Coping strategies and real-world functioning in bipolar disorder
George C Nitzburg1, Manuela Russo1, Armando Cuesta-Diaz1
1Icahn School of Medicine at Mount Sinai, Departments of Psychiatry and Neuroscience, United States.
Journal of Affective Disorders
|March 28, 2016
Summary
Giving up and self-blame significantly predict disability in bipolar disorder (BD) patients, independent of other factors. These maladaptive coping strategies negatively impact real-world functioning.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Bipolar disorder (BD) is a leading cause of global disability.
- BD patients often use maladaptive coping strategies impacting illness.
- Research on coping strategies influencing BD disability is limited.
Purpose of the Study:
- Identify relationships between coping strategies and real-world functioning in BD.
- Inform cognitive-behavioral targets for improved functional outcomes in BD.
Main Methods:
- Assessed coping strategies (Brief COPE) and disability (WHO DAS) in 92 BD outpatients.
- Utilized multiple regression to analyze predictors of disability, including neurocognition (MATRICS).
Main Results:
- Verbal learning was the only neurocognitive predictor of disability.
- Maladaptive coping, specifically behavioral disengagement (giving up) and self-blame, significantly predicted disability.
- Adaptive coping did not predict disability.
Conclusions:
- Giving up and self-blame predict real-world functioning in BD, even with mild depressive symptoms.
- Findings align with research on defeatist beliefs impacting function in major psychiatric disorders.
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