Проблемы адаптации и нарушения социального функционирования лиц с биполярным аффективным расстройством II типа
DOI: 10.15293/2312-1580.2301.03
Ключевые слова:
адаптация, биполярное аффективное расстройство, нарушение социального функционирования, дезадаптация, адаптированностьАннотация
В статье представлен анализ основных теоретических подходов к нарушению адаптации и социального функционирования пациентов с биполярным расстройством. Рассмотрены основные подходы к социально-психологической адаптации в отечественной и зарубежной психологии. Раскрыто понятие устойчивости как способности к восстановлению и позитивному росту после периодов нарушения адаптированности. Обозначены основные сферы нарушения социального функционирования в период патопсихологических проявлений у пациентов с биполярным аффективным расстройством: нарушения межличностного и социального функционирования, профессиональной и учебной деятельности, идентичности, представлений о себе, эмоционального регулирования, способности к самообслуживанию. Представлены результаты исследования, подтвердившие гипотезу о снижении адаптированности и социального функционирования в периоды патопсихологических проявлений (21 человек). Полученные данные могут служить основой для эффективного сопровождения пациентов с биполярным аффективным расстройством.
Библиографические ссылки
Березин Ф. Б. Психическая адаптация и тревога. Психические состояния: хрестоматия. СПб.: Питер, 2000. 174 с.
Началджян А. А. Социально-психологическая адаптация личности. Ереван: ЭПО, 1988. 262 с.
Стефаненко Т. Г. Этнопсихология. М.: Институт психологии РАН: Академический проект, 1999. 320 с.
Фрейд А. Эго и механизмы защиты. М.: ИОИ, 2016. 133 с.
Фрейд З. Психология бессознательного. СПб.: Питер, 2007. 447 с.
Хартманн Х. Эго-психология и проблема адаптации. М.: Институт общегуманитарных исследования, 2002. 143 с.
Юдеева Т. Ю., Царенко Д. М., Довженко Т. В. Нарушения социального познания и социальной адаптации у пациентов с биполярным аффективным расстройством // Консультативная психология и психотерапия. 2014. Т. 22, № 4. С. 44–64.
Angeler D. G., Allen C. R., Persson M. L. Resilience Concepts in Psychiatry Demonstrated with Bipolar disorder // International Journal of Bipolar Disorders. 2018. Vol. 6. DOI: https://doi.org/10.1186/s40345-017-0112-6
Dou W., Yu X., Fang H., Lu D., Cai L., Zhu C., Zong K., Zheng Y., Lin X. Family and Psychosocial Functioning in Bipolar Disorder: The Mediating Effects of Social Support, Resilience and Suicidal Ideation // Frontiers in Psychology. 2022. Vol. 12. DOI: https://doi.org/10.3389/fpsyg.2021.807546
Dunne L., Perich T., Meade T. The Relationship Between Social Support and Personal Recovery in Bipolar Disorder // Psychiatric Rehabilitation Journal. 2019. Vol. 42, Issue 1. Pp. 100–103. DOI: https://doi.org/10.1037/prj0000319
Elgie R., Morselli P. L. Social Functioning in Bipolar Patients: the Perception and Perspective of Patients, Relatives and Advocacy Organizations – a Review // Bipolar Disorders. 2007. Vol. 9, Issue 1‐2. Pp. 144–157. DOI: https://doi.org/10.1111/j.1399-5618.2007.00339.x
Goodwin F. K., Jamison K. R. Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression. New York: Oxford University Press, 2007. 1296 p.
Howland M., Levin J., Blixen C., Tatsuoka C., Sajatovic M. Mixed-Methods Analysis of Internalized Stigma Correlates in Poorly Adherent Individuals with Bipolar Disorder // Comprehensive Psychiatry. 2016. Vol. 70. Pp. 174–180. DOI: https://doi.org/10.1016/j.comppsych.2016.07.012
Judd L. L., Akiskal H. S., Schettler P. J., Endicott J., Leon A. C., Solomon D. A. Psychosocial Disability in the Course of Bipolar I and II Disorders: a Prospective, Comparative, Longitudinal Study // Archives of General Psychiatry. 2005. Vol. 62, Issue 12. Pp. 1322–1330. DOI: https://doi.org/10.1001/archpsyc.62.12.1322
Knowles R., Tai S., Jones S. H., Highfield J., Morriss R., Bentall R. P. Stability of Self-Esteem in Bipolar Disorder: Comparisons Among Remitted Bipolar Patients, Remitted Unipolar Patients and Healthy Controls // Bipolar Disorders. 2007. Vol. 9, Issue 5. Pp. 490–495. DOI: https://doi.org/10.1111/j.1399-5618.2007.00457.x
Latalova K., Ociskova M., Prasko J., Kamaradova D., Jelenova D., Sedlackova Z. Self-Stigmatization in Patients with Bipolar Disorder // Neuro Endocrinology Letters. 2013. Vol. 34, Issue 4. Pp. 265–272.
MacPherson H. A., Ruggieri A. L., Christensen R. E., Schettini E., Kim K. L., Thomas S. A., Dickstein D. P. Developmental Evaluation of Family Functioning Deficits in Youths and Young Adults with Childhood-Onset Bipolar Disorder // Journal of Affective Disorders. 2018. Vol. 235. Pp. 574–582. DOI: https://doi.org/10.1016/j.jad.2018.04.078
Michalak E. E., Yatham L. N., Maxwell V., Hale S., Lam R. W. The Impact of Bipolar Disorder upon Work Functioning: a Qualitative Analysis // Bipolar Disorders. 2007. Vol. 9, Issue 1-2. Pp. 126–143. DOI: https://doi.org/10.1111/j.1399-5618.2007.00436.x
Owen R., Gooding P., Dempsey R., Jones S. The Reciprocal Relationship between Bipolar Disorder and Social Interaction: A Qualitative Investigation // Clinical Psychology & Psychotherapy. 2017. Vol. 24, Issue 4. Pp. 911–918. DOI: https://doi.org/10.1002/cpp.2055
Pęciłło M. The concept of Resilience in OSH Management: a Review of Approaches // International Journal of Occupational Safety and Ergonomics. 2016. Vol. 22, Issue 2. Pp. 291–300. DOI: https://doi.org/10.1080/10803548.2015.1126142
Perlick D. A., Rosenheck R. A., Clarkin J. F., Sirey J. A., Salahi J., Struening E. L., Link B. G. Stigma as a Barrier to Recovery: Adverse Effects of Perceived Stigma on Social Adaptation of Persons Diagnosed with Bipolar Affective Disorder // Psychiatric Services. 2001. Vol. 52, Issue 12. Pp. 1627–1632. DOI: https://doi.org/10.1176/appi.ps.52.12.1627
Post F., Buchta M., Kemmler G., Pardeller S., Frajo-Apor B., Hofer A. Resilience Predicts Self-Stigma and Stigma Resistance in Stabilized Patients With Bipolar I Disorder // Frontiers in Psychiatry. 2021. Vol. 12. DOI: https://doi.org/10.3389/fpsyt.2021.678807
Richardson G. E. The Metatheory of Resilience and Resiliency // Journal of Clinical Psychology. 2002. Vol. 58, Issue 3. Pp. 307–321. DOI: https://doi.org/10.1002/jclp.10020
Rutter M., Sroufe L. A. Developmental Psychopathology: Concepts and Challenges // Development and Psychopathology. 2000. Vol. 12, Issue 3. Pp. 265–296. DOI: https://doi.org/10.1017/s0954579400003023
Grover S., Avasthi A., Singh A., Dan A., Neogi R., Kaur D., Lakdawala B., Rozatkar A. R., Nebhinani N., Patra S., Sivashankar P., Subramanyam A. A., Tripathi A., Gania A. M., Singh G. P., Behere P. Stigma Experienced by Caregivers of Patients with Severe Mental Disorders: A Nationwide Multicentric Study // The International Journal of Social Psychiatry. 2017. Vol. 63, Issue 5. Pp. 407–417. DOI: https://doi.org/10.1177/0020764017709484
Sarkar S., Annamalai M., Balasundaram S., Chandrasekaran V. Stigma Experienced by People with Severe Mental Disorders and their Caregivers: A Narrative Review // Annals of SBV. 2019. Vol. 8. Pр. 30–37. DOI: https://doi.org/10.5005/jp-journals-10085-8109
Torrent C., Martinez Aran A., Daban C., Sánchez-Moreno J., Comes M., Goikolea J. M., Salamero M., Vieta E. Cognitive Impairment in Bipolar II Disorder // The British Journal of Psychiatry. 2006. Vol. 189, Issue 3. Pp. 254–259. DOI: https://doi.org/10.1192/bjp.bp.105.017269
West A. E., Cosgrove V. E. Editorial: The Impact of Parental Psychopathology on Family Functioning: Prioritizing Transdiagnostic Interventions With Parents and Families // Journal of the American Academy of Child and Adolescent Psychiatry. 2019. Vol. 58, Issue 10. Pp. 940–942. DOI: https://doi.org/10.1016/j.jaac.2019.04.005
Wright L., Lari L., Iazzetta S., Saettoni M., Gragnani A. Differential Diagnosis of Borderline Personality Disorder and Bipolar Disorder: Self-Concept, Identity and Self-Esteem // Clinical Psychology & Psychotherapy. 2022. Vol. 29, Issue 1. Pp. 26–61. DOI: https://doi.org/10.1002/cpp.2591
References
Berezin F. B. Mental Adaptation and Anxiety. Mental States: Reader. Saint Petersburg: Piter Publ., 2000, 174 p. (In Russian)
Nachaldzhyan A. A. Socio-Psychological Adaptation of Personality. Yerevan: EPO Publ., 1988, 262 p. (In Russian)
Stefanenko T. G. Ethnopsychology. Moscow: Publishing House Institute of Psychology of the Russian Academy of Sciences, Akademicheskij proekt Publ., 1999, 320 p. (In Russian)
Freud A. Ego and Defense Mechanisms. Moscow: IOI Publ., 2016, 133 p. (In Russian)
Freud Z. Psychology of the Unconscious. Saint Petersburg: Piter Publ., 2007, 447 p. (In Russian)
Hartmann H. Ego Psychology and the Problem of Adaptation. Moscow: Publishing House Institute for General Humanitarian Research, 2002, 143 p. (In Russian)
Yudeeva T. Yu., Tsarenko D. M., Dovzhenko T. V. Violations of Social Cognition and Social Adaptation in Patients with Bipolar Affective Disorder. Consultative Psychology and Psychotherapy, 2014, vol. 22, issue 4, pp. 44–64. (In Russian)
Angeler D. G., Allen C. R., Persson M. L. Resilience Concepts in Psychiatry Demonstrated with Bipolar Disorder. International Journal of Bipolar Disorders, 2018, vol. 6, issue 2. DOI: https://doi.org/10.1186/s40345-017-0112-6
Dou W., Yu X., Fang H., Lu D., Cai L., Zhu C., Zong K., Zheng Y., Lin X. Family and Psychosocial Functioning in Bipolar Disorder: The Mediating Effects of Social Support, Resilience and Suicidal Ideation. Frontiers in Psychology, 2022, vol. 12. DOI: https://doi.org/10.3389/fpsyg.2021.807546
Dunne L., Perich T., Meade T. The Relationship Between Social Support and Personal Recovery in Bipolar Disorder. Psychiatric Rehabilitation Journal, 2019, vol. 42, issue 1, pр. 100–103. DOI: https://doi.org/10.1037/prj0000319
Elgie R., Morselli P. L. Social Functioning in Bipolar Patients: the Perception and Perspective of Patients, Relatives and Advocacy Organizations – a Review. Bipolar Disorders, 2007, vol. 9, issue 1-2, pр. 144–157. DOI: https://doi.org/10.1111/j.1399-
2007.00339.x
Goodwin F. K., Jamison K. R. Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression. New York: Oxford University Press Publ., 2007, 1296 p.
Howland M., Levin J., Blixen C., Tatsuoka C., Sajatovic M. Mixed-Methods Analysis of Internalized Stigma Correlates in Poorly Adherent Individuals with Bipolar Disorder. Comprehensive Psychiatry, 2016, vol. 70, pр. 174–180. DOI: https://doi.org/10.1016/j.comppsych.2016.07.012
Judd L. L., Akiskal H. S., Schettler P. J., Endicott J., Leon A. C., Solomon D. A. Psychosocial Disability in the Course of Bipolar I and II Disorders: a Prospective, Comparative, Longitudinal Study. Archives of General Psychiatry, 2005, vol. 62, issue 12, pр. 1322–1330. DOI: https://doi.org/10.1001/archpsyc.62.12.1322
Knowles R., Tai S., Jones S. H., Highfield J., Morriss R., Bentall R. P. Stability of Self-Esteem in Bipolar Disorder: Comparisons Among Remitted Bipolar Patients, Remitted Unipolar Patients and Healthy Controls. Bipolar Disorders, 2007, vol. 9, issue 5, pр. 490–495. DOI: https://doi.org/10.1111/j.1399-5618.2007.00457.x
Latalova K., Ociskova M., Prasko J., Kamaradova D., Jelenova D., Sedlackova Z. Self-Stigmatization in Patients with Bipolar Disorder. Neuro Endocrinology Letters, 2013, vol. 34, issue 4, pр. 265–272.
MacPherson H. A., Ruggieri A. L., Christensen R. E., Schettini E., Kim K. L., Thomas S. A., Dickstein D. P. Developmental Evaluation of Family Functioning Deficits in Youths and Young Adults with Childhood-Onset Bipolar Disorder. Journal of Affective Disorders, 2018, vol. 235, pр. 574–582. DOI: https://doi.org/10.1016/j.jad.2018.04.078
Michalak E. E., Yatham L. N., Maxwell V., Hale S., Lam R. W. The Impact of Bipolar Disorder upon Work Functioning: a Qualitative Analysis. Bipolar Disorders, 2007, vol. 9, issue 1-2, pр. 126–143. DOI: https://doi.org/10.1111/j.1399-5618.2007.00436.x
Owen R., Gooding P., Dempsey R., Jones S. The Reciprocal Relationship between Bipolar Disorder and Social Interaction: A Qualitative Investigation. Clinical Psychology & Psychotherapy, 2017, vol. 24, issue 4, pр. 911–918. DOI: https://doi.org/10.1002/cpp.2055
Pęciłło M. The Concept of Resilience in OSH Management: a Review of Approaches. International Journal of Occupational Safety and Ergonomics, 2016. vol. 22, issue 2, pр. 291–300. DOI: https://doi.org/10.1080/10803548.2015.1126142
Perlick D. A., Rosenheck R. A., Clarkin J. F., Sirey J. A., Salahi J., Struening E. L., Link B. G. Stigma as a Barrier to Recovery: Adverse Effects of Perceived Stigma on Social Adaptation of Persons Diagnosed with Bipolar affective Disorder. Psychiatric Services, 2001, vol. 52, issue 12, pр. 1627–1632. DOI: https://doi.org/10.1176/appi.ps.52.12.1627
Post F., Buchta M., Kemmler G., Pardeller S., Frajo-Apor B., Hofer A. Resilience Predicts Self-Stigma and Stigma Resistance in Stabilized Patients With Bipolar I Disorder. Frontiers in Psychiatry, 2021, vol. 12. DOI: https://doi.org/10.3389/fpsyt.2021.678807
Richardson G. E. The Metatheory of Resilience and Resiliency. Journal of Clinical Psychology, 2002, vol. 58, issue 3, pр. 307–321. DOI: https://doi.org/10.1002/jclp.10020
Rutter M., Sroufe L. A. Developmental Psychopathology: Concepts and Challenges. Development and Psychopathology, 2000, vol. 12, issue 3, pр. 265–296. DOI: https://doi.org/10.1017/s0954579400003023
Grover S., Avasthi A., Singh A., Dan A., Neogi R., Kaur D., Lakdawala B., Rozatkar A. R., Nebhinani N., Patra S., Sivashankar P., Subramanyam A. A., Tripathi A., Gania A. M., Singh G. P., Behere P. Stigma Experienced by Caregivers of Patients with Severe Mental Disorders: A Nationwide Multicentric Study. The International Journal of Social Psychiatry, 2017, vol. 63, issue 5, pр. 407–417. DOI: https://doi.org/10.1177/0020764017709484
Sarkar S., Annamalai M., Balasundaram S., Chandrasekaran V. Stigma Experienced by People with Severe Mental Disorders and their Caregivers: A Narrative Review. Annals of SBV, 2019, vol. 8, pр. 30–37. DOI: https://doi.org/10.5005/jp-journals-10085-8109
Torrent C., Martinez Aran A., Daban C., Sánchez-Moreno J., Comes M., Goikolea J. M., Salamero M., Vieta E. Cognitive Impairment in Bipolar II disorder. The British journal of Psychiatry: the Journal of Mental Science, 2006, vol. 189, issue 3, pр. 254–259. DOI: https://doi.org/10.1192/bjp.bp.105.017269
West A. E., Cosgrove V. E. Editorial: The Impact of Parental Psychopathology on Family Functioning: Prioritizing Transdiagnostic Interventions with Parents and Families. Journal of the American Academy of Child and Adolescent Psychiatry, 2019, vol. 58, issue 10, pр. 940–942. DOI: https://doi.org/10.1016/j.jaac.2019.04.005
Wright L., Lari L., Iazzetta S., Saettoni M., Gragnani A. Differential Diagnosis of Borderline Personality Disorder and Bipolar Disorder: Self-Concept, Identity and Self-Esteem. Clinical Psychology & Psychotherapy, 2022, vol. 29, issue 1, pр. 26–61. DOI: https://doi.org/10.1002/cpp.2591
