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Updated: Dec 20, 2025

Developing a Rat Model for Bipolar Disorder
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Personality Structure and Attachment in Bipolar Disorder.

Jolana Wagner-Skacel1,2, Susanne Bengesser1, Nina Dalkner1

  • 1Department of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz (MUG), Graz, Austria.

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In bipolar disorder (BD), personality difficulties and insecure attachment correlate with higher symptom burden. Assessing personality and attachment is crucial for BD diagnosis and treatment.

Keywords:
attachmentbipolar disorderglobal symptom loadpersonality structurepsychotherapy

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background:

  • Impaired self and interpersonal functioning impact coping, affect, and stress regulation.
  • Limited understanding of personality functioning impairments in bipolar disorder (BD).

Purpose of the Study:

  • To assess the effects of personality structure and attachment on symptom burden in BD patients.

Main Methods:

  • 46 BD patients assessed using OPD-SQS, ECR-R-D, and BSI-18.
  • Evaluated personality functioning, attachment patterns, and symptom load.

Main Results:

  • Positive correlations found between personality difficulties, insecure attachment, and symptom load in BD.
  • Low structural integration and insecure attachment linked to significantly higher symptom load (r=0.66, p≤0.01).
  • No significant differences in structural integration or attachment styles compared to the general population.

Conclusions:

  • Results suggest a link between personality structure and affective dynamics (depressive, anxiety, somatization symptoms) in BD.
  • Highlights the importance of assessing personality structure and attachment for BD diagnosis and treatment planning.