双相情感障碍患者缓解期功能运作的经验描述：一种扎根理论方法。
An Experiential Account of Functioning During Remission in Individuals with Bipolar Disorder: A Grounded Theory Approach.
作者信息
Wesley Mareena Susan, Munivenkatappa Manjula, Thirtalli Jagadish
机构信息
Dept. of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
出版信息
Indian J Psychol Med. 2025 Mar 27:02537176251323887. doi: 10.1177/02537176251323887.
BACKGROUND
Individuals with bipolar disorder (BD) experience considerable difficulty in functioning during remission as well. The actual lived experience of individuals with BD with respect to their functioning is not understood in the cultural context.
METHODS
A qualitative approach in the form of interviews was taken from 11 participants who were diagnosed with BD in remission from a tertiary care hospital. The interviews were audio recorded and coded. Thematic analysis was carried out using a grounded theory approach to bring out relevant themes surrounding their inter-episodic functional limitations.
RESULTS
The thematic analysis resulted in nine themes associated with the functioning, namely illness issues, treatment as an antidote, impact on self, relationship issues, coping strategies, disturbed cognitive functioning, stigma, occupational consequences, and dubious future.
CONCLUSIONS
The qualitative interview analysis provides a comprehensive picture of the experiences undergone by patients with BD. The themes and the sub-themes that came up in the analysis are reflective of the experiences of these individuals. The findings of the study can be utilized in planning effective interventions for remitted patients in the future so that functional limitations can be effectively addressed.
背景
双相情感障碍（BD）患者在缓解期的功能运作也存在相当大的困难。在文化背景下，BD患者在功能运作方面的实际生活体验尚不清楚。
方法
采用访谈的定性方法，对来自一家三级护理医院的11名诊断为BD缓解期的参与者进行了访谈。访谈进行了录音和编码。采用扎根理论方法进行主题分析，以找出围绕他们发作间期功能限制的相关主题。
结果
主题分析产生了与功能运作相关的九个主题，即疾病问题、作为解药的治疗、对自我的影响、关系问题、应对策略、认知功能紊乱、耻辱感、职业后果和不确定的未来。
结论
定性访谈分析全面呈现了BD患者的经历。分析中出现的主题和子主题反映了这些个体的经历。该研究结果可用于未来为缓解期患者规划有效的干预措施，以便有效解决功能限制问题。
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