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锂盐预防治疗稳定期双相障碍患者亚综合征症状及功能与心理社会因素的相关性。

Psychosocial correlates of subsyndromal symptoms and functioning of bipolar patients stabilized on prophylactic lithium.

机构信息

D. KUMAR, MD., DNB., Senior Resident, Department of Psychiatry, PGIMER, Chandigarh - 160 012.

出版信息

Indian J Psychiatry. 2001 Jul;43(3):199-205.

Abstract

Sixty-eight bipolar patients in remission on lithium prophylaxis with adequate serum lithium levels were cross-sectionally studied to assess the relation of certain psychosocial variables (life events, social support and daily hassles) with psychopathology and psychosocial functioning. The daily hassles and number of life events were found to have significant positive correlation with Hamilton Depression Rating Scale (HDRS) scores while perceived social support score had significant negative correlation with general psychopathology score. In stepwise multiple regression analyses, psychosocial variables taken together explained 7% - 23% of variance in psychopathology and global functioning of these patients. We conclude that psychosocial variables may have a modest but significant relation with the clinical and psychosocial functioning of bipolar patients stabilized on lithium prophylaxis.

摘要

我们对 68 例正在锂盐预防治疗中且血锂浓度稳定处于缓解期的双相障碍患者进行了横断面研究,以评估某些心理社会变量(生活事件、社会支持和日常烦恼)与精神病理学和心理社会功能的关系。我们发现日常烦恼和生活事件数量与汉密尔顿抑郁量表(HDRS)评分呈显著正相关,而感知到的社会支持评分与一般精神病理学评分呈显著负相关。在逐步多元回归分析中,心理社会变量共同解释了这些患者精神病理学和总体功能的 7%至 23%的变异。我们的结论是,心理社会变量可能与锂盐预防治疗稳定的双相障碍患者的临床和心理社会功能有一定但显著的关系。

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