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缓解期双相情感障碍女性患者的叙事身份:消极的过去和缩短的未来。

Narrative identity in female patients with remitted bipolar disorder: a negative past and a foreshortened future.

作者信息

Pedersen Anne Mai, Nielsen Straarup Krista, Thomsen Dorthe Kirkegaard

机构信息

a Department of Psychology and Behavioural Sciences , Aarhus University , Aarhus C , Denmark.

b Center on Autobiographical Memory Research, (CON AMORE), Aarhus University , Aarhus C , Denmark.

出版信息

Memory. 2018 Feb;26(2):219-228. doi: 10.1080/09658211.2017.1344250. Epub 2017 Jul 1.

DOI:10.1080/09658211.2017.1344250
PMID:28670960
Abstract

The present study examined narrative identity and subjective well-being in outpatients with remitted bipolar disorder (BD) and a healthy control group. Fifteen female outpatients with remitted BD and 15 healthy control participants identified past and future chapters in their life stories, gave their age for the beginning and end of each chapter, rated emotional tone as well as positive and negative self-event connections associated with the chapters, and for future chapters rated the probability of the chapter. The BD patients reported less positive emotional tone and self-event connections for past chapters, but not for future chapters. However, the patients did describe fewer future chapters with shorter temporal projection into the future, and reported lower probability of future chapters. These characteristics of chapters were related to lower subjective well-being. The study suggests that a more negative narrative identity with a foreshortened future perspective may contribute to lower subjective well-being in patients with BD.

摘要

本研究调查了缓解期双相情感障碍(BD)门诊患者和健康对照组的叙事身份与主观幸福感。15名缓解期BD门诊女性患者和15名健康对照参与者确定了其人生故事中的过去和未来篇章,给出每一篇章开始和结束时的年龄,对篇章的情感基调以及与篇章相关的积极和消极自我事件联系进行评分,对于未来篇章则对该篇章发生的可能性进行评分。BD患者报告过去篇章的积极情感基调及自我事件联系较少,但未来篇章并非如此。然而,患者确实描述的未来篇章较少,对未来的时间预测较短,且报告未来篇章发生的可能性较低。这些篇章特征与较低的主观幸福感相关。该研究表明,具有缩短的未来视角的更消极叙事身份可能导致BD患者主观幸福感较低。

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