Andreasen Lærke Helene, Sandeman Vita Djamilla, Krogh Helle B, Stokholm Julie Ravneberg, Bruun Caroline Fussing, Zarp Jeff, Kessing Lars Vedel, Giraldi Annamaria, Vinberg Maj
Sexological Clinic, Copenhagen University Hospital - Mental Health Services CPH, Ole Maaløes Vej 14, 2100 Copenhagen, Denmark.
Mental Health Centre, Northern Zealand, Copenhagen University Hospital - Mental Health Services CPH, Dyrehavevej 48, 3400 Hillerødn, Denmark.
Sex Med. 2025 Jul 22;13(3):qfaf051. doi: 10.1093/sexmed/qfaf051. eCollection 2025 Jun.
Good interpersonal relationships are associated with improved functioning, quality of life, and a better prognosis in patients with bipolar disorder (BD). Little information is available regarding relationship satisfaction and sexual satisfaction within couples where 1 partner has BD.
This cross-sectional study aimed to examine relationship and sexual satisfaction in patients with BD and partners to patients with BD.
Patients with BD and partners to patients with BD were included, and outcomes were assessed using semi-structured interviews and questionnaires.
Couple satisfaction was measured by the self-reported questionnaire Couple Satisfaction Index (CSI-4), and sexual satisfaction was measured by 3 self-reported questions. Multiple regression analyses were used to compare the groups adjusting for sex, age, mood symptoms, overall functioning, and stress symptoms. The results were compared to general populations.
One hundred eleven patients with BD and 74 partners were included. We found a significant difference between patients with BD and partners concerning relationship satisfaction measured with the CSI, with partners being less satisfied ( = .050). Comparing relationship satisfaction in patients with BD and partners to the general population, we found that the general population was more satisfied in each CSI item ( < .050). In multiple regression analyses adjusted for sex, age, mood symptoms, stress, and function, patients with BD were more satisfied with their sexual life over the last year compared to partners ( = .039). They further rated the importance of a good sexual life higher than partners ( = .006). Finally, more patients with BD and partners rated their sex life the last year as being bad to extremely bad compared to the control group from the general population (partners = 21.1%, BD = 23.4%, general population = 16%).
In clinical practice, it is essential to focus on relationships including sexual life in patients with BD and partners as both groups have a lower degree of relationship and sexual satisfaction compared to the general population.
The use of validated questionnaires and clinical ratings is a strength, albeit the cross-sectional design is a limitation.
Patients with BD reported a higher degree of satisfaction with their relationship and sexual life compared to their partners. Compared to the general population, both groups expressed lower degree of relationship and sexual satisfaction.
良好的人际关系与双相情感障碍（BD）患者功能改善、生活质量提高及预后较好相关。关于一方患有BD的夫妻间关系满意度和性满意度的信息较少。
这项横断面研究旨在调查BD患者及其伴侣的关系满意度和性满意度。
纳入BD患者及其伴侣，采用半结构化访谈和问卷评估结果。
通过自我报告问卷“夫妻满意度指数（CSI-4）”测量夫妻满意度，通过3个自我报告问题测量性满意度。采用多元回归分析对性别、年龄、情绪症状、整体功能和压力症状进行调整后比较各组。将结果与普通人群进行比较。
纳入111例BD患者和74名伴侣。我们发现，用CSI测量的BD患者与其伴侣在关系满意度方面存在显著差异，伴侣的满意度较低（P = 0.050）。将BD患者及其伴侣的关系满意度与普通人群进行比较，我们发现普通人群在每个CSI项目上的满意度更高（P < 0.050）。在对性别、年龄、情绪症状、压力和功能进行调整的多元回归分析中，与伴侣相比，BD患者对过去一年的性生活更满意（P = 0.039）。他们对良好性生活重要性的评分也高于伴侣（P = 0.006）。最后，与普通人群的对照组相比，更多的BD患者及其伴侣将过去一年的性生活评为差到极差（伴侣 = 21.1%，BD = 23.4%，普通人群 = 16%）。
在临床实践中，关注BD患者及其伴侣的人际关系，包括性生活至关重要，因为与普通人群相比，这两组的关系满意度和性满意度都较低。
使用经过验证的问卷和临床评分是优点，尽管横断面设计是局限性。
与伴侣相比，BD患者对其关系和性生活的满意度更高。与普通人群相比，两组的关系满意度和性满意度均较低。
