Abstract
BackgroundThe aim of this study was to investigate whether childhood trauma (CT) and affective temperament have an impact on resilience in bipolar patients.MethodsOne hundred cases with bipolar disorder (BD) diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) were evaluated consecutively in their euthymic period during outpatient follow-up interviews. Diagnostic interviews were done with SCID-I, affective temperament was evaluated with the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire, and resilience was evaluated with the Resilience Scale for Adults (RSA). The presence of CT was determined and measured with the Childhood Trauma Questionnaire (CTQ).ResultsAmong the bipolar patients, it was found that 35 cases (35%) were CT+. Depressive, cyclothymic, and anxious temperament scores were higher in CT+ cases. However, resilience scores were higher in CT− cases. In bipolar patients with and without childhood trauma, the relationship between temperament and resilience appears to be different. A negative relation between sexual abuse, emotional abuse, emotional neglect, and anxious temperament scores and resilience scores was shown in regression analysis.ConclusionsCT and affective temperament both have an impact on resilience in bipolar patients.Electronic supplementary materialThe online version of this article (doi:10.1186/s40345-015-0023-3) contains supplementary material, which is available to authorized users.
Highlights
The aim of this study was to investigate whether childhood trauma (CT) and affective temperament have an impact on resilience in bipolar patients
In one of our previous studies, we demonstrated that resilience was related to affective temperament in major depressive disorder (MDD) cases (Kesebir et al 2013)
We aimed to investigate if childhood trauma and affective temperament have an impact on resilience in bipolar patients
Summary
The aim of this study was to investigate whether childhood trauma (CT) and affective temperament have an impact on resilience in bipolar patients. Psychological resilience can be defined as the capability to adapt in adverse environmental circumstances (Basım and Çetin 2011) and is determined by individual characteristics, family cohesion and support, and external support systems (Rutter 1985). In the scale developed to evaluate psychological resilience (Friborg et al 2003), personal strength, structural style, social competence, family cohesion, and social resources subdimensions are investigated. In. Simeon et al.’s study in 2007, in healthy individuals, childhood trauma was identified as the leading determinant of psychological resilience, and there was a strong inverse relationship between the two. Age of onset, and episode severity, CT is a factor that affects the cross-sectional phenomenology of mood disorders
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