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双相情感障碍是一把双刃剑:一项定性研究以了解积极的一面。

Bipolar Disorder is a two-edged sword: a qualitative study to understand the positive edge.

机构信息

Spectrum Centre for Mental Health Research, Lancaster University, UK.

出版信息

J Affect Disord. 2012 Dec 10;141(2-3):204-12. doi: 10.1016/j.jad.2012.03.001. Epub 2012 Apr 1.

DOI:10.1016/j.jad.2012.03.001
PMID:22472729
Abstract

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. Limitations Given 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.

摘要

背景

双相情感障碍 (BD) 会对患者及其关心他们的人的生活产生极大的不利影响。然而,越来越多的证据表明,双相情感障碍的某些方面也受到一些人的高度重视。

方法

我们旨在了解被诊断为 BD 的参与者如何理解他们认为与双相情感障碍相关的积极方面。在英国,我们对 10 名参与者进行了数据收集和分析,采用了解释现象学分析方法。

结果

积极方面很多,参与者非常重视,并欢迎有机会讨论这些方面。出现了三个重要主题:1)双相情感障碍经历对日常生活的直接积极影响,包括放大内部状态、增强能力和更强烈的人际联系;2)有幸患有双相情感障碍 - 感觉自己被赋予了特殊的礼物;3)自我与双相情感障碍经历之间的关系。局限性:鉴于样本量较小,需要进一步研究以探讨广泛体验双相情感障碍积极方面的情况。

结论

这些主题强调了需要邀请人们谈论他们双相情感障碍经历的积极方面以及他们所面临的困难。这可能有助于我们理解对当前治疗的矛盾态度,并开发出减少负面影响的干预措施,同时承认并可能保留一些积极方面。

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