Block Victoria J, Haller Elisa, Villanueva Jeanette, Meyer Andrea, Benoy Charles, Walter Marc, Lang Undine E, Gloster Andrew T
Department of Psychology, Clinical Psychology and Intervention Science, University of Basel, Basel, Switzerland.
Psychiatric University Clinics (UPK), University of Basel, Basel, Switzerland.
Front Psychol. 2022 May 12;13:832520. doi: 10.3389/fpsyg.2022.832520. eCollection 2022.
Meaningful relationships are centrally important for human functioning. It remains unclear, however, which aspects of meaningful relationships impact wellbeing the most and whether these differ between psychiatric patients and members of the community. Information about relationship attributes and functions were collected in community members ( = 297) and psychiatric patients ( = 177). Relationship attributes and functions were examined for differences between groups (community vs. patients), their impact on wellbeing and symptoms, and the size of network (one vs. many relationships). Community members reported fewer relationships, higher frequency of contact and less desire for change when compared to the psychiatric patients. Nevertheless, both groups reported relatively high levels of fulfilled functions. Quality of the relationship and investment into the relationship was associated with both wellbeing and symptoms for both the community and the patient group. Almost all functions were associated with wellbeing and symptoms for the community group. However, for the patient group, only few functions (sexual partner, go-to person for compassion, go-to person when happy) were associated with wellbeing and no functions were associated with symptoms. Contrary to our hypotheses, the results show that psychiatric patients do not have a deficit in fulfilling relationships. Most people report a well-functioning network of meaningful, high-quality relationships. Patients benefit from meaningful, function-fulfilling relationships just as much as community members. Results are discussed with respect to how targeting relationships can be used clinically.
有意义的人际关系对人类的机能运作至关重要。然而,目前尚不清楚有意义的人际关系的哪些方面对幸福感影响最大,以及这些方面在精神科患者和社区成员之间是否存在差异。我们收集了社区成员(n = 297)和精神科患者(n = 177)关于人际关系属性和功能的信息。我们研究了人际关系属性和功能在不同群体(社区成员与患者)之间的差异、它们对幸福感和症状的影响以及人际关系网络的规模(一种关系与多种关系)。与精神科患者相比,社区成员报告的人际关系较少、接触频率较高且对改变的渴望较低。尽管如此,两组报告的功能实现水平都相对较高。人际关系的质量和对人际关系的投入与社区成员和患者群体的幸福感及症状均相关。几乎所有功能都与社区群体的幸福感和症状相关。然而,对于患者群体,只有少数功能(性伴侣、获得同情时可求助的人、开心时可求助的人)与幸福感相关,且没有功能与症状相关。与我们的假设相反,结果表明精神科患者在实现人际关系方面并不存在缺陷。大多数人报告拥有一个运作良好的、由有意义的高质量人际关系构成的网络。患者从有意义的、功能实现型人际关系中获得的益处与社区成员一样多。我们将结合如何在临床中利用人际关系这一角度来讨论研究结果。