CAJ | 학술논문

目的：探讨生活事件和社会支持与双相情感障碍患者症状复发的关系，为有针对性地实施干预提供依据。方法选取在中山市第三人民医院住院的符合《国际疾病分类（第10版）》（ICD -10）双相情感障碍诊断标准的70例患者为研究组，将研究组的健康家庭成员中与患者在性别、年龄、受教育程度等方面相近者作为对照组，共70人。采用生活事件量表（LES）和社会支持评定量表（SSRS）对两组人群进行测评。结果双相情感障碍患者与对照组人群的社会支持的情况差异有统计学意义（P ＜0.05），这种差异主要体现在客观支持方面（P ＜0.05），在主观性评价和对支持的利用度方面差异无统计学意义（P ＞0.05）。生活事件对双相情感障碍患者的影响与对照组相比差异有统计学意义（P ＜0.05）。经历负性生活事件，尤其是在家庭和工作方面发生的负性生活事件，对患者有明显的影响（P ＜0.05）。回归分析显示患者症状复发的可能性与 SSRS 的客观支持评分呈负相关（OR ＝0.69）、与负性生活事件呈正相关（OR ＝1.05）。结论负性生活事件的影响程度和能够获得的客观社会支持程度是影响双相情感障碍患者症状复发的重要因素。
목적：탐토생활사건화사회지지여쌍상정감장애환자증상복발적관계，위유침대성지실시간예제공의거。방법선취재중산시제삼인민의원주원적부합《국제질병분류（제10판）》（ICD -10）쌍상정감장애진단표준적70례환자위연구조，장연구조적건강가정성원중여환자재성별、년령、수교육정도등방면상근자작위대조조，공70인。채용생활사건량표（LES）화사회지지평정량표（SSRS）대량조인군진행측평。결과쌍상정감장애환자여대조조인군적사회지지적정황차이유통계학의의（P ＜0.05），저충차이주요체현재객관지지방면（P ＜0.05），재주관성평개화대지지적이용도방면차이무통계학의의（P ＞0.05）。생활사건대쌍상정감장애환자적영향여대조조상비차이유통계학의의（P ＜0.05）。경력부성생활사건，우기시재가정화공작방면발생적부성생활사건，대환자유명현적영향（P ＜0.05）。회귀분석현시환자증상복발적가능성여 SSRS 적객관지지평분정부상관（OR ＝0.69）、여부성생활사건정정상관（OR ＝1.05）。결론부성생활사건적영향정도화능구획득적객관사회지지정도시영향쌍상정감장애환자증상복발적중요인소。
Objective To investigate the correlation among life events,social support and symptom relapse of bipolar disorder, so as to provide a basis for targeted interventions. Methods The diagnosis of bipolar disorder is consistent with the International Clas-sification of Diseases,Tenth Edition(ICD - 10). 70 inpatients with bipolar disorderˊs relapse were registered. The gender,age and the degree of education of the healthy family members were matched to the control group. Then we found the control group in patientˊs fami-ly. Let them to finish LES and SSRS test. Results Compared with the controls,the patients experienced more stressful life events(P< 0. 05)and the influence of life events were different between the patients and control group(P < 0. 05). The difference was mainly reflected in the objective score of social support(P < 0. 05)and there was no significant difference in the subjective evaluation and utili-zation of social support(P > 0. 05). Patients experienced more negative events,especially in the family and work. The objective score was negative correlated to symptom relapse of bipolar disorder,and positive correlated to the negative life events. Conclusion The patients experienced more stressful life events and got more subjective social support. Negative life events was important factors in symptom relapse of bipolar disorder.