Bauwens F, Tracy A, Pardoen D, Vander Elst M, Mendlewicz J
Department of Psychiatry, Erasme Hospital, Brussels, Belgium.
Br J Psychiatry. 1991 Aug;159:239-44. doi: 10.1192/bjp.159.2.239.
Various areas of social adjustment were compared using the Social Adjustment Scale in 27 remitted bipolars, 24 remitted unipolars and 25 normal controls matched for age and sex. Scores for global adjustment and for social and leisure activities were significantly worse in patients than in controls. The maladjustment in social and leisure activities appeared only in 'contact with friends' for bipolar patients and 'diminished social interactions' for unipolar patients. Unipolar patients differed significantly from controls on the items investigating sexual adjustment. In unipolars, social maladjustment seemed to be independent of the course of the disease; in bipolars, it was partly related to the mean number of lifetime episodes and current residual symptoms.
使用社会适应量表对27名缓解期双相情感障碍患者、24名缓解期单相情感障碍患者以及25名年龄和性别匹配的正常对照者的各个社会适应领域进行了比较。患者在总体适应以及社交和休闲活动方面的得分显著低于对照者。社交和休闲活动方面的适应不良在双相情感障碍患者中仅表现为“与朋友接触”方面，在单相情感障碍患者中表现为“社交互动减少”。在调查性适应的项目上，单相情感障碍患者与对照者存在显著差异。在单相情感障碍患者中，社会适应不良似乎与疾病病程无关；在双相情感障碍患者中，它部分与终生发作的平均次数和当前残留症状有关。
