双極性障害における患者の体験過程 : 患者の語りから分かったこと

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  • Experiencing of patients in bipolar disorder : Findings Through Patients' Interviews
  • ソウキョクセイ ショウガイ ニ オケル カンジャ ノ タイケン カテイ : カンジャ ノ カタリ カラ ワカッタ コト

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40020038187

Bipolar disorder is one of the mood disorders and is a mental illness that alternates between depression and manic state. It is important that the patients become aware of early symptoms for effective prevention of disease recurrence. In this study, we qualitatively analyzed narratives of patients to investigate how they understand the disease of their own and what they typically experience early in the disease recurrence. Nine patients with bipolar disorders were allowed to talk freely about their disorders. In order to study the disease from the patient's point of view, we used a narrative interview method, and the data were analyzed using SCQRM. Based on our analysis, we developed 33 concepts and ten categories, which were further grouped into three core categories. Through this study, we learned that it is difficult for patients to become aware of their hypomanic state preceding the depression, and to recognize the cause that lead to a change in the disease phase. Further, our study suggests that narrative interviews help patients realize and talk about these aspects that are usually overlooked.

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