Is coping well a matter of personality? A study of euthymic unipolar and bipolar patients

Abstract Background Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between...

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Veröffentlicht in:Journal of affective disorders 2013-02, Vol.145 (1), p.54-61
Hauptverfasser: Coulston, Carissa M, Bargh, Danielle M, Tanious, Michelle, Cashman, Emma L, Tufrey, Kimberly, Curran, Genevieve, Kuiper, Sandy, Morgan, Hugh, Lampe, Lisa, Malhi, Gin S
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container_end_page 61
container_issue 1
container_start_page 54
container_title Journal of affective disorders
container_volume 145
creator Coulston, Carissa M
Bargh, Danielle M
Tanious, Michelle
Cashman, Emma L
Tufrey, Kimberly
Curran, Genevieve
Kuiper, Sandy
Morgan, Hugh
Lampe, Lisa
Malhi, Gin S
description Abstract Background Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between euthymic BD and UP patients with respect to the inter-relationship between personality, coping style, and clinical outcomes. Methods A total of 96 UP and 77 BD euthymic patients were recruited through the CADE Clinic, Royal North Shore Hospital in Sydney, and assessed by a team comprising Psychiatrists and Psychologists. They underwent a structured clinical diagnostic interview, and completed self-report measures of depression, anxiety, stress, personality, coping, social adjustment, self-esteem, dysfunctional attitudes, and fear of negative evaluation. Results Compared to UP, BD patients reported significantly higher scores on levels of extraversion, adaptive coping, self-esteem, and lower scores on trait anxiety and fear of negative evaluation. Extraversion correlated positively with self-esteem, adaptive coping styles, and negatively with trait anxiety and fear of negative evaluation. Trait anxiety and fear of negative evaluation correlated positively with eachother, and both correlated negatively with self-esteem and adaptive coping styles. Finally, self-esteem correlated positively with adaptive coping styles. Limitations The results cannot be generalised to depressive states of BD and UP, as differences in the course of illness and types of depression are likely to impact on coping and clinical outcomes, particularly for BD. Conclusions During remission, functioning is perhaps better ‘preserved’ in BD than in UP, possibly because of the protective role of extraversion which drives healthier coping styles.
doi_str_mv 10.1016/j.jad.2012.07.012
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A study of euthymic unipolar and bipolar patients</title><source>MEDLINE</source><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Access via ScienceDirect (Elsevier)</source><creator>Coulston, Carissa M ; Bargh, Danielle M ; Tanious, Michelle ; Cashman, Emma L ; Tufrey, Kimberly ; Curran, Genevieve ; Kuiper, Sandy ; Morgan, Hugh ; Lampe, Lisa ; Malhi, Gin S</creator><creatorcontrib>Coulston, Carissa M ; Bargh, Danielle M ; Tanious, Michelle ; Cashman, Emma L ; Tufrey, Kimberly ; Curran, Genevieve ; Kuiper, Sandy ; Morgan, Hugh ; Lampe, Lisa ; Malhi, Gin S</creatorcontrib><description>Abstract Background Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between euthymic BD and UP patients with respect to the inter-relationship between personality, coping style, and clinical outcomes. Methods A total of 96 UP and 77 BD euthymic patients were recruited through the CADE Clinic, Royal North Shore Hospital in Sydney, and assessed by a team comprising Psychiatrists and Psychologists. They underwent a structured clinical diagnostic interview, and completed self-report measures of depression, anxiety, stress, personality, coping, social adjustment, self-esteem, dysfunctional attitudes, and fear of negative evaluation. Results Compared to UP, BD patients reported significantly higher scores on levels of extraversion, adaptive coping, self-esteem, and lower scores on trait anxiety and fear of negative evaluation. Extraversion correlated positively with self-esteem, adaptive coping styles, and negatively with trait anxiety and fear of negative evaluation. Trait anxiety and fear of negative evaluation correlated positively with eachother, and both correlated negatively with self-esteem and adaptive coping styles. Finally, self-esteem correlated positively with adaptive coping styles. Limitations The results cannot be generalised to depressive states of BD and UP, as differences in the course of illness and types of depression are likely to impact on coping and clinical outcomes, particularly for BD. Conclusions During remission, functioning is perhaps better ‘preserved’ in BD than in UP, possibly because of the protective role of extraversion which drives healthier coping styles.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2012.07.012</identifier><identifier>PMID: 22921480</identifier><identifier>CODEN: JADID7</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Adaptation, Psychological ; Adult ; Adult and adolescent clinical studies ; Anxiety ; Biological and medical sciences ; Bipolar disorder ; Bipolar Disorder - physiopathology ; Bipolar Disorder - psychology ; Bipolar disorders ; Clinical outcomes ; Coping ; Depression ; Depressive Disorder - physiopathology ; Depressive Disorder - psychology ; Extraversion (Psychology) ; Fear ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Mood disorders ; Personality ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Self Concept ; Selfesteem ; Social Adjustment ; Trait anxiety ; Unipolar depression</subject><ispartof>Journal of affective disorders, 2013-02, Vol.145 (1), p.54-61</ispartof><rights>Elsevier B.V.</rights><rights>2012 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier B.V. 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A study of euthymic unipolar and bipolar patients</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Abstract Background Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between euthymic BD and UP patients with respect to the inter-relationship between personality, coping style, and clinical outcomes. Methods A total of 96 UP and 77 BD euthymic patients were recruited through the CADE Clinic, Royal North Shore Hospital in Sydney, and assessed by a team comprising Psychiatrists and Psychologists. They underwent a structured clinical diagnostic interview, and completed self-report measures of depression, anxiety, stress, personality, coping, social adjustment, self-esteem, dysfunctional attitudes, and fear of negative evaluation. Results Compared to UP, BD patients reported significantly higher scores on levels of extraversion, adaptive coping, self-esteem, and lower scores on trait anxiety and fear of negative evaluation. Extraversion correlated positively with self-esteem, adaptive coping styles, and negatively with trait anxiety and fear of negative evaluation. Trait anxiety and fear of negative evaluation correlated positively with eachother, and both correlated negatively with self-esteem and adaptive coping styles. Finally, self-esteem correlated positively with adaptive coping styles. Limitations The results cannot be generalised to depressive states of BD and UP, as differences in the course of illness and types of depression are likely to impact on coping and clinical outcomes, particularly for BD. Conclusions During remission, functioning is perhaps better ‘preserved’ in BD than in UP, possibly because of the protective role of extraversion which drives healthier coping styles.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety</subject><subject>Biological and medical sciences</subject><subject>Bipolar disorder</subject><subject>Bipolar Disorder - physiopathology</subject><subject>Bipolar Disorder - psychology</subject><subject>Bipolar disorders</subject><subject>Clinical outcomes</subject><subject>Coping</subject><subject>Depression</subject><subject>Depressive Disorder - physiopathology</subject><subject>Depressive Disorder - psychology</subject><subject>Extraversion (Psychology)</subject><subject>Fear</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Personality</subject><subject>Psychiatry</subject><subject>Psychology. 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A study of euthymic unipolar and bipolar patients</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2013-02-15</date><risdate>2013</risdate><volume>145</volume><issue>1</issue><spage>54</spage><epage>61</epage><pages>54-61</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><coden>JADID7</coden><abstract>Abstract Background Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between euthymic BD and UP patients with respect to the inter-relationship between personality, coping style, and clinical outcomes. Methods A total of 96 UP and 77 BD euthymic patients were recruited through the CADE Clinic, Royal North Shore Hospital in Sydney, and assessed by a team comprising Psychiatrists and Psychologists. They underwent a structured clinical diagnostic interview, and completed self-report measures of depression, anxiety, stress, personality, coping, social adjustment, self-esteem, dysfunctional attitudes, and fear of negative evaluation. Results Compared to UP, BD patients reported significantly higher scores on levels of extraversion, adaptive coping, self-esteem, and lower scores on trait anxiety and fear of negative evaluation. Extraversion correlated positively with self-esteem, adaptive coping styles, and negatively with trait anxiety and fear of negative evaluation. Trait anxiety and fear of negative evaluation correlated positively with eachother, and both correlated negatively with self-esteem and adaptive coping styles. Finally, self-esteem correlated positively with adaptive coping styles. Limitations The results cannot be generalised to depressive states of BD and UP, as differences in the course of illness and types of depression are likely to impact on coping and clinical outcomes, particularly for BD. Conclusions During remission, functioning is perhaps better ‘preserved’ in BD than in UP, possibly because of the protective role of extraversion which drives healthier coping styles.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>22921480</pmid><doi>10.1016/j.jad.2012.07.012</doi><tpages>8</tpages></addata></record>
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subjects Adaptation, Psychological
Adult
Adult and adolescent clinical studies
Anxiety
Biological and medical sciences
Bipolar disorder
Bipolar Disorder - physiopathology
Bipolar Disorder - psychology
Bipolar disorders
Clinical outcomes
Coping
Depression
Depressive Disorder - physiopathology
Depressive Disorder - psychology
Extraversion (Psychology)
Fear
Female
Humans
Male
Medical sciences
Middle Aged
Mood disorders
Personality
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Concept
Selfesteem
Social Adjustment
Trait anxiety
Unipolar depression
title Is coping well a matter of personality? A study of euthymic unipolar and bipolar patients
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