Social support in bipolar disorder: its relevance to remission and relapse
Abstract
Objectives: While an association between low‐level social support and depression has been found in many studies, its relevance in bipolar illness has been rarely investigated. The aim of this study was to investigate the effects of social support in the remission and relapse of bipolar disorder. Methods: We obtained ratings from 94 stabilized bipolar patients using two different questionnaires that measure perceived social support: the Interview Schedule for Social Interaction and the Interpersonal Support Evaluation List. Results: Significantly lower social support was found in patients in partial recovery compared with those in full recovery (p = 0.003). Patients who relapsed during a 1‐year prospective follow‐up period perceived a significantly lower level of social support than patients with no relapse (p = 0.012). Conclusions: Bipolar patients with full interepisode remission perceive more social support than those who do not achieve full remission. Poor social support may increase the risk of relapse in bipolar disorder.
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Perceived social support has been shown to predict long-term outcome in different types of psychiatric illness, e.g. alcohol use disorders, major depressive disorder and bipolar disorder.
“Perceived social support has been shown to predict long-term outcome in different types of psychiatric illness, e.g. alcohol use disorders [34], major depressive disorder [35] and bipolar disorder [36].”
From Helpful and hindering factors for remission in dysthymia and panic disorder at 9-year follow-up: A mixed methods study (2008) · cites this paper as [36]
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- Authors
- Johnson, L., Lundström, O., Åberg‐Wistedt, A., & Mathé, A. A.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Johnson, Lars
- Venue
- Bipolar Disorders
- Publisher
- Wiley
- Published
- 2003-04
- Volume
- 5
- Issue
- 2
- Pages
- 129-137
- ISSN
- 1398-5647 (ISSN-L)
- 1399-5618
- OpenAlex
- W2035280728
- Cited by
- 117
- References
- 31
- Citations by year
- 2025: 6 · 2024: 8 · 2023: 8 · 2022: 9 · 2021: 3 · 2020: 6 · 2019: 3 · 2018: 6 · 2017: 2 · 2016: 3 · 2015: 7 · 2014: 6 · 2013: 6 · 2012: 5
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bipolar Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- bipolar disorder, social support, remission, relapse, perceived social support, relapse risk
- MeSH terms
- Adult, Aged, Aged, 80 and over, Bipolar Disorder, Demography, Diagnosis, Differential, Female, Follow-Up Studies, Humans, Interpersonal Relations, Male, Mental Health Services, Middle Aged, Prospective Studies, Surveys and Questionnaires, Recurrence, Remission Induction, Social Support, Time Factors, Diagnostic and Statistical Manual of Mental Disorders
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