Grover Sandeep, Nehra Ritu, Thakur Anita
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ind Psychiatry J. 2017 Jul-Dec;26(2):114-120. doi: 10.4103/ipj.ipj_15_16.
Bipolar disorder (BD) is a severe mental disorder, which not only has negative consequences on the life of the patient, but also affects the immediate family members. As it often starts early in life, patients who get married often suffer from many negative consequences in their marital life due to the illness. This review focuses on studies which have evaluated marital rates, rate of marital failure, divorce, infertility, and procreation among patients with BD. In addition, this review evaluates the existing literature pertaining to marital adjustment, marital satisfaction, sexual dysfunction, and sexual satisfaction among patients with BD and their partners/spouses. Data suggest that very high proportion of patients with BD get married and marital rates are higher for patients with BD, when compared with those suffering from schizophrenia. In terms of divorce rates, studies suggest that patients with BD have higher rates of divorce. In terms of fertility rates, studies suggest that compared to those without the illness, the fertility rates among patients with BD are lower. In terms of marital adjustment, results are mixed with some studies suggesting poorer marital adjustment among patients and their spouses too. In terms of sexual dysfunction, studies suggest the presence of sexual dysfunction among one-third to half of the patients receiving lithium. To conclude, this review suggests that patients with BD experience multiple negative marital and sexual consequences.
双相情感障碍（BD）是一种严重的精神障碍，不仅会给患者的生活带来负面影响，还会影响其直系亲属。由于这种疾病通常在生命早期就开始出现，已婚患者往往会因患病而在婚姻生活中遭受许多负面后果。本综述聚焦于评估双相情感障碍患者的结婚率、婚姻失败率、离婚率、不孕率和生育情况的研究。此外，本综述还评估了有关双相情感障碍患者及其伴侣/配偶的婚姻调适、婚姻满意度、性功能障碍和性满意度的现有文献。数据表明，双相情感障碍患者结婚的比例非常高，与精神分裂症患者相比，双相情感障碍患者的结婚率更高。就离婚率而言，研究表明双相情感障碍患者的离婚率更高。就生育率而言，研究表明与未患病者相比，双相情感障碍患者的生育率较低。就婚姻调适而言，结果不一，一些研究表明患者及其配偶的婚姻调适也较差。就性功能障碍而言，研究表明接受锂盐治疗的患者中有三分之一至一半存在性功能障碍。总之，本综述表明双相情感障碍患者会经历多种负面的婚姻和性方面的后果。
