Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Bipolar Disord. 2024 Mar;26(2):148-159. doi: 10.1111/bdi.13369. Epub 2023 Jul 31.
The aim of this study was to explore the voices of the family members of Bipolar Disorder (BD) patients about the challenges ahead of them.
In this qualitative study, 22 participants shared their experiences of sexual challenges of patients with BD through in-depth, face-to-face, semi-structured interviews. Qualitative content analysis was used for data analysis.
An overarching theme entitled "Unheard voices" reflected this experience. It comprised four main categories include sexual promiscuity, a change in sexual patterns, sexual support, and sexual indifference. The results revealed that the families of patients with BD have to deal with sexual promiscuity and change in sexual patterns in their family, and the family system attempts to respond to these changes by sexual support mechanisms and sexual indifference.
Given the significant impact of healthy sexual behaviors on the quality of life of both the individual and the family, therapists and family support systems are advised to strengthen and educate families to support their patients' sexual health and needs and protect their sexual existence; they should also address the sexual challenges faced by these families as a diagnostic and therapeutic priority, and early sexual health interventions should be provided to these families.
本研究旨在探讨双相情感障碍（BD）患者家属对未来面临的挑战的看法。
在这项定性研究中，22 名参与者通过深入的面对面半结构化访谈分享了他们对 BD 患者性挑战的经验。采用定性内容分析法进行数据分析。
一个题为“未被听到的声音”的总体主题反映了这一体验。它包括四个主要类别，包括性行为放荡、性行为模式的改变、性支持和性冷漠。研究结果表明，BD 患者的家属必须应对家庭中的性行为放荡和性行为模式的改变，家庭系统试图通过性支持机制和性冷漠来应对这些变化。
鉴于健康性行为对个体和家庭生活质量的重大影响，建议治疗师和家庭支持系统加强教育家庭，以支持患者的性健康和需求，并保护他们的性存在；还应将这些家庭面临的性挑战视为诊断和治疗的优先事项，并为这些家庭提供早期的性健康干预措施。
