Resilience moderates the associations between bipolar disorder mood episodes and mental health

  1. Ainara Echezarraga
  2. Esther Calvete
  3. Izaskun Orue
  4. Carlota Las Hayas
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2022

Volumen: 33

Número: 2

Páginas: 83-90

Tipo: Artículo

DOI: 10.5093/CLYSA2022A8 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

RESUMEN La resiliencia podría moderar el impacto del trastorno bipolar (TB) en la calidad de vida (CV) y funcionamiento psicosocial de los pacientes. Los objetivos del presente estudio fueron: (1) explorar la asociación entre los episodios anímicos bipolares (depresión, [hipo]manía y eutimia) y los resultados de la CV en cuanto a salud mental, la recuperación personal y el deterioro del funcionamiento laboral y psicosocial de personas con TB y (2) determinar si los dominios de resiliencia moderaban esta asociación. Una muestra clínica de 97 personas adultas diagnosticadas de TB (63.90% mujeres, edad media = 45.02) cumplimentaron una batería de medidas específicas de TB sobre resiliencia y variables relacionadas con la salud mental. La regresión múltiple mostró que el dominio de la resiliencia de autogestión del TB moderó la relación negativa entre el episodio (hipo)maníaco y la recuperación personal. Además, la confianza en uno mismo moderó la asociación positiva entre los episodios (hipo)maníacos y depresivos y el deterioro del funcionamiento. Se sugiere que la salud mental y bienestar de los pacientes con TB en episodios (hipo)maníacos o depresivos podrían mejorar mediante intervenciones que desarrollen aspectos de resiliencia específicos de este trastorno mental.

Referencias bibliográficas

  • (2000). American Psychiatric Association Diagnostic and statistical manual of mental disorders. 4. American Psychiatric Association.
  • (2013). American Psychiatric Association Diagnostic and statistical manual of mental disorders. 5. American Psychiatric Association.
  • Bauer, M. S,Vojta, C,Kinosian, B,Altshuler, L,Glick, H. (2000). The Internal State Scale: Replication of its discriminating abilities in a multisite, public sector sample. Bipolar Disorders. 2. 340
  • Bozikas, V. P,Parlapani, E,Ntouros, E,Bargiota, S. I,Floros, G,Nazlidou, E. I,Garyfallos, G. (2018). Resilience predicts social functioning in clinically stable patients with bipolar disorder. Journal of Nervous and Mental Disease. 206. 567
  • Calabrese, J. R,Vieta, E,El-Mallakh, R,Findling, R. L,Youngstrom, E. A,Elhaj, O,Gajwani, P,Pies, R. (2004). Mood state at study entry as predictor of the polarity of relapse in bipolar disorder. Biological Psychiatry. 56. 957
  • Dodd, A. L,Mezes, B,Lobban, F,Jones, S. H. (2017). Psychological mechanisms and the ups and downs of personal recovery in bipolar disorder. British Journal of Clinical Psychology. 56. 310
  • Echezarraga, A,Calvete, E,González-Pinto, A. M,Las Hayas, C. (2018). Resilience dimensions and mental health outcomes in bipolar disorder in a follow-up study. Stress and Health. 34. 115
  • Echezarraga, A,Calvete, E,Las Hayas, C. (2019). Validation of the Spanish version of the Work and Social Adjustment Scale in a sample of individuals with bipolar disorder. Journal of Psychosocial Nursing and Mental Health Services. 57. 44-51
  • Echezarraga, A,Las Hayas, C,Calvete, E,González-Pinto, A. M,Jones, S. (2019). Resilience process in bipolar disorder from the views of patients and health professionals. Revista Argentina de Clinica Psicológica. 28. 794-807
  • Echezarraga, A,Las Hayas, C,González-Pinto, A. M,Jones, S. (2017). The Resilience Questionnaire for Bipolar Disorder: Development and validation. Archives of Psychiatric Nursing. 31. 376
  • Fletcher, K,Parker, G,Paterson, A,Synnott, H. (2013). High-risk behaviour in hypomanic states. Journal of Affective Disorders. 150. 50
  • Goldberg, J. F,Garno, J. L,Harrow, M. (2005). Long-term remission and recovery in bipolar disorder: A review. Current Psychiatry Reports. 7. 456
  • Haro, J. M,Reed, C,Gonzalez-Pinto, A,Novick, D,Bertsch, J,Vieta, E. (2011). 2-year course of bipolar disorder type I patients in outpatient care: Factors associated with remission and functional recovery. European Neuropsychopharmacology. 21. 287
  • Hofer, A,Mizuno, Y,Wartelsteiner, F,Wolfgang Fleischhacker, W,Frajo-Apor, B,Kemmler, G,Mimura, M,Pardeller, S,Sondermann, C,Suzuki, T,Welte, A,Uchida, H. (2017). Quality of life in schizophrenia and bipolar disorder: The impact of symptomatic remission and resilience. European Psychiatry. 46. 42
  • Jones, S,Mulligan, L. D,Higginson, S,Dunn, G,Morrison, A. P. (2013). The Bipolar Recovery Questionnaire: Psychometric properties of a quantitative measure of recovery experiences in bipolar disorder. Journal of Affective Disorders. 147. 34-43
  • Jones, S. H,Tai, S,Evershed, K,Knowles, R,Bentall, R. (2006). Early detection of bipolar disorder: A pilot familial high-risk study of parents with bipolar disorder and their adolescent children. Bipolar Disorders. 8. 362
  • Judd, L. L,Akiskal, H. S,Schettler, P. J,Endicott, J,Leon, A. C,Solomon, D. A,Coryell, W,Maser, J. D,Keller, M. B. (2005). Psychosocial disability in the course of bipolar I and II disorders: A prospective, comparative, longitudinal study. Archives of General Psychiatry. 62. 1322
  • Kendall, T,Morriss, R,Mayo-Wilson, E,Marcus, E. (2014). Assessment and management of bipolar disorder: Summary of updated NICE guidance. BMJ. 349. 5673
  • Lee, D,Cha, B,Park, C.-S,Kim, B.-J,Lee, C.-S,Lee, S.-J,Seo, J.-Y,Cho, Y. A,Ha, J. H,Choi, J.-W. (2017). Effects of resilience on quality of life in patients with bipolar disorder. Journal of Affective Disorders. 207. 434
  • Luthar, S. S,Sawyer, J. A,Brown, P. J. (2006). Conceptual issues in studies of resilience: Past, present, and future research. Annals of the New York Academy of Sciences. 1094. 105
  • Michalak, E. E,Murray, G. (2010). Development of the QoL.BD: A disorder-specific scale to assess quality of life in bipolar disorder. Bipolar Disorders. 12. 727
  • Michalak, E. E,Yatham, L. N,Lam, R. W. (2005). Quality of life in bipolar disorder: A review of the literature. Health and Quality of Life Outcomes. 3.
  • Michalak, E. E,Yatham, L. N,Maxwell, V,Hale, S,Lam, R. W. (2007). The impact of bipolar disorder upon work functioning: A qualitative analysis. Bipolar Disorders. 9. 129
  • Miklowitz, D. J. (2008). Adjunctive psychotherapy for bipolar disorder: State of the evidence. American Journal of Psychiatry. 165. 1408
  • Morgado, C,Tapia, T,Ivanovic-Zuvic, F,Antivilo, A. (2015). Assessment of a version adapted and translated into Spanish of the Quality of Life Bipolar Disorder Questionnaire. Revista Medica de Chile. 143. 213
  • Mundt, J. C,Marks, I. M,Shear, M. K,Greist, J. H. (2002). The Work and Social Adjustment Scale: A simple measure of impairment in functioning. British Journal of Psychiatry. 180. 461
  • Özer, S,Uluahin, A,Batur, S,Kabakçi, E,Saka, M. C. (2002). Outcome measures of interepisode bipolar patients in a Turkish sample. Social Psychiatry and Psychiatric Epidemiology. 37. 31
  • Proudfoot, J,Doran, J,Manicavasagar, V,Parker, G. (2011). The precipitants of manic/hypomanic episodes in the context of bipolar disorder: A review. Journal of Affective Disorders. 133. 381
  • Riley, J. R,Masten, A. S. (2005). Resilience in context. Springer.
  • Rosa, A. R,Reinares, M,Michalak, E. E,Bonnin, C. M,Sole, B,Franco, C,Comes, M,Torrent, C,Kapczinski, F,Vieta, E. (2010). Functional impairment and disability across mood states in bipolar disorder. Value in Health. 13. 984
  • Ruggero, C. J,Johnson, S. L,Cuellar, A. K. (2004). Spanish-language measures of mania and depression. Psychological Assessment. 16. 381
  • Russell, S. J,Browne, J. L. (2005). Staying well with bipolar disorder. Australian and New Zealand Journal of Psychiatry. 39. 187
  • Strejilevich, S. A,Martino, D. J,Murru, A,Teitelbaum, J,Fassi, G,Marengo, E,Igoa, A,Colom, F. (2013). Mood instability and functional recovery in bipolar disorders. Acta Psychiatrica Scandinavica. 128. 194-202
  • Suto, M,Murray, G,Hale, S,Amari, E,Michalak, E. E. (2010). What works for people with bipolar disorder? Tips from the experts. Journal of Affective Disorders. 124. 76-84
  • Vojta, C,Kinosian, B,Glick, H,Altshuler, L,Bauer, M. S. (2001). Self-reported quality of life across mood states in bipolar disorder. Comprehensive Psychiatry. 42. 190
  • Wathen, C. N,MacGregor, J. C,Hammerton, J,Coben, J. H,Herrman, H,Stewart, D. E,MacMillan, H. L. (2012). Priorities for research in child maltreatment, intimate partner violence and resilience to violence exposures: Results of an international Delphi consensus development process. BMC Public Health. 12.