Abstract
IntroductionThe influence of personality on how people deal with stressful situations has long been discussed. In bipolar disorder, these two entities seem to have a role in the outcome of the disease.ObjectivesTo study the relationships between coping strategies in stressful situations and personality dimensions in euthymic bipolar patients.MethodsThis is a cross-sectional, descriptive and analytical study of 30 patients followed for bipolar disorder in remission, at the psychiatric outpatient clinic at the Hédi Chaker Uuniversity Hospital in Sfax. We used a socio-demographic and clinical data sheet and the Ten Items Personality Inventory (TIPI) to evaluate personality dimensions and the Ways Of Coping Checklist (WWC) for the assessment of coping.ResultsThe mean age of the patients was 43.77 years, the sex ratio was 0.5. Bipolar I disorder was diagnosed in 93% of patients. WCC : -Coping focused on the problem : 70% of the patients. -Emotion-centered coping : 20% of patients -Coping focused on seeking social support : 10% of patients. TIPI : Conciousness was the most represented trait of personality (36.7%), agreableness (30%) and extraversion (20%). Extraversion was associated with coping focused on the problem: (p=0.015). Agreableness was associated with coping focused on seeking social support:(p=0.033).ConclusionsOur study showed that conciousness is the most common trait of personality in bipolar disorder patients. The coping focused on the problem is the most frequent strategy which correlated with extraversion, so, personality dimensions appear as a target for cognitive interventions.DisclosureNo significant relationships.
Highlights
It has been shown in the studies that purinergic system dysfunction might have an effect on pathophysiology of bipolar disorder
Serum uric acid level in bipolar disorder type 1 (BPD1) group was significantly higher than healthy controls (HC)
Significant efficacy of uric acid value was observed in the differentiation of BPD1 and HC [Area under the curve 0.708 (0.626-0.790)]
Summary
Bipolar disorder is presumed to involve difficulties in emotion regulation. Objectives: To study emotion regulation in bipolar patients in remission phase and to determine the factors correlated with it. Methods: A cross-sectional, descriptive and analytical study of 30 patients followed for bipolar disorder in remission, at the psychiatric outpatient clinic at the Hédi Chaker University Hospital in Sfax. A good adherence to treatment was found in 86.7% of cases and a good social integration in 40%. Adaptive cognitive emotion regulation was predominant in 93.3% of patients. It was significantly correlated with good adherence to treatment (p = 0.047) and good social integration (p = 0.026). Conclusions: Our patients with euthymic bipolar disorder showed a satisfying level of adaptive emotion regulation strategies.
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