the symptomatic manifestations of the illness. In our model, life events (both negative and positive) may cause disruptions in patients' social rhythms that, in turn, perturb circadian rhythms and sleep-wake cycles and lead to the development of bipolar symptoms. Administered in concert with medications, interpersonal and social rhythm therapy combines the basic principles of interpersonal psychotherapy with behavioral techniques to help patients regularize their daily routines, diminish interpersonal problems, and adhere to medication regimens. It modulates both biological and psychosocial factors to mitigate patients' circadian and sleep-wake cycle vulnerabilities, improve overall functioning, and better manage the potential chaos of bipolar disorder symptomatology. (C) 2000 Society of Biological Psychiatry.