社会认知理论的阶段性干预对双相情感障碍患者认知功能、自我效能及心理社会功能的影响OA

Objective:To explore the impact of phase—based intervention based on social-cognitive theoryon cog-nitive function,self-efficacy,and psychosocial functioning in patients with bipolar disorder.Methods:This retrospec-tive study included 106 bipolar disorderpatients treated at our hospital from August 2022 to August 2024.Partici-pants were divided into an intervention group(Social-cognitive theory-based phase-based intervention,n=49)and a control group(routine intervention,n=57).Cognitive function,self-efficacy,psychological status,and social functioning were assessed and compared after 6 months.Results:Post intervention,the intervention group showed significantly higher completed categories in the Wisconsin Card Sorting Test than the control group(t=2.165,P＜0.05),with significantly fewer perseverative errors,random errors,and total errors(t=-5.403,-3.267,-5.920;P＜0.05).The intervention group scored significantly higher on the General Self-Efficacy Scale(t=3.647,P＜0.05).Scores on the Self-Rating Depression Scale and Bech-Rafaelsen Mania Rating Scale were significantly lower in the intervention group(t=-4.079,-2.967;P＜0.05).The intervention group also demonstrated significantly lower scores on all subscales of the Social Disability Screening Schedule(SDSS),including interest in surroundings,self-care,household activities,social activities,family role,social withdrawal,responsibility and planning,and work perform-ance(t=-2.515,-2.051,-2.341,-3.969,-2.481,-2.171,-2.517,-2.439;P＜0.05).Conclusion:Social-cognitive theory-based phase-based intervention can improve cognitive function and self-efficacy in bipolar disorder patients,while effectively ameliorate psychological status and psychosocial functioning.