Relationship of functionality with impulsivity and coping strategies in bipolar disorder

Apaydın, Zuhal Koç; Atagün, Murat İlhan

doi:10.5350/dajpn2018310102

Cited by 9 publications

(9 citation statements)

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“…Studies have demonstrated that patients with BD continue to have impairment in functionality even if they recover clinically (3,61,62). Besides the negative impact of EA on functionality, adaptive coping strategies were found to be determinant in functioning (63,64). Consistent with the literature, rumination, worry, and EA were associated with lower functionality scores in our study.…”

Section: Discussionsupporting

confidence: 91%

Response styles and avoidance strategies in bipolar disorder and healthy controls: A comparative study

Ulusoy¹

2022

Dusunen Adam

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Objective: This study aimed to investigate stress appraisals, rumination, worry, and experiential avoidance (EA) in patients with bipolar disorder-I (BD-I) in the euthymic phase of the illness. The effects of these processes on functionality in individuals with BD-I are also investigated. Method:Using the Stress Appraisal Measure Dispositional Form (SAM-D), Ruminative Thinking Style Questionnaire (RTSQ), Penn State Worry Questionnaire (PSWQ), and Acceptance and Action Questionnaire-II (AAQ-II), we compared 67 BD-I patients with 70 healthy controls. Additionally, multiple linear regression analysis was used to determine the predictors of functionality levels measured by the Bipolar Disorder Functioning Questionnaire (BDFQ).Results: BD-I group showed significantly higher SAM-D "threat," "uncontrollable by anyone," and "control by others" scores. The BD-I group also reported higher EA (AAQ-II) than the control group. Rumination (RTSQ) and worry (PSWQ) did not show any significant differences between groups. BDFQ was negatively predicted "uncontrollable by anyone" and positively predicted by "control by others" subdimensions of SAM-D. Conclusion:Our findings suggested that patients with BD-I have differences in stress appraisals, even in the euthymic phase. Higher AAQ-II scores seemed to be a distinctive feature for patients with BD-I that may be related to perceiving stressful situations as threatening and uncontrollable. Our results present new perspectives for psychotherapeutic interventions both for the treatment and for the improvement of the functioning of these patients.

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Section: Discussionsupporting

confidence: 91%

Response styles and avoidance strategies in bipolar disorder and healthy controls: A comparative study

Ulusoy¹

2022

Dusunen Adam

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“…In that study, attention (p=0.020) and motor (p=0.006) impulsivity found higher in patients with bipolar disorder. 25 Also, those in the WBD group tended to be younger for their first three pregnancies than those in the control group. In parallel with this finding, it has been previously observed that lower levels of planned pregnancies feature among WBD.…”

Section: Discussionmentioning

confidence: 89%

“…For example, BIS-motor and BIS-attention subscale scores were higher than controls. 25 In another study total score and all subscales of BIS were reported higher in patients with BPD than controls. 26 We did not compare our results with these study results because their study samples were mixed in gender.…”

Section: Discussionmentioning

confidence: 89%

<p>Impulsivity, Unplanned Pregnancies, and Contraception Among Women with Bipolar Disorder</p>

Eroğlu¹,

Luş

2020

NDT

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Background: Impulsivity is one of the principal symptoms of bipolar and related disorders (BD). Unsafe sex and unplanned pregnancies are serious problems in clinical practice. The aim of this study was to investigate impulsivity levels, contraception methods, and levels of planned pregnancies among women with bipolar and related disorders (WBD). Methods: Fifty-eight euthymic women with BD (bipolar disorder type I, II, or other) were matched by education levels with a control group of 59 healthy women. Data about their demographic, clinical-Barratt Impulsiveness Scale (BIS-11), Hamilton Depression Rating Scale, and Young Mania Rating Scale scores-and reproductive health features were obtained and compared between the groups. Results: No difference was found regarding BIS-11 (total, nonplanning, motor, and attentional subscales) scores between the WBD and control groups. The overall rate of contraception use was higher in WBD (96.6%), but they generally preferred "traditional" methods (i.e., withdrawal and calendar). The total rate of unplanned pregnancies in WBD was 49.52%. Rate of unplanned pregnancies in WBD was significantly different from women without bipolar disorder (49.52% vs 15.04%). Discussion: Levels of impulsivity in euthymic WBD under treatment were similar to those of healthy women in the control sample. WBD paid attention to contraception although they usually used traditional methods. The findings indicate that most WBD use contraception, yet the contraception is potentially ineffective especially if WBD have more unplanned pregnancies. The provision of an effective contraception method in WBD is suggested for all clinicians, in order to prevent sexually transmitted diseases and unplanned pregnancies, and thus protect the health of both mother and fetus.

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“…Cognition bias influencing GD severity in females seems to be related to how individuals proactively engage emotional regulation strategies to cope with daily life events, while males cognitive bias is directly related to engaging premature, inappropriate behaviors without planning the possible bad consequences 72 . Interestingly, impulsivity and adaptive coping strategies have been considered as independent 73 . In this vein, cognitive bias seems to be an independent variable compared to other personality and socio-demographic variables influencing GD severity.…”

Section: Discussionmentioning

confidence: 99%

Contribution of sex on the underlying mechanism of the gambling disorder severity

Jiménez‐Murcia

Granero

Giménez

et al. 2020

Sci Rep

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Significant increasing prevalences have been observed in gambling disorder (GD) in the last decades. This study analyzed the underlying mechanisms of the gambling severity with path analysis (implemented through Structural Equation Modeling, SEM), and assessed the potential moderator effect of the patients’ sex. A sample of n = 512 treatment-seeking patients was assessed for sociodemographics and clinical state previously to the treatment. Results obtained in two separate SEM (for men and women) revealed differences in the direct effects and the mediational links. Among the male subsample, higher GD severity was directly related to the higher cognitive bias and the younger age of onset of the problematic gambling, while impulsivity levels and age of onset achieved an indirect effect on the disordered gambling mediated by the cognitive bias. Among females, GD severity was directly increased by younger age of onset, higher cognitive bias and lower self-directedness, while lower socioeconomic positions, and higher levels in harm avoidance achieved an indirect effect on the gambling severity mediated also by the distortions related to the gambling activity. These results provide new empirical evidence for a better understanding of the GD etiology, suggesting that the underlying complex links mediating the GD severity are strongly related to the patients’ sex. The results can also contribute to design more effectiveness and precise therapy programs of patient-centered care.

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Relationship of functionality with impulsivity and coping strategies in bipolar disorder

Cited by 9 publications

References 0 publications

Response styles and avoidance strategies in bipolar disorder and healthy controls: A comparative study

Response styles and avoidance strategies in bipolar disorder and healthy controls: A comparative study

<p>Impulsivity, Unplanned Pregnancies, and Contraception Among Women with Bipolar Disorder</p>

Contribution of sex on the underlying mechanism of the gambling disorder severity

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