Nierenberg Andrew A, Hearing Casey M, Sande Mathias Isadora, Young L Trevor, Sylvia Louisa G
Bipolar Clinic and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Bipolar Clinic and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Aust N Z J Psychiatry. 2015 Dec;49(12):1207-14. doi: 10.1177/0004867415607364. Epub 2015 Oct 12.
People with bipolar disorder frequently have persistent symptoms, continued problems functioning and comorbid medical conditions. We propose applying the athletic coaching concept of marginal gains to help patients address these challenges to achieve wellness.
We review the concept of marginal gains and potential interventions to improve long-term outcomes for bipolar patients.
Evidence exists to help bipolar patients with diet and exercise, gradual behavioral change, mobile applications and peer support.
Marginal gains, small and doable improvements across a broad range of areas, have great potential to improve the lives of people with bipolar disorder.
双相情感障碍患者经常有持续的症状、持续的功能问题和合并的躯体疾病。我们建议应用边际收益这一运动教练理念来帮助患者应对这些挑战以实现健康。
我们回顾了边际收益的概念以及改善双相情感障碍患者长期预后的潜在干预措施。
有证据表明饮食和运动、渐进的行为改变、移动应用程序和同伴支持对双相情感障碍患者有帮助。
边际收益,即在广泛领域内微小且可行的改善,有极大潜力改善双相情感障碍患者的生活。