PDF(Pubmed)
Abstract：
UNASSIGNED: Clinical observations suggest that individuals with a diagnosis of bipolar face difficulties regulating emotions and impairments to their cognitive processing, which can contribute to high-risk behaviours. However, there are few studies which explore the types of risk-taking behaviour that manifest in reality and evidence suggests that there is currently not enough support for the management of these behaviours. This study examined the types of risk-taking behaviours described by people who live with bipolar and their access to support for these behaviours.
UNASSIGNED: Semi-structured interviews were conducted with n = 18 participants with a lived experience of bipolar and n = 5 healthcare professionals. The interviews comprised open-ended questions and a Likert-item questionnaire. The responses to the interview questions were analysed using content analysis and corpus linguistic methods to develop a classification system of risk-taking behaviours. The Likert-item questionnaire was analysed statistically and insights from the questionnaire were incorporated into the classification system.
UNASSIGNED: Our classification system includes 39 reported risk-taking behaviours which we manually inferred into six domains of risk-taking. Corpus linguistic and qualitative analysis of the interview data demonstrate that people need more support for risk-taking behaviours and that aside from suicide, self-harm and excessive spending, many behaviours are not routinely monitored.
UNASSIGNED: This study shows that people living with bipolar report the need for improved access to psychologically informed care, and that a standardised classification system or risk-taking questionnaire could act as a useful elicitation tool for guiding conversations around risk-taking to ensure that opportunities for intervention are not missed. We have also presented a novel methodological framework which demonstrates the utility of computational linguistic methods for the analysis of health research data.
UNASSIGNED: Semi-structured interviews were conducted with n = 18 participants with a lived experience of bipolar and n = 5 healthcare professionals. The interviews comprised open-ended questions and a Likert-item questionnaire. The responses to the interview questions were analysed using content analysis and corpus linguistic methods to develop a classification system of risk-taking behaviours. The Likert-item questionnaire was analysed statistically and insights from the questionnaire were incorporated into the classification system.
UNASSIGNED: Our classification system includes 39 reported risk-taking behaviours which we manually inferred into six domains of risk-taking. Corpus linguistic and qualitative analysis of the interview data demonstrate that people need more support for risk-taking behaviours and that aside from suicide, self-harm and excessive spending, many behaviours are not routinely monitored.
UNASSIGNED: This study shows that people living with bipolar report the need for improved access to psychologically informed care, and that a standardised classification system or risk-taking questionnaire could act as a useful elicitation tool for guiding conversations around risk-taking to ensure that opportunities for intervention are not missed. We have also presented a novel methodological framework which demonstrates the utility of computational linguistic methods for the analysis of health research data.
摘要：
■临床观察表明，诊断为双相情感障碍的个体面临调节情绪和认知过程受损的困难，这可能导致高风险行为。然而,很少有研究探讨现实中表现出来的冒险行为类型，证据表明，目前对这些行为的管理没有足够的支持。这项研究调查了患有躁郁症的人所描述的冒险行为的类型，以及他们对这些行为的支持。
■对n=18名具有两极生活经验的参与者和n=5名医疗保健专业人员进行了半结构化访谈。访谈包括开放式问题和Likert项目调查表。使用内容分析和语料库语言方法分析了对访谈问题的回答，以开发冒险行为的分类系统。对Likert项目问卷进行了统计分析，并将问卷的见解纳入分类系统。
■我们的分类系统包括39个报告的冒险行为，我们手动将其推断为六个冒险领域。语料库语言和访谈数据的定性分析表明，人们需要更多的支持冒险行为，除了自杀，自我伤害和过度消费，许多行为没有被常规监测。
这项研究表明，患有双相情感障碍的人报告说，需要改善获得心理知情护理的机会，并且标准化的分类系统或风险承担问卷可以作为有用的启发工具，指导围绕风险承担的对话，以确保不会错过干预机会。我们还提出了一种新颖的方法论框架，该框架演示了计算语言方法在分析健康研究数据中的实用性。
■对n=18名具有两极生活经验的参与者和n=5名医疗保健专业人员进行了半结构化访谈。访谈包括开放式问题和Likert项目调查表。使用内容分析和语料库语言方法分析了对访谈问题的回答，以开发冒险行为的分类系统。对Likert项目问卷进行了统计分析，并将问卷的见解纳入分类系统。
■我们的分类系统包括39个报告的冒险行为，我们手动将其推断为六个冒险领域。语料库语言和访谈数据的定性分析表明，人们需要更多的支持冒险行为，除了自杀，自我伤害和过度消费，许多行为没有被常规监测。
这项研究表明，患有双相情感障碍的人报告说，需要改善获得心理知情护理的机会，并且标准化的分类系统或风险承担问卷可以作为有用的启发工具，指导围绕风险承担的对话，以确保不会错过干预机会。我们还提出了一种新颖的方法论框架，该框架演示了计算语言方法在分析健康研究数据中的实用性。
