Personality Structure and Attachment in Bipolar Disorder
BackgroundAn 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 personal...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00410/full |
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| author | Jolana Wagner-Skacel Jolana Wagner-Skacel Susanne Bengesser Nina Dalkner Sabrina Mörkl Annamaria Painold Carlo Hamm René Pilz Alexandra Rieger Hans-Peter Kapfhammer Michaela Hiebler-Ragger Michaela Hiebler-Ragger Emanuel Jauk Emanuel Jauk Mary I. Butler Eva Z. Reininghaus |
| author_facet | Jolana Wagner-Skacel Jolana Wagner-Skacel Susanne Bengesser Nina Dalkner Sabrina Mörkl Annamaria Painold Carlo Hamm René Pilz Alexandra Rieger Hans-Peter Kapfhammer Michaela Hiebler-Ragger Michaela Hiebler-Ragger Emanuel Jauk Emanuel Jauk Mary I. Butler Eva Z. Reininghaus |
| author_sort | Jolana Wagner-Skacel |
| collection | DOAJ |
| description | BackgroundAn 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.MethodsForty-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.ResultsWe 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 (r = 0.66, p ≤ 0.01). Interestingly, there were no significant differences in the structural integration (T(1.44) = −0.93, p = 0.357) and in the attachment style attachment related avoidance: (T(1,44) = 1.50, p = 0.140); attachment related anxiety (T(1,44) = −0.781, p = 0.439) of study participants with BD when compared to the normative value of the general population.LimitationsOur limitations are the small sample size of our group and the lack of a control group.ConclusionIn 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. |
| first_indexed | 2024-12-20T15:57:18Z |
| format | Article |
| id | doaj.art-3d930d7b0d564a23a05ec86622241fdb |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-20T15:57:18Z |
| publishDate | 2020-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-3d930d7b0d564a23a05ec86622241fdb2022-12-21T19:34:26ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-05-011110.3389/fpsyt.2020.00410495876Personality Structure and Attachment in Bipolar DisorderJolana Wagner-Skacel0Jolana Wagner-Skacel1Susanne Bengesser2Nina Dalkner3Sabrina Mörkl4Annamaria Painold5Carlo Hamm6René Pilz7Alexandra Rieger8Hans-Peter Kapfhammer9Michaela Hiebler-Ragger10Michaela Hiebler-Ragger11Emanuel Jauk12Emanuel Jauk13Mary I. Butler14Eva Z. Reininghaus15Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Medical Psychology and Psychotherapy, MUG, Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaGruener Kreis Society, Center for Integrative Addiction Research, Johnsdorf, AustriaInstitute of Psychology, University of Graz, Graz, AustriaClinical Psychology and Behavioral Neuroscience, Technische Universität Dresden, Dresden, GermanyDepartment for Psychiatry and Neurobehavioral Science, University College Cork, Cork, IrelandDepartment of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, AustriaBackgroundAn 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.MethodsForty-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.ResultsWe 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 (r = 0.66, p ≤ 0.01). Interestingly, there were no significant differences in the structural integration (T(1.44) = −0.93, p = 0.357) and in the attachment style attachment related avoidance: (T(1,44) = 1.50, p = 0.140); attachment related anxiety (T(1,44) = −0.781, p = 0.439) of study participants with BD when compared to the normative value of the general population.LimitationsOur limitations are the small sample size of our group and the lack of a control group.ConclusionIn 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.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00410/fullbipolar disorderpersonality structureattachmentglobal symptom loadpsychotherapy |
| spellingShingle | Jolana Wagner-Skacel Jolana Wagner-Skacel Susanne Bengesser Nina Dalkner Sabrina Mörkl Annamaria Painold Carlo Hamm René Pilz Alexandra Rieger Hans-Peter Kapfhammer Michaela Hiebler-Ragger Michaela Hiebler-Ragger Emanuel Jauk Emanuel Jauk Mary I. Butler Eva Z. Reininghaus Personality Structure and Attachment in Bipolar Disorder Frontiers in Psychiatry bipolar disorder personality structure attachment global symptom load psychotherapy |
| title | Personality Structure and Attachment in Bipolar Disorder |
| title_full | Personality Structure and Attachment in Bipolar Disorder |
| title_fullStr | Personality Structure and Attachment in Bipolar Disorder |
| title_full_unstemmed | Personality Structure and Attachment in Bipolar Disorder |
| title_short | Personality Structure and Attachment in Bipolar Disorder |
| title_sort | personality structure and attachment in bipolar disorder |
| topic | bipolar disorder personality structure attachment global symptom load psychotherapy |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00410/full |
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