Arciszewska Aleksandra, Siwek Marcin, Dudek Dominika
Department of Affective Disorders, Chair of Psychiatry, Collegium Medicum, Jagiellonian University, Kopernika St. 21a, 31-501 Cracow, Poland,
Psychiatr Danub. 2017 Sep;29(3):322-329. doi: 10.24869/psyd.2017.322.
The aim of the study was to investigate the total dyadic adjustment (including satisfaction, cohesion, consensus and affectional expression) among spouses of bipolar patients with I and II subtypes.
82 subjects (46 women/ 36men) were enrolled in the study - 50 spouses of bipolar I (BD I) patients and 32 spouses of bipolar II (BD II) patients. We used an interview, the Dyadic Adjustment Scale (DAS), and a questionnaire including questions concerning basic socio-demographic data, the duration of marriage, as well as information about the patient's illness.
The results indicate that BD I is likely to be more disruptive for life-partners and is associated with a lower dyadic adjustment (assessed by the healthy spouse) than BD type II (p≤0.05). There are differences in DAS scales when specific episodes are compared with each other as well (p≤0.01). Also patients' illicit substance use and co-morbidity were significant factors (p≤0.01).
We would like to emphasize that bipolar disorder affects marriage (even the healthy spouse) and that its different subtypes (especially type I) as well as additional factors may be associated with significant deterioration of a relationship.
本研究旨在调查双相 I 型和 II 型患者配偶之间的总体二元调适情况（包括满意度、凝聚力、共识和情感表达）。
82名受试者（46名女性/36名男性）参与了本研究——50名双相 I 型（BD I）患者的配偶和32名双相 II 型（BD II）患者的配偶。我们采用了访谈、二元调适量表（DAS）以及一份问卷，问卷包含有关基本社会人口统计学数据、婚姻持续时间以及患者疾病信息的问题。
结果表明，与双相 II 型相比，双相 I 型对生活伴侣的干扰可能更大，且与更低的二元调适水平相关（由健康配偶评估）（p≤0.05）。当比较特定发作情况时，DAS 量表也存在差异（p≤0.01）。此外，患者的非法物质使用和共病也是重要因素（p≤0.01）。
我们想强调的是，双相情感障碍会影响婚姻（即使是健康配偶）及其不同亚型（尤其是 I 型）以及其他因素可能与关系显著恶化有关。
