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Coping strategy bipolar

Gaia Sampogna, Mario Luciano, Valeria Del Vecchio, Claudio Malangone, Corrado De Rosa, Vincenzo Giallonardo, Giuseppina Borriello, Benedetta Pocai, Micaela Savorani, Luca Steardo, Debora Lampis, Franco Veltro, Francesco Bartoli, Francesco Bardicchia, Anna Maria Moroni, Giusy Ciampini, Emanuele Orlandi, Silvia Ferrari, Silvia Biondi, Sonia Iapichino, Enrico Pompili, Massimiliano Piselli, Alfonso Tortorella, Giuseppe Carrà, Andrea Fiorillo
Background: Psychoeducational family intervention (PFI) has been proven to be effective in improving the levels of family burden and patients' personal functioning in schizophrenia and bipolar disorders (BDs). Less is known about the impact of PFI on relatives' coping strategies in BD. Methods: A multicenter, controlled, outpatient trial funded by the Italian Ministry of Health and coordinated by the Department of Psychiatry of the University of Campania "Luigi Vanvitelli" has been conducted in patients with bipolar I disorder (BD-I) and their key relatives consecutively recruited in 11 randomly selected Italian community mental health centers...
2018: Neuropsychiatric Disease and Treatment
Jenna Roberts, Alfredo Gracia Canales, Sophee Blanthorn-Hazell, Anca Craciun Boldeanu, Davneet Judge
BACKGROUND: Agitation is a common manifestation of bipolar disorder and schizophrenia which includes symptoms ranging from inner tension and unease to violence and aggression. Much of the existing literature has focused on agitation in the acute setting, with the patient experience poorly defined. Thus, the aim of this study was to characterize agitation and its management from a patient perspective, with the focus on those who reside in the community. METHODS: Surveys were completed across Germany, Spain and the UK by 583 community dwelling patients with schizophrenia or bipolar disorder who experienced episodes of agitation...
April 16, 2018: BMC Psychiatry
Sarah M Goodday, Richard Bentall, Steven Jones, Arielle Weir, Anne Duffy
OBJECTIVES: This study investigated whether there were differences in coping strategies and self-esteem between offspring of parents with bipolar disorder (high-risk) and offspring of unaffected parents (control), and whether these psychological factors predicted the onset and recurrence of mood episodes. METHODS: High-risk and control offspring were followed longitudinally as part of the Flourish Canadian high-risk bipolar offspring cohort study. Offspring were clinically assessed annually by a psychiatrist using semi-structured interviews and completed a measure of coping strategies and self-esteem...
March 1, 2018: Australian and New Zealand Journal of Psychiatry
Mareena Susan Wesley, M Manjula, Jagadisha Thirthalli
Background and Objectives: Patients with bipolar disorder (BD), despite recovering symptomatically, suffer from several functional impairments even in remission. The actual causes of impaired functioning are less known. Materials and Methods: The study aimed to examine the clinical and psychosocial determinants of functioning in patients with BD in remission. A cross-sectional single-group design was adopted ( n = 150). Participants meeting the study criteria were screened with Mini-International Neuropsychiatric Interview Scale...
January 2018: Indian Journal of Psychological Medicine
Fiona Lobban, Victoria Appleton, Duncan Appelbe, Johanna Barraclough, Julie Bowland, Naomi R Fisher, Sheena Foster, Sonia Johnson, Elizabeth Lewis, Céu Mateus, Barbara Mezes, Elizabeth Murray, Puffin O'Hanlon, Vanessa Pinfold, Jo Rycroft-Malone, Ron Siddle, Jo Smith, Chris J Sutton, Andrew Walker, Steven H Jones
BACKGROUND: Web-based interventions to support people to manage long-term health conditions are available and effective but rarely used in clinical services. The aim of this study is to identify critical factors impacting on the implementation of an online supported self-management intervention for relatives of people with recent onset psychosis or bipolar disorder into routine clinical care and to use this information to inform an implementation plan to facilitate widespread use and inform wider implementation of digital health interventions...
December 28, 2017: Implementation Science: IS
Michele Fornaro, Marco Solmi, Nicola Veronese, Domenico De Berardis, Elisabetta Filomena Buonaguro, Carmine Tomasetti, Giampaolo Perna, Antonio Preti, Mauro Giovanni Carta
Cardio-vascular diseases (CVDs) and CVD-related disorders (including cerebrovascular diseases; CBVDs) are a major public health concern as they represent the leading cause of mortality and morbidity in developed countries. Patients with CVDs and CBVDs co-morbid with mood disorders, especially bipolar disorder (BD) and major depressive disorder (MDD), suffer reduced quality-of-life and significant disability adjusted for years of life and mortality. The relationship between CVDs/CBVDs and mood disorders is likely to be bidirectional...
July 6, 2017: International Review of Psychiatry
Staci A Gruber, M Kathryn Dahlgren, Kelly A Sagar, Atilla Gonenc, Lesley Norris, Bruce M Cohen, Dost Ongur, Kathryn E Lewandowski
BACKGROUND: Cognitive deficits are well-documented in patients with bipolar disorder (BPD) and may impact the efficacy of psychotherapy. Cognitive control, a form of executive functioning, is often used therapeutically to shift patients' thoughts and behaviors from automatic, maladaptive responses to adaptive coping strategies. This study examined cognitive control processing in patients with BPD using the Multi-Source Interference Task (MSIT). METHOD: Twenty-nine patients diagnosed with BPD and 21 healthy control (HC) subjects completed the MSIT with concurrent functional magnetic resonance imaging (fMRI)...
April 15, 2017: Journal of Affective Disorders
Maj Vinberg, Rie Lambaek Mikkelsen, Thomas Kirkegaard, Ellen Margrethe Christensen, Lars Vedel Kessing
AIM: In a naturalistic clinical study of patients in the early stages of bipolar disorders the aim was to assess differences between patients with bipolar I (BD I) and bipolar II (BD II) disorders on clinical characteristics including affective symptoms, subjective cognitive complaints, functional level, the presence of comorbid personality disorders and coping strategies. METHODS: Diagnoses were confirmed using the Structured Clinical Interview for DSM-IV Disorders...
January 15, 2017: Journal of Affective Disorders
Satya Rashi Khare
My father suffered from bipolar disorder. His illness placed an enormous strain on our relationship which, for the most part, was filled with turbulence. Although our family physician played an integral role in supporting my parents throughout the disease, I did not receive the same support and suffered as a consequence. In this essay, I describe my father's manic and major depressive episodes, as well as my emotions that resulted from the experience. Treating mental illness goes beyond just treating the patient but rather encompasses the family as a whole...
September 2016: Annals of Family Medicine
Carol Blixen, Jennifer B Levin, Kristin A Cassidy, Adam T Perzynski, Martha Sajatovic
BACKGROUND: Bipolar disorder (BD) is a chronic mental illness associated with reduced quality of life, high rates of suicide, and high financial costs. Evidence indicates that psychosocial stress might play an important role in the onset and course of BD. OBJECTIVE: The objective of this study was to address the gap between coping theory and the clinical use of coping strategies used to self-manage BD. METHODS: In-depth interviews were conducted with a sample of 21 poorly adherent patients with BD...
2016: Patient Preference and Adherence
Anna Manelis, Jorge R C Almeida, Richelle Stiffler, Jeanette C Lockovich, Haris A Aslam, Mary L Phillips
Bipolar disorder is often misdiagnosed as major depressive disorder, which leads to inadequate treatment. Depressed individuals versus healthy control subjects, show increased expectation of negative outcomes. Due to increased impulsivity and risk for mania, however, depressed individuals with bipolar disorder may differ from those with major depressive disorder in neural mechanisms underlying anticipation processes. Graph theory methods for neuroimaging data analysis allow the identification of connectivity between multiple brain regions without prior model specification, and may help to identify neurobiological markers differentiating these disorders, thereby facilitating development of better therapeutic interventions...
September 2016: Brain: a Journal of Neurology
Gregory E Simon, Cynthia Specht, Allen Doederlein
OBJECTIVE: The objective of the study was to describe use of services and self-care strategies by people experiencing suicidal thoughts. METHODS: Constituents of the Depression and Bipolar Support Alliance (N=611) completed an anonymous online survey regarding experience of suicidal ideation and use of a range of clinical services, community supports, and self-care strategies. RESULTS: Mental health providers were the most frequently used and the most favorably rated source of support...
September 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Simon Coulombe, Stephanie Radziszewski, Sophie Meunier, Hélène Provencher, Catherine Hudon, Pasquale Roberge, Martin D Provencher, Janie Houle
CONTEXT: A shift toward person-centered care has been occurring in services provided to people with mood and anxiety disorders. Recovery is recognized as encompassing personal aspects in addition to clinical ones. Guidelines now recommend supporting people's engagement in self-management as a complementary recovery avenue. Yet the literature lacks evidence on how individualized combinations of self-management strategies used by people relate to their clinical and personal recovery indicators...
2016: Frontiers in Psychology
Batya Engel-Yeger, Xenia Gonda, Caterina Muzio, Giorgio Rinosi, Maurizio Pompili, Mario Amore, Gianluca Serafini
OBJECTIVE: To compare sensory processing, coping strategies, and quality of life (QoL) in unipolar and bipolar patients; to examine correlations between sensory processing and QoL; and to investigate the relative contribution of sociodemographic characteristics, sensory processing, and coping strategies to the prediction of QoL. METHODS: Two hundred sixty-seven participants, aged 16-85 years (53.6±15.7), of whom 157 had a diagnosis of unipolar major depressive disorder and 110 had bipolar disorder type I and type II, completed the Adolescent/Adult Sensory Profile, Coping Orientations to Problems Experienced, and 12-item Short-Form Health Survey version 2...
July 2016: Revista Brasileira de Psiquiatria
Annabel Broyd, Suzanne Jolley, Louise Johns
OBJECTIVES: Improving subjective well-being (SWB) for people with mental health problems is a United Kingdom national health priority and is increasingly important in justifying funding of mental health services. Aside from the economic advantages, maximizing SWB confers obvious individual and clinical benefits for people with severe mental illness, such as psychosis. Gaining a better understanding of well-being and its determinants will enable current evidence-based interventions to be targeted and refined appropriately...
November 2016: British Journal of Clinical Psychology
Graham Danzer, Sarah M Rieger
Severe mental illnesses, mainly schizophrenia and bipolar disorders, often go untreated until the afflicted persons become dangerous to themselves or others. In such states, they must be hospitalized and medicated, often involuntarily due to the stigma and low insight into need for treatment that can be considered characteristic of severe illnesses. Hospitalization and medications can help the mentally ill stabilize. But these options also can have a demoralizing effect on future engagement with providers. Accordingly, the process of involuntary hospitalization and medication treatment must be maximally dignified and respectful of patient autonomy, within the limits of manifest illnesses...
2016: Bulletin of the Menninger Clinic
Rebecca G Fortgang, Christina M Hultman, Tyrone D Cannon
Schizophrenia, bipolar disorder, and major depression share several clinical and etiological factors. Coping is a critical mediator of the relationship between stress and psychopathology and a point of clinical intervention for all three disorders. However, little is known about their degree of overlap in coping style, or the influence of unique or shared genetic diathesis. In this study, we examined five factors of coping within and across disorder proband and co-twin groups, modeled heritability, and tested for endophenotypic pattern in a sample of twin pairs recruited from the Swedish Twin Registry (N = 420)...
March 1, 2016: Clinical Psychological Science
George C Nitzburg, Manuela Russo, Armando Cuesta-Diaz, Luz Ospina, Megan Shanahan, Mercedes Perez-Rodriguez, Meaghan McGrath, Katherine E Burdick
BACKGROUND: Bipolar disorder (BD) patients encounter significant life adversity, which has contributed to bipolar disorder being a leading cause of disability worldwide. Studies suggest BD patients have more maladaptive coping strategies, some of which can impact their illness course. Yet research on which coping strategies most influence disability is lacking. Such research could inform cognitive-behavioral targets to improve functional outcomes. Thus, we sought to identify relations between coping strategies and real-world function in BD...
July 1, 2016: Journal of Affective Disorders
Isabelle E Bauer, Juan F Gálvez, Jane E Hamilton, Vicent Balanzá-Martínez, Giovana B Zunta-Soares, Jair C Soares, Thomas D Meyer
BACKGROUND: Bipolar disorder (BD) is a serious mental illness associated with a high risk of medical comorbidities, long-term disability and premature death. This systematic review examined the current literature on therapeutic interventions targeting nutrition, physical activity and wellness in BD and collecting health-related measures such as mood and course of illness. METHODS: Scopus (all databases), Pubmed and Ovid Medline were systematically searched with no language or year restrictions, up to June 2015, for studies focusing on lifestyle interventions in BD...
March 2016: Journal of Psychiatric Research
Heather E Tulloch, Andrew L Pipe, Matthew J Clyde, Robert D Reid, Charl Els
INTRODUCTION: The purpose of this study is to better understand the quit experience and concerns of smokers with psychiatric illness (i.e., major depressive, anxiety, psychotic and bipolar disorders) in comparison with those without psychiatric illness. METHODS: Smokers (N=732) with (n=430, 59%) and without psychiatric illness, recruited between June 2010 and March 2013 to participate in the FLEX (Flexible and Extended Dosing of Nicotine Replacement Therapy [NRT] and Varenicline in Comparison to Fixed-Dose NRT for Smoking Cessation) smoking-cessation trial, completed questionnaires assessing previously used cessation aids and reasons for relapse, and motivation and concerns about their upcoming quit attempt...
June 2016: American Journal of Preventive Medicine
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