Siegel Rebecca S, Hoeppner Bettina, Yen Shirley, Stout Robert L, Weinstock Lauren M, Hower Heather M, Birmaher Boris, Goldstein Tina R, Goldstein Benjamin I, Hunt Jeffrey I, Strober Michael, Axelson David A, Gill Mary Kay, Keller Martin B
*Department of Psychiatry, University of North Carolina, Chapel Hill; †Center for Addiction Medicine, Massachusetts General Hospital, Harvard Medical School, Cambridge; ‡Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, and §Butler Hospital, Providence, RI; ∥Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, PA; ¶Department of Child Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto Medical Center, Toronto, Ontario, Canada; #Emma Pendelton Bradley Hospital, East Providence, RI; **Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles; and ††Nationwide Children's Hospital and The Ohio State College of Medicine, Columbus.
J Nerv Ment Dis. 2015 Mar;203(3):194-204. doi: 10.1097/NMD.0000000000000261.
This study examined the longitudinal association between mood episode severity and relationships in youth with bipolar (BP) disorder. Participants were 413 Course and Outcome of Bipolar Youth study youth, aged 12.6 ± 3.3 years. Monthly ratings of relationships (parents, siblings, and friends) and mood episode severity were assessed by the Adolescent Longitudinal Interval Follow-up Evaluation Psychosocial Functioning Schedule and Psychiatric Rating Scales, on average, every 8.2 months over 5.1 years. Correlations examined whether participants with increased episode severity also reported poorer relationships and whether fluctuations in episode severity predicted fluctuations in relationships, and vice versa. Results indicated that participants with greater mood episode severity also had worse relationships. Longitudinally, participants had largely stable relationships. To the extent that there were associations, changes in parental relationships may precede changes in episode severity, although the magnitude of this finding was small. Findings have implications for relationship interventions in BP youth.
本研究考察了双相情感障碍（BP）青少年的情绪发作严重程度与人际关系之间的纵向关联。研究对象为413名双相情感障碍青少年研究中的青少年，年龄为12.6±3.3岁。通过青少年纵向间隔随访评估心理社会功能量表和精神科评定量表，平均每8.2个月对人际关系（父母、兄弟姐妹和朋友）和情绪发作严重程度进行一次评估，为期5.1年。相关性分析检验了发作严重程度增加的参与者是否也报告人际关系较差，以及发作严重程度的波动是否预测人际关系的波动，反之亦然。结果表明，情绪发作严重程度较高的参与者人际关系也较差。纵向来看，参与者的人际关系基本稳定。在存在关联的程度上，亲子关系的变化可能先于发作严重程度的变化，尽管这一发现的幅度较小。这些发现对双相情感障碍青少年的人际关系干预具有启示意义。
