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The role of psychological factors in bipolar disorder: prospective relationships between cognitive style, coping style and symptom expression

Published online by Cambridge University Press:  21 August 2013

Kathryn Fletcher ,
Gordon Parker  and
Vijaya Manicavasagar
Kathryn Fletcher*
Affiliation:
School of Psychiatry, University of New South Wales, NSW, Australia Black Dog Institute, NSW, Australia
Gordon Parker
Affiliation:
School of Psychiatry, University of New South Wales, NSW, Australia Black Dog Institute, NSW, Australia
Vijaya Manicavasagar
Affiliation:
School of Psychiatry, University of New South Wales, NSW, Australia Black Dog Institute, NSW, Australia
*
Black Dog Institute, Hospital Rd, Randwick, NSW 2031, Australia. Tel: +61 2 9382 3708; fax: +61 2 9382 8207; E-mail k.fletcher@unsw.edu.au
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Abstract

Objective

Psychological factors contribute to bipolar disorder illness course, representing targets for psychological intervention. Research to date has focused on bipolar I disorder, extrapolating results to bipolar II disorder. The current study addresses this discrepancy by exploring cognitive and coping styles in patients diagnosed with bipolar I or II disorder.

Methods

Participants were recruited from the Sydney-based Black Dog Institute. Diagnoses were derived via the MINI International Neuropsychiatric Interview. Baseline cognitive and coping style measures were completed, and mood symptoms assessed over a 6-month period. Clinician-rated mood status was assessed at follow-up to determine the predictive utility of cognitive and coping styles.

Results

The follow-up sample comprised 151 participants. Differential relationships between cognitive style, coping styles and mood symptoms emerged across the bipolar sub-types. Some key differences were that a broader set of negative cognitive styles were associated with bipolar II depression symptoms; while few relationships were observed between coping styles and bipolar II symptoms.

Conclusion

Differences in cognitive and coping style relationships with symptom expression across bipolar I and II disorder may provide clinicians with fruitful guides for directing treatment interventions when relevant maladaptive styles are observed. Further exploration of differences in cognitive and coping styles in bipolar I and II disorder is warranted.

Keywords

bipolar disordercognitive stylecoping style
Type
Original Articles
Information
Acta Neuropsychiatrica , Volume 26 , Issue 2 , April 2014 , pp. 81 - 95
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 2013 

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