Daily hassles, uplifts, and time use in individuals with bipolar disorder in remission
Daily hassles, uplifts, and time use in individuals with bipolar disorder in remission
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DOI：
10.1097/nmd.0b013e318142cbf0
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发表时间：
2007-09-01
影响因子：
1.9
通讯作者：
deVries, Marten W.
中科院分区：
文献类型：
--
作者：
Havermans, Rob;Nicolson, Nancy A.;deVries, Marten W.
尽管生活压力已被证明会引发双相情感障碍的复发，但人们对双相情感障碍患者如何看待日常麻烦或积极的对应物、提升知之甚少。我们使用体验抽样方法调查了 38 名双相情感障碍缓解患者和 38 名健康对照者的日常经历。很大程度上由于当前的失业，患者更多时候独自在家，工作时间减少，被动休闲活动时间增多。与预期相反，各组在事件的总频率或评估方面没有差异。然而，在患者组中，那些当前有抑郁症状和以前有过更多抑郁发作的患者经历的负面事件会带来更大的压力。这些发现与将抑郁症状与压力状况的产生或消极认知模式的重新激活联系起来的假设过程一致。
Although life stress has been shown to trigger relapse in bipolar disorder, little is known about how bipolar patients perceive daily hassles or their positive counterparts, uplifts. We used the experience sampling method to investigate the daily experience of hassles and uplifts in 38 patients with remitted bipolar disorder and 38 healthy controls. Largely because of current unemployment, patients were more often alone and at home and spent less time working and more time in passive leisure activities. Contrary to expectations, the groups did not differ in total frequencies or appraisals of events. Within the patient group, however, those patients with current depressive symptoms and more previous depressive episodes experienced negative events as more stressful. These findings are consistent with hypothesized processes linking depressive symptoms to the generation of stressful conditions or to the reactivation of negative cognitive schemas.