Family and Psychosocial Functioning in Bipolar Disorder: The Mediating Effects of Social Support, Resilience and Suicidal Ideation

Dou, Wenbo; Yu, Xueying; Fang, Hanlin; Lu, Dali; Cai, Liang; Chen, Zhu; Zong, Kunlun; Zheng, Yingjun; Lin, Xiaoling

doi:10.3389/fpsyg.2021.807546

Cited by 15 publications

(12 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many different types of traumas have been found to cause PTSD, bipolar disorder, and manic disorder [ 26 , 27 , 28 , 29 ]. These types, and the proportion of PTSD, bipolar disorder, and manic disorder cases they make up, include the following: Sexual relationship violence—33% (e.g., rape, childhood sexual abuse, intimate partner violence).…”

Section: Discussionmentioning

confidence: 99%

Adults Suffering from Violence Are at Risk of Poor Prognosis in Taiwan, 2000–2015

et al. 2022

View full text Add to dashboard Cite

Objective: To understand the risk of developing a poor prognosis in adulthood after violent injury in Taiwan. Methods: This study used the data of outpatients, from emergency departments, and from hospitalization of 2 million people under National Health Insurance from 2000 to 2015. The ICD-9 diagnostic code N-code was defined as the case of this study and was 995.8 (abused adult) or E-code was E960-E969 (homicide and intentional injury by others) The first violent injury of 18–64-year-old adults (the study group) was analyzed. Patients who had not suffered violent abuse were the control group. The groups were matched in a 1:4 ratio, and the paired variables were gender, age ±1 year, Charlson Comorbidity index (CCI) before exposure, and year of medical treatment. SAS 9.4 statistical software was used, and the Cox regression method was used for data analysis. Results: During the 15-year period, a total of 8726 people suffered from violence (34,904 controls). The incidences of common poor prognoses among the victims of violence were sleep disorder, anxiety, and depression, in 33.9%, 21.6%, and 13.2% of people, respectively. The risk (Adults, Overall) of developing Post-Traumatic Stress Disorder (PTSD), bipolar disorder, and manic disorder after being violently injured (average 9 years) was 34.86, 4.4, and 4.1 times higher than those who had not suffered violence (all p values < 0.01). The risk (Adults, Males) of developing PTSD, bipolar disorder, and manic disorder after being violently injured (average 9 years) was 30.0, 3.81, and 2.85 times higher, respectively, than those who had not suffered violence (all p values < 0.01). The risk (Adults, Females) of developing PTSD, manic disorder, and bipolar disorder after being violently injured (average 9 years) was 36.8, 6.71, and 5.65 times higher, respectively, than of those who had not suffered violence (all p values < 0.01). Conclusion: The risks of poor prognosis are higher in adults who have suffered violent abuse than in those who have not. Therefore, police, social workers, and medical personnel should pay attention to the mental state of victims of violence. They should aim to support prompt treatment, to avoid PTSD, bipolar disorder, manic disorder, etc.

show abstract

Section: Discussionmentioning

confidence: 99%

Adults Suffering from Violence Are at Risk of Poor Prognosis in Taiwan, 2000–2015

et al. 2022

View full text Add to dashboard Cite

show abstract

“…In addition to specialist interventions such as pharmacotherapy and psychotherapy, social support can also effectively support mental health. The adverse effects of BD include impairment of psycho-social functioning and a high risk of suicidal ideation [42]. Those with BD who lack social support or are socially isolated are at higher risk of relapse and suicidal ideation [43,44].…”

Section: Social Supportmentioning

confidence: 99%

Research on bipolar disorder: symptoms, etiology and treatment

Zhu

2024

Third International Conference on Biological Engineering and Medical Science (ICBioMed2023)

View full text Add to dashboard Cite

Bipolar disorder (BD) is a globally prevalent mental illness that negatively impacts both personal and public health outcomes. The extant academic research on BD has achieved significant advancements. The symptoms of BD are characterized by alternating episodes of extreme mood states of mania and depression, and the causes of this psychiatric disorder can be attributed to biological factors, psychological factors and environment-gene interactions. The available treatments to this disorder including medication, electroconvulsive therapy (ECT), psychotherapy, social support, and life change. This literature focuses on the main symptoms, causes and conventional therapies for BD, intending to contribute to advances in clinical research on BD. Based on well-regarded publications in psychiatry, the paper found many limitations in the extant study of BD, and future research is thus needed to fill the research gaps.

show abstract

“…Family caregivers should be educated and informed about mental health, and the community should be helped to develop a greater awareness of "mind, body and spirit" and the ways and means to cope with psychological problems. Emphasis should also be placed on strengthening social support while addressing skills and interpersonal practices, and addressing irrational cognitive patterns and cognitive biases (Dou et al, 2021).…”

Section: Mediating Effect Of Anxiety and Depressionmentioning

confidence: 99%

“…In addition, it has been found that social functioning and interpersonal/family relationships are highly correlated with the domains of relapse risk of suicide (McIntyre et al, 2022). People with SMI who have family dysfunction, which may be affected by environmental and psychological factors, leading to disease deterioration, and there is a bidirectional correlation between family function and psychosocial function (Dou et al, 2021). Given the results of the current findings, no single factor has been found to fully explain suicidal intention.…”

Section: Introductionmentioning

confidence: 99%

The risk of suicidal intention in severe mental illness: An ecological perspective

Lin,

Wei,

Luo

et al. 2023

Psychol Psychother

View full text Add to dashboard Cite

ObjectiveGuided by the ecosystem theory model framework, we aimed to explore the influence of three ecological dimensions (social, family and psychological factors) on suicidal intention in people with severe mental illness (SMI). We hypothesized that three factors influence suicidal intention, and that psychological factors may play a mediating role in the influence of social and family factors on suicidal intention.MethodsWe collected 994 patients with SMI aged 18 and above from May 2021 to March 2022 in the Fourth Hospital of Fuzhou City. We used logistic regression to analyse the association between social, family, psychological factors and suicidal intention. Furthermore, we explored the mediating effects among the influencing factors.ResultsYounger male patients with schizophrenia were more likely to have suicidal intention due to psychosocial family factors (p < .05). Social factors (poor interpersonal relations, social retreat, social activities outside the home), family factors (parental functions, activities within the family, family functions), psychological factors (anxiety, depression, interest in the outside world, overt aggression, lack of accountability and planning) were all independent risk factors for suicidal intention in patients. Mediation analysis showed anxiety and depression mediated the role of social and family factors on suicidal intention (p < .05).ConclusionSocial, family and psychological factors were important risk factors for suicidal intention, with anxiety and depression being partial mediators for suicidal intention. Therefore, interventions that enhance family and social functioning and reduce anxiety and depression may be effective in reducing suicidal intention in SMI.

show abstract

Family and Psychosocial Functioning in Bipolar Disorder: The Mediating Effects of Social Support, Resilience and Suicidal Ideation

Cited by 15 publications

References 63 publications

Adults Suffering from Violence Are at Risk of Poor Prognosis in Taiwan, 2000–2015

Adults Suffering from Violence Are at Risk of Poor Prognosis in Taiwan, 2000–2015

Research on bipolar disorder: symptoms, etiology and treatment

The risk of suicidal intention in severe mental illness: An ecological perspective

Contact Info

Product

Resources

About