Ambelas A
Br J Psychiatry. 1979 Jul;135:15-21. doi: 10.1192/bjp.135.1.15.
The case notes of all 67 manic patients admitted to the psychiatric wing of a District General Hospital over a period of two years were screened for evidence of independent life events during a four week period prior to admission. The nature of such events and of the underlying stresses was examined and the data obtained were compared with data from a control group of acute surgical admissions. Four times as many manic patients had an independent life event closely preceding their admission. It is concluded that stress in the form of loss or threat is a common precipitant of mania. Some surprising findings are focused upon and discussed.
对一家地区综合医院精神科病房在两年时间里收治的所有67名躁狂症患者的病历进行了筛查，以寻找入院前四周内独立生活事件的证据。对这些事件的性质以及潜在压力进行了研究，并将获得的数据与急性外科入院对照组的数据进行了比较。有四倍之多的躁狂症患者在入院前不久发生了独立生活事件。得出的结论是，丧失或威胁形式的压力是躁狂症常见的诱发因素。文中重点关注并讨论了一些惊人的发现。
