双相情感障碍患者心理弹性与社会功能的相关性分析  

The relationship between resilience and social function in patients with bipolar disorder

作　　者：王莹[1,2,3] 夏守翠 于海宁[3] 费龙才 吴庆 Wang Ying;Xia Shoucui;Yu Haining;Fei Longcai;Wu Qing(Department of Psychiatry,Affiliated Psychological Hospital of Anhui Medical University,Hefei 230022,China;Derpartment of Psychiatry,Anhui Mental Health Center,Hefei 230022,China;Department of Psychiatry,the Fourth People's Hospital of Hefei,Hefei 230022,China)

机构地区：[1]安徽医科大学附属心理医院精神科,合肥230022 [2]安徽省精神卫生中心精神科,合肥230022 [3]合肥市第四人民医院精神科,230022

出　　处：《中华行为医学与脑科学杂志》2020年第6期551-555,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金项目(81973064);安徽医科大学科学研究资助项目(2019xkj207);合肥市第四人民医院科研支持项目(2019001)。

摘　　要：目的探讨双相情感障碍患者心理弹性水平与社会功能的相关性。方法采用心理弹性量表(Connor-Davidson resilience scale,CD-RISC)和住院精神病人社会功能评定量表(scale of social function of psychosis inpatients,SSFPI)对127例双相情感障碍进行评定。使用相关分析和多元线性逐步回归分析研究患者心理弹性与社会功能的关系。结果双相情感障碍患者心理弹性和社会功能总分为(45.32±13.84)分、(31.38±5.09)分,两者呈显著的正相关(r=0.499,P<0.01);多元线性逐步回归分析显示双相情感障碍患者社会功能受到患者坚韧性(β=0.336,t=3.420,P=0.001)、发病年龄(β=0.186,t=2.416,P=0.017)及力量性(β=0.205,t=2.053,P=0.042)的影响(F=4.215,P<0.05),可解释总变异的29.9%。结论双相情感障碍心理弹性与社会功能存在相关性。心理弹性可能会影响双相情感障碍的社会功能,采取措施提高患者心理弹性水平有利于双相情感障碍社会功能的改善。Objective To explore the relationship between resilience and social function in patients with bipolar disorder.Methods A total of 127 patients with bipolar disorder were investigated using the questionnaires of Connor-Davidson resilience scale(CD-RISC)and scale of social function of psychosis inpatients(SSFPI).The relationship between resilience and social function was analyzed by correlation analysis and stepwise multiple regression analysis.Results The scores of resilience and social function of patients with bipolar disorder were(45.32±13.84)and(31.38±5.09)respectively.And the CD-RISC score of patients with bipolar disorder was positively correlated with the SSFPI total score(r=0.499,P<0.01).The stepwise multiple regression analysis showed that the social function of patients with bipolar disorder was affected by tenacity(β=0.336,t=3.42,P=0.001),the age of first onset(β=0.186,t=2.416,P=0.017)and strength(β=0.205,t=2.053,P=0.042),accounted for 29.9%of the total variation.Conclusion The resilience level of patients with bipolar disorder is positively related with social function.Resilience levels can influence social function,so effective and targeted measures should be taken to improve their resilience level in order to improve social function of patients with bipolar disorder.

关 键 词：双相情感障碍 心理弹性 社会功能 

分 类 号：R749[医药卫生—神经病学与精神病学]