Student Wellness and Counselling Centre, Memorial University of Newfoundland, St. John's, NL, Canada.
Department of Psychology, Faculty of Science, Memorial University of Newfoundland, St. John's, NL, Canada.
BMC Psychiatry. 2023 Oct 17;23(1):759. doi: 10.1186/s12888-023-05244-3.
Bipolar disorder (BD) (i.e., BD-I or BD-II) is a serious mental illness (SMI) that can cause significant life challenges, but its impact and management may be mediated by psychosocial factors. This study's primary objectives were to investigate whether adults with BD differ from those without in terms of social support, negative social interactions (NSIs), and positive mental health (PMH). Secondly, examine whether gender differences exist in terms of these variables, as well as whether specific social support subscales and NSI predict PMH for those with BD.
Using data extracted from a national Canadian survey, 563 adults reporting a lifetime BD diagnosis were compared to a matched, non-BD sample using the Social Provisions Scale 10 Items (SPS-10), the NSI Scale, and the Mental Health Continuum - Short Form (MHC-SF) Scale. For the BD sample, males and females were compared based on study variables, and hierarchical regressions were subsequently performed to assess whether SPS-10 subscales and NSIs predicted PMH.
Respondents with BD reported significantly lower SPS-10 and PMH scores, and significantly higher NSI scores. Within the BD sample, females reported significantly higher SPS-10 and NSIs scores, and 'social integration' and 'reassurance of worth' positively predicted PMH, while NSI uniquely predicted lower PMH levels for both males and females.
The results implicate specific psychosocial factors and gender in the degree to which adults with BD might flourish, particularly in terms negative relationships. The implications of social erosion and the bi-directionality of social support are also considered.
双相情感障碍（BD）（即 BD-I 或 BD-II）是一种严重的精神疾病（SMI），会给生活带来严重挑战，但它的影响和管理可能受到心理社会因素的影响。本研究的主要目的是调查患有 BD 的成年人与没有 BD 的成年人在社会支持、负性社会互动（NSI）和积极心理健康（PMH）方面是否存在差异。其次，研究这些变量是否存在性别差异，以及特定的社会支持子量表和 NSI 是否可以预测患有 BD 的人的 PMH。
利用从加拿大全国性调查中提取的数据，将 563 名报告有终身 BD 诊断的成年人与匹配的、无 BD 的样本进行比较，使用社会供应量表 10 项（SPS-10）、NSI 量表和心理健康连续体-短表（MHC-SF）量表。对于 BD 样本，根据研究变量比较男性和女性，随后进行层次回归，以评估 SPS-10 子量表和 NSI 是否可以预测 PMH。
患有 BD 的受访者报告的 SPS-10 和 PMH 得分明显较低，NSI 得分明显较高。在 BD 样本中，女性报告的 SPS-10 和 NSI 得分明显较高，“社会整合”和“价值保障”正向预测 PMH，而 NSI 则独特地预测男性和女性的 PMH 水平较低。
结果表明，特定的心理社会因素和性别会影响患有 BD 的成年人的繁荣程度，特别是在负面关系方面。还考虑了社会侵蚀和社会支持的双向性的含义。
