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Related Concept Videos

Coping Strategies: Problem Focused01:27

Coping Strategies: Problem Focused

Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
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Coping profiles in bipolar disorder.

Kathryn Fletcher1, Gordon B Parker, Vijaya Manicavasagar

  • 1School of Psychiatry, University of New South Wales, NSW, Australia; Black Dog Institute, NSW, Australia.

Comprehensive Psychiatry
|July 2, 2013
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Summary

Individuals with bipolar disorder (I and II) exhibit distinct coping styles compared to those with unipolar depression. Bipolar II disorder patients show unique trait-like rumination and less support-seeking behavior, informing targeted psychological interventions.

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Area of Science:

  • Psychiatry and Psychology
  • Affective Disorders Research
  • Mental Health Interventions

Background:

  • Coping responses significantly impact the course of affective disorders and are key targets for psychological interventions.
  • Adaptive coping strategies have shown beneficial effects in bipolar disorder treatment.
  • Understanding differential coping preferences in bipolar disorder subtypes is crucial for etiological insights and clinical applications.

Purpose of the Study:

  • To investigate and compare coping profiles across different subtypes of bipolar disorder (Bipolar I and Bipolar II), unipolar recurrent depression, and healthy controls.
  • To identify specific coping strategies that differentiate between Bipolar I, Bipolar II, and unipolar depression.
  • To explore the implications of these coping differences for psychological interventions.

Main Methods:

  • Diagnostic groups were established based on clinician and DSM-IV criteria.
  • Participants included 94 with Bipolar I, 114 with Bipolar II, 109 with unipolar recurrent depression, and 100 healthy controls.
  • A battery of questionnaires assessed coping styles, including Brief Cope, Responses to Positive Affect, Response Styles Questionnaire, Coping Inventory for Prodromes of Mania, and Cognitive Emotion Regulation Questionnaire.

Main Results:

  • Bipolar participants (I and II) were more prone to rumination about positive affect and risk-taking when facing negative affect compared to unipolar participants.
  • Rumination about positive affect appeared as a trait-like characteristic in Bipolar II disorder, irrespective of medication or current mood symptoms.
  • Behavioral coping differences were noted: Bipolar II participants utilized less support-seeking and fewer strategies to down-regulate hypomania.

Conclusions:

  • Distinct coping style differences exist between Bipolar I and Bipolar II disorder subtypes.
  • These identified coping characteristics offer specific targets for tailored clinical interventions, acknowledging the nuances of each condition.