Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response
Background: Dissociative symptoms are under recognized and scarcely studied by clinicians and researchers in patients with bipolar disorder (BD). We examined the relationship between dissociative symptoms and the psychotic features in patients with BD and assessed clinical and socio-demographic char...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.732843/full |
| _version_ | 1819024812614352896 |
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| author | Luca Steardo Elvira Anna Carbone Enrica Ventura Renato de Filippis Mario Luciano Cristina Segura-Garcia Pasquale De Fazio |
| author_facet | Luca Steardo Elvira Anna Carbone Enrica Ventura Renato de Filippis Mario Luciano Cristina Segura-Garcia Pasquale De Fazio |
| author_sort | Luca Steardo |
| collection | DOAJ |
| description | Background: Dissociative symptoms are under recognized and scarcely studied by clinicians and researchers in patients with bipolar disorder (BD). We examined the relationship between dissociative symptoms and the psychotic features in patients with BD and assessed clinical and socio-demographic characteristics more frequently associated with dissociative symptoms and treatment response.Methods: Participants were 100 adult outpatients with BD. They were screened with semi-structured interview to collect socio-demographic and clinical characteristics; the Dissociative Experiences Scale-II (DES-II) and the ALDA scale were used to assess dissociative psychopathologies and response to treatment with mood stabilizers, respectively.Results: DES score (mean 31.7 ± 21.7) correlated with clinical variables, BD features, and course of illness. Psychotic symptoms, mixed features, and previous suicide attempts significantly predicted DES score [F(3, 47) = 39.880, p < 0.001, R2 corrected = 0.713]. Dissociative symptoms were inversely correlated with poor response to treatment (r = −0.593; p < 0.001).Limitations: Cross-sectional design with a small sample and backward clinical assessment of psychotic symptoms.Conclusions: Dissociative phenomena are closely related to the presence of psychotic symptoms, mixed features, and previous suicide attempts in BD, especially in BD-I. Given the close association between dissociative and psychotic symptoms, this association could represent a diagnostic indicator of BD-I that may guide the clinician to plan the most appropriate treatment. |
| first_indexed | 2024-12-21T05:00:44Z |
| format | Article |
| id | doaj.art-3ef4594e6d4748a2aaeb85c71f390dae |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-21T05:00:44Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-3ef4594e6d4748a2aaeb85c71f390dae2022-12-21T19:15:16ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-10-011210.3389/fpsyt.2021.732843732843Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment ResponseLuca Steardo0Elvira Anna Carbone1Enrica Ventura2Renato de Filippis3Mario Luciano4Cristina Segura-Garcia5Pasquale De Fazio6Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyPsychiatric Unit, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyPsychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyPsychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyDepartment of Psychiatry, University of Campania “L. Vanvitelli”, Naples, ItalyPsychiatric Unit, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyPsychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, ItalyBackground: Dissociative symptoms are under recognized and scarcely studied by clinicians and researchers in patients with bipolar disorder (BD). We examined the relationship between dissociative symptoms and the psychotic features in patients with BD and assessed clinical and socio-demographic characteristics more frequently associated with dissociative symptoms and treatment response.Methods: Participants were 100 adult outpatients with BD. They were screened with semi-structured interview to collect socio-demographic and clinical characteristics; the Dissociative Experiences Scale-II (DES-II) and the ALDA scale were used to assess dissociative psychopathologies and response to treatment with mood stabilizers, respectively.Results: DES score (mean 31.7 ± 21.7) correlated with clinical variables, BD features, and course of illness. Psychotic symptoms, mixed features, and previous suicide attempts significantly predicted DES score [F(3, 47) = 39.880, p < 0.001, R2 corrected = 0.713]. Dissociative symptoms were inversely correlated with poor response to treatment (r = −0.593; p < 0.001).Limitations: Cross-sectional design with a small sample and backward clinical assessment of psychotic symptoms.Conclusions: Dissociative phenomena are closely related to the presence of psychotic symptoms, mixed features, and previous suicide attempts in BD, especially in BD-I. Given the close association between dissociative and psychotic symptoms, this association could represent a diagnostic indicator of BD-I that may guide the clinician to plan the most appropriate treatment.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.732843/fulldissociative symptomsbipolar disorderclinical coursetreatment responsepsychotic symptoms |
| spellingShingle | Luca Steardo Elvira Anna Carbone Enrica Ventura Renato de Filippis Mario Luciano Cristina Segura-Garcia Pasquale De Fazio Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response Frontiers in Psychiatry dissociative symptoms bipolar disorder clinical course treatment response psychotic symptoms |
| title | Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response |
| title_full | Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response |
| title_fullStr | Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response |
| title_full_unstemmed | Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response |
| title_short | Dissociative Symptoms in Bipolar Disorder: Impact on Clinical Course and Treatment Response |
| title_sort | dissociative symptoms in bipolar disorder impact on clinical course and treatment response |
| topic | dissociative symptoms bipolar disorder clinical course treatment response psychotic symptoms |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.732843/full |
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