Cited by 117Bipolar Disorder and TreatmentSchizophrenia research and treatmentMental Health Research Topics

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Social support in bipolar disorder: its relevance to remission and relapse

Johnson, Lars, Lundström, Ola, Åberg‐Wistedt, Anna, Mathé, Aleksander A·2003·Bipolar Disorders

DOI 10.1034/j.1399-5618.2003.00021.x

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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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“Although perceived social support from a significant other predicted recovery and aligns with prior findings (Boucher et al., 2016; Johnson et al., 2003), married adults with SMI reported lower levels of recovery, which contrasts with previous research (e.”
Result
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“Previous studies have demonstrated a significant negative relationship between the number of hospitalizations and social support, but did not specifically examine the impact of gender on this relationship (Cohen et al., 2004; Johnson et al., 2003; Shokrgozar et al., 2022).”
Background
Study protocol: group-based psychoeducation for relatives of patients with bipolar disorder—a large scale real-world randomized controlled parallel group trial, the R-bipolar RCT
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“Indeed, lower levels of social support in patients with BD have been shown to increase the risk of recurrence of depression [20] and the risk of only reaching partial recovery [21].”
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Chen, J., Aikeremu, A., Cheval, B., Gerber, M., Fessler, L., Werneck, A. O., Owen, N. G., Kramer, A. F., Hall, D. L., Yeung, A., et al. (2025) · Mental health and physical activity · doi:10.1016/j.mhpa.2025.100706 · Cited by 2
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“Specifically, social support is very important when it comes to avoiding recurrence of BD and striving for remission [47,48]; thus, it is obvious that withdrawal of social contacts leads to more emotional distress in BD [49].”
Background
From attitudes to behavioral intentions: Stigma and bipolar disorder
Hawke, L. D., & Parikh, S. V. (2014) · Journal of Nursing Education and Practice · doi:10.5430/jnep.v4n7p16 · Cited by 1
“Since a lack of social support is associated with depressive relapse and slower recovery in BD ([19-21]), stigma fuels the illness and interferes with a positive outcome by robbing individuals of the social support they need.”
Background
Childhood Depression As Emerging Public Health Problem: A Systematic Review
Pimentel, J. V. C., Júnior, C. R. P. G., Júnior, A. G. T., Santos, M. F. A., Meireles, C. B., Maia, L. C., Miná, V. A. L., Pinheiro, P. P., Pereira, M. A. M., Sampaio, A. R. R., et al. (2015) · International Archives of Medicine · doi:10.3823/1830 · Cited by 1
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Authors: Johnson, L., Lundström, O., Åberg‐Wistedt, A., & Mathé, A. A.
Affiliations: Karolinska Institutet (SE)
Corresponding author: Johnson, Lars
ORCID: Johnson, Lars
Mathé, Aleksander A
Venue: Bipolar Disorders
Publisher: Wiley
Published: 2003-04
Volume: 5
Issue: 2
Pages: 129-137
ISSN: 1398-5647 (ISSN-L)
1399-5618
DOI: 10.1034/j.1399-5618.2003.00021.x
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 6 d)
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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Social support in bipolar disorder: its relevance to remission and relapse

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