Department of Psychology and Behavioral Sciences, Aarhus University, Bartholins Allé 16, 8000 Aarhus C, Denmark.
J Behav Ther Exp Psychiatry. 2012 Dec;43(4):1104-8. doi: 10.1016/j.jbtep.2012.05.005. Epub 2012 Jun 7.
Previous research indicates that low self-esteem is associated with functional impairment in remitted bipolar disorder patients. The present study aimed to elucidate this area further by exploring the relationship between different self-schemas and key functional outcome domains.
The study consisted of 49 remitted bipolar disorders patients who completed the Young Schema Questionnaire-Short Version (YSQ-S3) and the Work and Social Adjustment Scale (WSAS).
A hierarchical regression analysis revealed that the schemas Social Isolation, Failure to Achieve, Dependence, Vulnerability to Harm and Illness, Emotional Inhibition, Insufficient Self-Control, and Pessimism accounted for 28% of the variance in functional impairment when controlling for length of remission and subsyndromal depressive symptoms.
The WSAS as a self-report scale measures the patients' perception of own functioning and is therefore not an objective measure of functioning.
The findings delineate specific psychological vulnerabilities which are likely to be implicated in functional impairment in bipolar disorder and as such warrant further examination in terms of their causal mechanisms and therapeutic implications.
先前的研究表明，自尊心低与缓解期双相情感障碍患者的功能障碍有关。本研究旨在通过探讨不同自我图式与关键功能结果领域之间的关系，进一步阐明这一领域。
该研究包括 49 名缓解期双相情感障碍患者，他们完成了 Young 自我图式量表-短版（YSQ-S3）和工作和社会适应量表（WSAS）。
分层回归分析显示，在控制缓解期和亚综合征抑郁症状的长度后，社交孤立、未能实现、依赖、易受伤害和疾病、情感抑制、自我控制不足和悲观等图式解释了功能障碍 28%的变异。
WSAS 作为一种自我报告量表，测量的是患者对自身功能的感知，因此不是功能的客观衡量标准。
这些发现描绘了特定的心理脆弱性，这些脆弱性可能与双相情感障碍的功能障碍有关，因此需要进一步研究其因果机制和治疗意义。
