Personality Structure and Attachment in Bipolar Disorder.
attachment
bipolar disorder
global symptom load
personality structure
psychotherapy
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2020
2020
Historique:
received:
04
09
2019
accepted:
22
04
2020
entrez:
2
6
2020
pubmed:
2
6
2020
medline:
2
6
2020
Statut:
epublish
Résumé
An impairment of self and interpersonal functioning has an impact on coping strategies, regulation of affect and stress. Little is known so far about the impairment of personality functioning in patients with bipolar disorder (BD). The aim of this study is to assess the effects of personality structure and attachment in BD patients on the symptom burden. Forty-six patients with the diagnosis of BD were assessed by the 12-item Operationalized Psychodynamic Diagnosis Structure Questionnaire (OPD-SQS), the short version of Experience in Close Relationship-revised (ECR-R-D), and the Brief Symptom Inventory-18 (BSI 18) to determine the level of personality functioning, attachment patterns, and symptom load. We observed positive correlations between personality difficulties, insecure attachment, and symptom load in patients with BD. A low level of structural integration and an insecure attachment style in patients with BD were accompanied by a significantly higher symptom load ( Our limitations are the small sample size of our group and the lack of a control group. In general, our results suggest that there is a link between personality structure and affective dynamics including depressive, anxiety, and somatization symptoms in BD. These findings underline the increasing importance of assessing personality structure and attachment for diagnosis and treatment planning of BD.
Sections du résumé
BACKGROUND
BACKGROUND
An impairment of self and interpersonal functioning has an impact on coping strategies, regulation of affect and stress. Little is known so far about the impairment of personality functioning in patients with bipolar disorder (BD). The aim of this study is to assess the effects of personality structure and attachment in BD patients on the symptom burden.
METHODS
METHODS
Forty-six patients with the diagnosis of BD were assessed by the 12-item Operationalized Psychodynamic Diagnosis Structure Questionnaire (OPD-SQS), the short version of Experience in Close Relationship-revised (ECR-R-D), and the Brief Symptom Inventory-18 (BSI 18) to determine the level of personality functioning, attachment patterns, and symptom load.
RESULTS
RESULTS
We observed positive correlations between personality difficulties, insecure attachment, and symptom load in patients with BD. A low level of structural integration and an insecure attachment style in patients with BD were accompanied by a significantly higher symptom load (
LIMITATIONS
CONCLUSIONS
Our limitations are the small sample size of our group and the lack of a control group.
CONCLUSION
CONCLUSIONS
In general, our results suggest that there is a link between personality structure and affective dynamics including depressive, anxiety, and somatization symptoms in BD. These findings underline the increasing importance of assessing personality structure and attachment for diagnosis and treatment planning of BD.
Identifiants
pubmed: 32477186
doi: 10.3389/fpsyt.2020.00410
pmc: PMC7233168
doi:
Types de publication
Journal Article
Langues
eng
Pagination
410Informations de copyright
Copyright © 2020 Wagner-Skacel, Bengesser, Dalkner, Mörkl, Painold, Hamm, Pilz, Rieger, Kapfhammer, Hiebler-Ragger, Jauk, Butler and Reininghaus.
Références
J Pers Assess. 2011 Jul;93(4):332-46
pubmed: 22804672
Biol Psychiatry. 2012 Aug 15;72(4):303-10
pubmed: 22365631
Psychotherapy (Chic). 2014 Sep;51(3):372-80
pubmed: 24773092
Bipolar Disord. 2019 Feb;21(1):40-49
pubmed: 30051546
J Clin Psychol. 2010 Sep;66(9):907-26
pubmed: 20694958
Psychiatr Serv. 2006 Jul;57(7):959-65
pubmed: 16816280
World Psychiatry. 2012 Feb;11(1):11-5
pubmed: 22294997
Biol Mood Anxiety Disord. 2012 Jan 23;2:2
pubmed: 22738363
Am J Psychiatry. 2000 Feb;157(2):220-8
pubmed: 10671390
Psychother Psychosom Med Psychol. 2019 Jan;69(1):38-48
pubmed: 29448281
Annu Rev Clin Psychol. 2020 May 7;16:239-264
pubmed: 32040337
Psychiatry Res. 2020 Feb 4;285:112846
pubmed: 32066003
Child Dev. 1970 Mar;41(1):49-67
pubmed: 5490680
Clin Psychol Rev. 2018 Feb;59:126-136
pubmed: 29195773
PLoS One. 2014 Apr 04;9(4):e94097
pubmed: 24705630
J Clin Psychiatry. 2011 Aug;72(8):1027-33
pubmed: 21813075
PLoS One. 2018 Jan 23;13(1):e0191254
pubmed: 29360832
J Abnorm Psychol. 2015 Aug;124(3):532-48
pubmed: 26052618
Z Psychosom Med Psychother. 2016;62(2):177-89
pubmed: 27439554
Psychol Assess. 2011 Sep;23(3):615-25
pubmed: 21443364
Bipolar Disord. 2004 Dec;6(6):460-9
pubmed: 15541061
Z Psychosom Med Psychother. 2015;61(3):262-74
pubmed: 26388057
Psychopathology. 2016;49(5):341-344
pubmed: 27631792
Psychopathology. 2014;47(3):185-93
pubmed: 24192300
Diabetes Res Clin Pract. 2019 May;151:106-113
pubmed: 30959148
Psychother Psychosom Med Psychol. 2012 Jan;62(1):25-32
pubmed: 22271173
J Affect Disord. 2019 Oct 1;257:38-44
pubmed: 31299403
Adolesc Psychiatry. 1978;6:5-33
pubmed: 742687
J Clin Psychiatry. 2017 May;78(5):e506-e514
pubmed: 28570791
J Pers. 2010 Aug 1;78(4):1135-62
pubmed: 20545820
J Affect Disord. 2013 Sep 25;150(3):1031-40
pubmed: 23759419
J Affect Disord. 2017 Mar 01;210:130-138
pubmed: 28033520
Psychopathology. 2007;40(4):209-20
pubmed: 17396047
J Affect Disord. 1998 Sep;50(2-3):143-51
pubmed: 9858074
Arch Gen Psychiatry. 1998 Jan;55(1):49-55
pubmed: 9435760
Psychiatry Res. 2014 Oct 30;219(2):248-54
pubmed: 24947918
Psychiatr Hung. 2017;32(3):283-287
pubmed: 29135441
Arch Gen Psychiatry. 2011 Mar;68(3):241-51
pubmed: 21383262
Pharmacoeconomics. 2015 Apr;33(4):341-53
pubmed: 25576148
Fortschr Neurol Psychiatr. 2011 Sep;79(9):517-23
pubmed: 21870312
J Clin Psychiatry. 2009 Jun;70(6):879-87
pubmed: 19422755
Psychiatry Res. 2014 Aug 15;218(1-2):69-74
pubmed: 24803186
J Consult Clin Psychol. 1987 Dec;55(6):805-16
pubmed: 3320116
J Affect Disord. 2005 Mar;85(1-2):153-68
pubmed: 15780686
Int J Bipolar Disord. 2020 Feb 10;8(1):8
pubmed: 32037491
Br J Psychiatry. 2007 Jun;190:503-8
pubmed: 17541110
J Pers Assess. 2012;94(5):522-32
pubmed: 22808938
J Pers Disord. 2015 Aug;29(4):431-48
pubmed: 26200845
Biol Psychiatry. 1997 Nov 15;42(10):948-55
pubmed: 9359982
Front Hum Neurosci. 2017 Mar 24;11:136
pubmed: 28392762
Clin Psychol Psychother. 2010 Sep-Oct;17(5):374-85
pubmed: 20013761
J Affect Disord. 2017 Jan 01;207:282-290
pubmed: 27741464
Psychol Psychother. 2009 Sep;82(Pt 3):267-77
pubmed: 19288978