Figure 1.

Cross-lagged path model of PSR psychiatric symptom ratings (depression or mania) and patient-rated interpersonal relations rating (with parents, siblings or friends) during the 3 months before (t=−3 to −1) and the 3 months after (t=1 to 3) the onset of a depressive or manic episode. PSR ratings were originally recorded in a weekly breakdown, and were converted to monthly scores by using the highest score of a given month to be consistent with interpersonal relations ratings, which reflect worst interactions per month.

PSR1 = Psychiatric Symptom Ratings (depression or mania/hypomania) 3 months prior to month of mood episode onset

PSR2 = PSR 2 months prior to month of mood episode onset

PSR3 = PSR 1 month prior to month of mood episode onset

PSR4 = PSR 1 month after month of mood episode onset

PSR5 = PSR 2 months after month of mood episode onset

PSR6 = PSR 3 months after month of mood episode onset

Intp1 = interpersonal relationship functioning (parents, siblings, friends) 3 months prior to month of mood episode onset

Intp2 = interpersonal relationship functioning 2 months prior to month of mood episode onset

Intp3 = interpersonal relationship functioning 1 month prior to month of mood episode onset

Intp4 = interpersonal relationship functioning 1 month after month of mood episode onset

Intp5 = interpersonal relationship functioning 2 months after month of mood episode onset

Intp6 = interpersonal relationship functioning 3 months after month of mood episode onset