Bipolar Disorder is a two-edged sword: A qualitative study to understand the positive edge
Bipolar Disorder is a two-edged sword: A qualitative study to understand the positive edge
复制标题
DOI：
10.1016/j.jad.2012.03.001
复制
发表时间：
2012-12-10
影响因子：
6.6
通讯作者：
Jones, Steven
中科院分区：
文献类型：
--
作者：
Lobban, Fiona;Taylor, Katherine;Jones, Steven
背景：双相情感障碍(BD)可能会对确诊患者和关心他们的人的生活产生非常有害的影响。然而，越来越多的证据表明，双相情感体验的某些方面也被一些人高度重视。方法：我们的目标是了解被诊断为BD的参与者如何理解他们对双相情感体验的积极态度。使用解释现象学分析方法收集和分析了10名英国人的数据。结果：积极的方面是众多的，非常有价值的，参与者欢迎有机会讨论它们。出现了三个重要的主题：1)双相经历对日常生活的直接积极影响，包括放大内部状态、增强能力和更紧密的人际联系；2)幸运地成为双相--被赋予了特殊天赋的感觉；3)自我和双相经历之间的关系。限制：由于规模较小，需要进一步的研究来探索BD的积极方面有多广泛。结论：这些主题突出了邀请人们谈论他们双相经历的积极方面以及他们面临的困难的必要性。这可能有助于我们理解对当前治疗的矛盾心理，并开发出将负面影响降至最低的干预措施，同时认识到并有可能保留一些积极的方面。(C)2012爱思唯尔B.V.保留所有权利。
Background: Bipolar Disorder (BD) can have highly detrimental effects on the lives of people with the diagnosis and those who care about them. However, growing evidence suggests that aspects of bipolar experiences are also highly valued by some people.Method: We aimed to understand how participants with a diagnosis of BD made sense of what they took to be positive about their bipolar experiences. Interpretative Phenomenological Analysis was used in the collection and analysis of data from 10 individuals in the UK.Results: Positive aspects were numerous, highly valued and participants welcomed the opportunity to discuss them. Three important themes emerged: 1) Direct positive impact of bipolar experiences on everyday life including amplification of internal states, enhanced abilities and more intense human connectedness; 2) Lucky to be bipolar - the sense of having been given a special gift; 3) Relationship between the self and bipolar experiences. LimitationsGiven the small size, further research is needed to explore how widely positive aspects of BD are experienced.Conclusions: These themes highlight the need to invite people to talk about the positive aspects of their bipolar experiences as well as the difficulties they face. This may help us to understand ambivalence to current treatment and to develop interventions that minimise the negative impacts, whilst recognising and potentially retaining some of the positives. (C) 2012 Elsevier B.V. All rights reserved.