Predictors of relationship functioning for patients with bipolar disorder and their partners.
Predictors of relationship functioning for patients with bipolar disorder and their partners.
复制标题
双相情感障碍患者及其伴侣关系功能的预测因素。
DOI：
10.1037/a0020352
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Miller,IvanW
中科院分区：
文献类型：
--
作者：
Sheets,ErinS;Miller,IvanW
以前的研究已经将家庭功能，包括婚姻功能，作为双相情感障碍病程的重要预测指标，但识别影响双相情感障碍患者关系功能的因素的研究有限。在目前的研究中，对56名双相情感障碍患者和他们的伴侣进行了Axis II病理、一般家庭功能和关系困扰的评估。在回归模型中，患者的情绪症状和Axis II病理变量被检验为一般关系功能(家庭评估工具、麦克马斯特临床评定量表和二元调整量表)的预测因子。分析表明，患者的抑郁症状与患者对一般家庭功能和夫妻功能的评分有关，而患者的躁狂症状与伴侣对浪漫关系的评分有关。伴侣的整体Axis II病理，而不是患者的Axis II病理，与患者和伴侣对夫妻关系的感知有关。这些发现突显了情绪和人格病理对关系功能的重要性，并代表了验证人格病理对患者和伴侣对关系功能感知的影响的首批调查之一。
Previous investigations have examined family functioning, including marital functioning, as an important predictor of the course of bipolar disorder, but limited research exists identifying the factors that influence relationship functioning in patients with bipolar disorder. In the current study, 56 patients with bipolar disorder and their partners were assessed for Axis II pathology, general family functioning, and relationship distress. Patient mood symptoms and Axis II pathology variables were examined as predictors of general relationship functioning (Family Assessment Device, McMaster Clinical Rating Scale, and Dyadic Adjustment Scale) in regression models. Analyses indicated that patients' depressive symptomatology was associated with patient ratings of general family functioning and couple functioning, while patients' manic symptoms were associated with partners' ratings of the romantic relationship. Partners' total Axis II pathology, but not patients' Axis II pathology, was associated with patient and partner perception of the couple's relationship. These findings highlight the importance of mood and personality pathology to relationship functioning, and represent one of the first investigations to verify the impact of personality pathology on patients' and partners' perceptions of relationship functioning.