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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Personal and societal construction of illness among individuals with rapid-cycling bipolar disorder: a life-trajectory perspective.
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Personal and societal construction of illness among individuals with rapid-cycling bipolar disorder: a life-trajectory perspective.

机译：患有快速循环双相情感障碍的个人的个人和社会疾病构建：生活轨迹的观点。

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OBJECTIVE: Bipolar disorder is a chronic mental illness associated with substantial impairment in quality of life and function. Although there has been tremendous growth in understanding bipolar disorder with respect to treatments, very little study has focused on the viewpoint of affected individuals. The purpose of this study was to examine the subjective experience of illness among 19 men and women with rapid cycling bipolar disorder receiving treatment at an academic psychiatry clinic. METHODS: Personal constructs of illness with respect to life-trajectory and societal reaction to the individual, specifically the issue of stigma, were evaluated using a semistructured, open-ended anthropological interview. RESULTS: Participants perceived bipolar disorder as a disease with biologic underpinnings. Stigma was a major issue for all individuals. In common with individuals without serious mental illness, individuals with bipolar disorder work at mastering developmental tasks appropriate for their life stage. At times, younger individuals appeared to have difficulty separating their own identity from the effects of illness. For older individuals with bipolar disorder, life was perceived to be disrupted by bipolar disorder, with early plans and dreams often "derailed." CONCLUSION: Although bipolar disorder may severely alter an individual's planned life trajectory, accomplishment of life goals can at least partially offset the sense of loss that is often seen in bipolar illness.
机译：目的：躁郁症是一种慢性精神疾病，与生活质量和功能严重受损有关。尽管关于治疗对双相情感障碍的理解有了极大的发展，但很少有研究集中在受影响个体的观点上。这项研究的目的是检查在学术精神病学诊所接受治疗的19例患有快速自行车双相情感障碍的男性和女性的疾病主观经验。方法：使用半结构的，开放式的人类学访谈法，评估了关于个人的生活轨迹和社会反应的个人疾病构造，特别是污名问题。结果：参与者认为躁郁症是一种具有生物学基础的疾病。污名是所有个人的主要问题。与没有严重精神疾病的人一样，躁郁症患者在掌握适合其人生阶段的发育任务时工作。有时，年轻人似乎很难将自己的身份与疾病的影响区分开。对于患有双相情感障碍的老年人，人们认为生活被双相情感障碍打乱了，早期的计划和梦想常常被“破坏”。结论：尽管躁郁症可能严重改变一个人的计划人生轨迹，但人生目标的实现至少可以部分抵消躁郁症中常见的失落感。

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