Resilience and insight in euthymic patients with bipolar disorder

Şenormancı, Güliz; Güçlü, Oya; Özben, İlker; Karakaya, Fatma Nur; Şenormancı, Ömer

doi:10.1016/j.jad.2020.01.079

Cited by 8 publications

(4 citation statements)

References 95 publications

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“…For people with schizophrenia spectrum disorders, resilience was associated with psychosocial functioning (Wambua, Kilian, Ntlantsana, & Chiliza, 2020), and to counteract the effects of severe trauma on well‐being, such as risk of diabetes and early heart disease (Lee, Martin, Tu, Palmer, & Jeste, 2018). Greater resilience was associated with lower numbers of depressive episodes and suicide attempts in patients with bipolar (Şenormancı, Güçlü, Özben, Karakaya, & Şenormancı, 2020). Similarly, resilience was positively correlated to self‐esteem, adaptive coping strategies, and self‐reported physical and mental health (Marco et al, 2017); mediated the effects of early adverse family experiences on hopelessness (Collazzoni et al, 2020); and moderated the relationship between adverse childhood experiences and the severity of major depression in adulthood (Poole, Dobson, & Pusch, 2017).…”

Section: Introductionmentioning

confidence: 99%

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community

et al. 2021

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ObjectivesResilience, the ability to bounce back from a stressful situation, is a valuable asset for aiding adults with serious mental illness (SMI) in navigating the recovery process. People with SMI experience stress, including traumatic experiences at disproportionate rates. The purposes of this study were to examine the factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS) among adults with SMI living in the community.DesignA cross‐sectional survey design was used. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and correlational analyses were employed.MethodsThree hundred fifteen adults with SMI were recruited for two studies (Sample 1, n = 122; Sample 2, n = 193) from three states. All participants completed the BRS along with nearly identical positive psychology‐ and psychopathology‐related measures.ResultsEFA revealed the BRS was unidimensional and explained 61.20% of the variance. Results from seven CFA models suggested a bifactor structure for the BRS, which fit the data best. Internal reliability of the BRS was computed to be within acceptable ranges (α = .87, ω = .90). The BRS was positively correlated with measures of positive coping and life satisfaction, providing convergent validity. Divergent validity was supported by negative correlations between the BRS and measures of psychiatric symptoms, succumbing, and self‐stigma.ConclusionsThe BRS is a valid measure that can be used by clinical and research professionals to assess levels of resilience in adults with SMI at baseline and across time.Practitioner points The Brief Resilience Scale (BRS) was developed to measure a person’s ability to bounce back from stressful situations. The BRS was examined in adults with serious mental illness living in the community. The BRS presented a bifactor structure measuring resilience (an outcome) and correlated with positive psychology‐ and psychopathology‐related measures. The BRS can be used by practitioners to assess levels of resilience in their clients at baseline and over time to evaluate the effectiveness of therapeutic interventions.

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Section: Introductionmentioning

confidence: 99%

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community

et al. 2021

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“…Psychological resilience is a protective factor against suicide risk (Matel‐Anderson et al, 2019; Rossetti et al, 2017). Şenormancı et al (2020) found that patients who do not attempt suicide have higher psychological resilience than those who have attempted suicide (Şenormancı et al, 2020). Our study supports the literature.…”

Section: Discussionmentioning

confidence: 99%

Correlation between psychological resilience and suicide probability in patients with psychiatric disorder

Çapar

Çuhadar

2021

Perspect Psychiatric Care

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Purpose It was aimed to evaluate the correlation between psychological resilience and possibility of suicide in psychiatric patients. Design and Methods The data of the research were collected using “Individual Information Form”, “Resilience Scale for Adults (RSA),” and “Suicide Probability Scale (SPS)”. Findings It was found that the mean total score of SPS was 70.97 ± 12.82 and moderate risk, the mean total score of RSA was 112.50 ± 25.38, and the levels of psychological resilience were at a good level. It has been determined that patients with low levels of psychological resilience have a higher risk of committing suicide. Practice Implications Findings show that a high level of resilience reduces the risk of suicide. Implementing interventions to improve psychological resilience will help prevent suicide.

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“…Higher insight is associated with better medication adherence 343 and better symptomatic outcomes over 1‐2 years 344 . However, among patients who have been highly recurrent, increased illness awareness may contribute to feelings of hopelessness about the future as well as suicidality 345 .…”

Section: Protective Factors and Resiliencementioning

confidence: 99%

The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management

et al. 2022

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Bipolar disorder is heterogeneous in phenomenology, illness trajectory, and response to treatment. Despite evidence for the efficacy of multimodal ity interventions, the majority of persons affected by this disorder do not achieve and sustain full syndromal recovery. It is eagerly anticipated that combining datasets across various information sources (e.g., hierarchical "multiomic" measures, electronic health records), analyzed using ad vanced computational methods (e.g., machine learning), will inform future diagnosis and treatment selection. In the interim, identifying clinically meaningful subgroups of persons with the disorder having differential response to specific treatments at pointofcare is an empirical priority. This paper endeavours to synthesize salient domains in the clinical characterization of the adult patient with bipolar disorder, with the overarching aim to improve health outcomes by informing patient management and treatment considerations. Extant data indicate that characterizing select domains in bipolar disorder provides actionable information and guides shared decision making. For example, it is robustly established that the presence of mixed features -especially during depressive episodes -and of physical and psychiatric comorbidities informs illness trajectory, response to treatment, and suicide risk. In addition, early environmental exposures (e.g., sexual and physical abuse, emotional neglect) are highly associated with more complicated illness presentations, inviting the need for developmentallyoriented and integrated treatment approaches. There have been significant advances in validating subtypes of bipolar disorder (e.g., bipolar I vs. II disorder), particularly in regard to pharmacological interventions. As with other severe mental disorders, social functioning, interpersonal/family relationships and internalized stigma are domains highly relevant to relapse risk, health outcomes, and quality of life. The elevated standardized mortality ratio for completed suicide and suicidal behaviour in bipolar disorder invites the need for characterization of this domain in all patients. The framework of this paper is to describe all the above salient domains, provid ing a synthesis of extant literature and recommendations for decision support tools and clinical metrics that can be implemented at pointofcare.

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Resilience and insight in euthymic patients with bipolar disorder

Cited by 8 publications

References 95 publications

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community

Factor structure, internal reliability, and construct validity of the Brief Resilience Scale (BRS): A study on persons with serious mental illness living in the community

Correlation between psychological resilience and suicide probability in patients with psychiatric disorder

The clinical characterization of the adult patient with bipolar disorder aimed at personalization of management

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