基于网络分析的双相情感障碍患者情感症状与社会功能缺陷的关联性研究

Study on the association between affective symptoms and social dysfunction in patients with bipolar disorder based on network analysis

  • 摘要: 目的:探讨双相情感障碍(bipolar disorder,BD)患者抑郁症状、躁狂症状与社会功能缺陷的关联。方法:共纳入452例BD患者,分别采用抑郁自评量表(self-rating depression scale,SDS)、贝克-拉范森躁狂量表(Bech-Rafaelsen mania scale, BRMS)和社会功能缺陷筛选量表(social disability screening schedule,SDSS)评估患者抑郁症状、躁狂症状和社会功能状况;用无向网络估计抑郁症状—社会功能缺陷和躁狂症状—社会功能缺陷的网络模型,计算中心指数和桥梁中心指数,并进一步验证网络稳定性。结果:BD患者SDS评分为(55.29±15.92)分,BRMS评分为2.00(0.00~6.00)分,SDSS评分为3.00(1.00~9.00)分。在抑郁—社会功能缺陷网络模型中,家庭外的社会活动(strength=1.56)是中心症状,婚姻职能是主要桥梁中心症状;在躁狂—社会功能缺陷网络模型中,家庭外的社会活动(strength=1.46)是中心症状,职业和工作是主要桥梁中心症状。结论:家庭外社会活动的缺少是BD患者社会功能缺陷的核心表现,婚姻职能、职业与工作等方面可作为改善患者社会功能的重要干预靶点。

     

    Abstract: Objective: To explore the correlations among depressive symptoms, manic symptoms, and social function deficits in patients with bipolar disorder (BD). Methods: A total of 452 BD patients were included in the study. The self-rating depression scale (SDS), Bech-Rafaelsen mania scale (BRMS), and social disability screening schedule (SDSS) were used to assess depressive symptoms, manic symptoms, and social function status respectively. An undirected network was used to estimate the network models of depressive symptom-social function deficiency and manic symptom-social function deficiency, and the central index and bridge central index were calculated. The network stability was further verified.Results: The average score of SDS in BD patients was (55.29±15.92), the BRMS score was 2.00 (0.00-6.00), and the SDSS score was 3.00 (1.00-9.00). In the depression-social dysfunction network model, extra-familial social activities (strength=1.56) were the central symptom, and marital function served as the main bridge symptom. In the manic-social dysfunction network model, extra-familial social activities (strength=1.46) were the central symptom, and occupation and work were the main bridge symptoms. Conclusion: Lack of social activities outside the family is a core manifestation of social dysfunction in patients with BD, while aspects such as marital function, occupation and work may serve as important intervention targets for improving patients' social functioning.

     

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