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“是什么让你康复?”双相障碍的幸福感支持因素。一项定性研究。

"What makes you well?" Supports of well-being in bipolar disorder. A qualitative study.

机构信息

CRehab'S, Support Center for Psychosocial Rehabilitation in the Loire Region, Nantes University Hospital and Angevin Mental Health Center, Sainte Gemmes sur Loire, France.

Nantes Université, CHU Nantes, UIC Psychiatrie Et Santé Mentale, Nantes, France.

出版信息

Int J Qual Stud Health Well-being. 2023 Dec;18(1):2244763. doi: 10.1080/17482631.2023.2244763.

DOI:10.1080/17482631.2023.2244763
PMID:37660342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10478622/
Abstract

OBJECTIVE

Subjective experience of people living with bipolar disorder is gaining attention in the field of research. Improving well-being could be as important as symptom remission, but this constitutes a vague concept. This study aimed at exploring the boundaries and the determinants of the well-being of people living with bipolar disorder in a French context.

METHODS

Individual semi-structured interviews were conducted with 16 patients by three professionals. Interviews were transcribed and analysed using the thematic analysis method.

RESULTS

Various dimensions emerged as contributing to well-being: daily routines, connectedness, regaining a positive identity, and self-awareness for self-management.

CONCLUSIONS

In addition to those common to the general population, this study highlighted specific determinants of well-being: the construction of a positive identity through acceptance of the diagnosis, the importance of self-awareness and self-management. They are highly intertwined with those of personal recovery and could help caregivers design interventions that directly target these goals. This study aimed to identify specific components of well-being for people living with bipolar disorder. Understanding the determinants of well-being enable caregivers to design tailored interventions that directly target quality of life and help improve bipolar disorder outcomes.

摘要

目的

在研究领域,双相情感障碍患者的主观体验受到关注。改善幸福感可能与症状缓解同样重要,但这是一个模糊的概念。本研究旨在探索法国背景下双相情感障碍患者幸福感的边界和决定因素。

方法

通过三位专业人员对 16 名患者进行了个体半结构化访谈。使用主题分析方法对访谈进行转录和分析。

结果

各种维度都对幸福感有贡献:日常生活、联系、重新获得积极的身份认同和自我管理意识。

结论

除了与一般人群共有的维度外,本研究还强调了幸福感的具体决定因素:通过接受诊断来构建积极的身份认同、自我意识和自我管理的重要性。它们与个人康复的决定因素高度交织在一起,可以帮助护理人员设计直接针对这些目标的干预措施。本研究旨在确定双相情感障碍患者幸福感的具体组成部分。了解幸福感的决定因素使护理人员能够设计针对生活质量的个性化干预措施,并有助于改善双相情感障碍的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ec9/10478622/28cf10c58e60/ZQHW_A_2244763_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ec9/10478622/28cf10c58e60/ZQHW_A_2244763_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ec9/10478622/28cf10c58e60/ZQHW_A_2244763_F0001_OC.jpg

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本文引用的文献

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Front Psychiatry. 2022 Jun 23;13:876761. doi: 10.3389/fpsyt.2022.876761. eCollection 2022.
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Happiness, well-being, and recovery: Experiences of adults receiving psychiatric rehabilitation services.幸福、福祉和康复:接受精神康复服务的成年人的体验。
Psychiatr Rehabil J. 2022 Jun;45(2):114-122. doi: 10.1037/prj0000521. Epub 2022 Mar 24.
3
A critical review of the definition of 'wellbeing' for doctors and their patients in a post Covid-19 era.
在后新冠疫情时代,对医生及其患者的“幸福感”定义进行批判性回顾。
Int J Soc Psychiatry. 2021 Dec;67(8):984-991. doi: 10.1177/00207640211032259. Epub 2021 Jul 9.
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Personal recovery in bipolar disorder: Systematic review and "best fit" framework synthesis of qualitative evidence - a POETIC adaptation of CHIME.双相情感障碍中的个人康复:定性证据的系统评价和“最佳契合”框架综合 - CHIME 的 POETIC 改编。
J Affect Disord. 2021 Sep 1;292:375-385. doi: 10.1016/j.jad.2021.05.051. Epub 2021 May 28.
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The neurodiversity concept: is it helpful for clinicians and scientists?神经多样性概念:它对临床医生和科学家有帮助吗?
Lancet Psychiatry. 2021 Jul;8(7):559-561. doi: 10.1016/S2215-0366(21)00167-X. Epub 2021 May 10.
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Impact of modification to DSM-5 criterion A for hypomania/mania in newly diagnosed bipolar patients: findings from the prospective BIO study.对新诊断双相情感障碍患者轻躁狂/躁狂的DSM-5标准A进行修订的影响:前瞻性BIO研究的结果
Int J Bipolar Disord. 2021 May 3;9(1):14. doi: 10.1186/s40345-020-00219-9.
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Elderly Bipolar Disorder.老年双相情感障碍。
Curr Psychiatry Rep. 2021 Jan 6;23(2):5. doi: 10.1007/s11920-020-01216-6.
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Long-term treatment of bipolar disorder type I: A systematic and critical review of clinical guidelines with derived practice algorithms.双相情感障碍 I 型的长期治疗:临床指南的系统和批判性评价及衍生的实践算法。
Bipolar Disord. 2021 Jun;23(4):324-340. doi: 10.1111/bdi.13040. Epub 2021 Jan 7.
9
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Advances in subjective well-being research.主观幸福感研究进展。
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