作者: Esther Ching-Lan Lin , Marc J. Weintraub , David J. Miklowitz , Po-See Chen , Shih-Kai Lee
DOI: 10.1016/J.JAD.2020.05.019
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摘要: Abstract Background The association between illness perceptions and the effectiveness of patients’ illness-management strategies has been supported across a range medical psychiatric disorders. Few studies have examined these variables or their in bipolar disorder (BD). This study main interactive associations one important management strategy - social rhythms stability on mood symptom severity adults with BD. Methods A cross-sectional 131 patients BD Taiwan was conducted using clinician- patient-rated symptoms, self-reported perceptions, measure daily nightly rhythms. Results Illness were associated severity, but not. Unfavorable (e.g., beliefs experiencing more having stronger emotional responses to illness) severe symptoms. Favorable being able understand control less personal as strongest correlate severity. Finally, rhythm moderated relationship unfavorable clinician-rated manic Limitations design limits our ability make causal conclusions. Also, effects pertain remission may not generalize severely ill hospitalized patients. Conclusions indicates that BD, are Interventions enhance favorable IPs reduce improve outcomes, particularly when adopted regular