Introdução: O objetivo deste estudo foi comparar os pacientes com transtorno bipolar (TB), seus familiares de primeiro grau e um grupo de controles saudĂĄveis em termos de uso de estratĂ©gias adaptativas e nĂŁo adaptativas, explorando diferenças entre tipos especĂficos de estratĂ©gias e suas correlaçÔes com variĂĄveis clĂnicas. MĂ©todos: Estudo transversal, envolvendo 36 pacientes com TB eutĂmicos, 39 familiares de primeiro grau e 44 controles. As estratĂ©gias de enfrentamento foram avaliadas usando a escala Brief COPE. Resultados: Foram detectadas diferenças significativas no uso de estratĂ©gias adaptativas e nĂŁo adaptativas por pacientes, seus familiares e controles. Os pacientes usaram estratĂ©gias adaptativas com menos frequĂȘncia do que os familiares (p<0,001) e controles (p=0,003). NĂŁo houve diferença significativa entre familiares dos pacientes e controles (p=0,707). Por outro lado, os pacientes (p<0,001) e seus familiares (p=0,004) exibiram pontuaçÔes mais elevadas para coping nĂŁo adaptativo em relação aos controles. NĂŁo houve diferença significativa quando os pacientes foram comparados com seus familiares (p=0,517). ConclusĂ”es: Familiares de primeiro grau estavam em um nĂvel intermediĂĄrio entre pacientes com TB e controles no que diz respeito ao uso de habilidades de enfrentamento. Esta descoberta apoia o desenvolvimento de intervençÔes psicossociais para incentivar o uso de estratĂ©gias adaptativas em vez de estratĂ©gias inadequadas nessa população. Descritores: Coping, Brief COPE, transtorno bipolar, familiares de primeiro grau.
AbstractIntroduction: The objective of this study was to compare patients with bipolar disorder (BD), their first-degree relatives and a group of healthy controls in terms of use of adaptive and maladaptive coping strategies, exploring differences between specific types of strategies and their correlations with clinical variables. Methods: This was a cross-sectional study enrolling 36 euthymic patients with BD, 39 of their first-degree relatives and 44 controls.Coping strategies were assessed using the Brief COPE scale. Results: Significant differences were detected in the use of adaptive and maladaptive strategies by patients, their firstdegree relatives and controls. Patients used adaptive strategies less often than the patients' relatives (p<0.001) and controls (p=0.003). There was no significant difference between firstdegree relatives and controls (p=0.707). In contrast, patients (p<0.001) and their relatives (p=0.004) both exhibited higher scores for maladaptive coping than controls. There was no significant difference regarding the use of maladaptive strategies between patients and their relatives (p=0.517). Conclusions: First-degree relatives were at an intermediate level between patients with BD and controls regarding the use of coping skills. This finding supports the development of psychosocial interventions to encourage use of adaptive strategies rather than maladaptive strategies in this population. Suggested citation: Bridi KPB, Loredo-Souza ACM, Fijtman A, Moreno MV, Kauer-S...