Differences in coping strategies in adult patients with bipolar disorder and their first-degree relatives in comparison to healthy controls

Bridi, Kelen Patricia Bürke; Loredo-Souza, Ana Claudia M.; Fijtman, Adam; Moreno, Mirela Vasconcelos; Kauer-Sant’Anna, Márcia; Ceresér, Keila Maria Mendes; Kunz, Maurício

doi:10.1590/2237-6089-2017-0140

Cited by 7 publications

(6 citation statements)

References 30 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants with a previous a mental disorder also had a lower prevalence of using only adaptive coping strategies. A study by Bridi et al (2018) found that patients with bipolar disorder used adaptive strategies significantly less than control patients. The authors attributed this to possible functional and emotional impairment, a more tense family environment, and greater emotional overload.…”

Section: Discussionmentioning

confidence: 99%

Coping Strategies and Their Relationship With Subjective Distress due to the COVID-19 Pandemic in Brazil

Campos

Martins

et al. 2022

Psychol Rep

View full text Add to dashboard Cite

Objectives To identify the strategies used by Brazilian adults for coping with the COVID-19 pandemic and to verify the effect of these strategies on subjective distress. Methods This was a cross-sectional observational study with online data collection in May/June 2020, November/December 2020, and May/June 2021. The BriefCOPE Inventory and the Impact of Event Scale (IES-R) were used. The prevalence of strategies used at different time points was estimated with a 95% confidence interval and compared with a z-test. A multiple logistic regression model was constructed and the odds ratio (OR, 95%CI) was calculated to verify the probability of subjective distress according to the coping strategy used. Results Younger individuals had a lower prevalence of adaptive strategies, which increased significantly with age. Participants with higher income levels had a higher prevalence of adaptive strategies, as did those who were never diagnosed with a mental health disorder. The prevalence of using only maladaptive strategies ranged from 6.1% to 5.4% ( p > 0.05). The use of problem-centered strategies (Active Coping and Planning), venting of emotions, and substance use increased with time, while acceptance and behavioral disengagement decreased. In general, the population used problem-centered strategies, but the high prevalence of problem avoidance was striking. Positive reinterpretation and acceptance were protective factors for subjective distress, whereas maladaptive strategies increased the chance of distress. The presence of a negative valence component (problem- or emotion-centered) increased the chance of subjective distress, whereas strategies based on Problem Solving acted as a protective factor. Conclusion Coping strategies were significantly associated to subjective distress and have changed since the beginning of the pandemic. Strategies focused on emotion regulation may be relevant to minimize distress.

show abstract

Section: Discussionmentioning

confidence: 99%

Coping Strategies and Their Relationship With Subjective Distress due to the COVID-19 Pandemic in Brazil

Campos

Martins

et al. 2022

Psychol Rep

View full text Add to dashboard Cite

show abstract

“…However, only the B6 mice develop learned helplessness following the IS [55,70], as well as persistent helplessness following chronic stress [71]. Because the inability to deal with adverse experiences by means of active (or problem-focused) coping strategies is considered a marker of a psychopathology [72][73][74][75], these findings seem to indicate that the B6 mice represent a model of genetic liability to stress. In line with this view, in the B6 mice, but not in mice of the D2 strain, a previous experience of an inescapable shock fosters extinction-resistant conditioned freezing [55]-the classic model of post-traumatic stress disorder (PTSD) in rodents [76,77].…”

Section: Stress-induced Dysfunctional Neuroplasticity and Psychopathomentioning

confidence: 99%

Functional and Dysfunctional Neuroplasticity in Learning to Cope with Stress

et al. 2020

View full text Add to dashboard Cite

In this brief review, we present evidence of the primary role of learning-associated plasticity in the development of either adaptive or maladaptive coping strategies. Successful interactions with novel stressors foster plasticity within the neural circuits supporting acquisition, consolidation, retrieval, and extinction of instrumental learning leading to development of a rich repertoire of flexible and context-specific adaptive coping responses, whereas prolonged or repeated exposure to inescapable/uncontrollable stressors fosters dysfunctional plasticity within the learning circuits leading to perseverant and inflexible maladaptive coping strategies. Finally, the results collected using an animal model of genotype-specific coping styles indicate the engagement of different molecular networks and the opposite direction of stress effects (reduced vs. enhanced gene expression) in stressed animals, as well as different behavioral alterations, in line with differences in the symptoms profile associated with post-traumatic stress disorder.

show abstract

“…To date, work on emotion regulation in individuals with BD and their relatives has focused on the acute or habitual use of specific coping strategies and their neural correlates (Bridi et al, 2018; Fletcher, Parker, & Manicavasagar, 2013; Green et al, 2011; Heissler, Kanske, Schönfelder, & Wessa, 2014; Kanske, Schönfelder, Forneck, & Wessa, 2015; Kjærstad et al, 2016; Kjærstad et al, 2020; Meluken et al, 2019). In general, neuroimaging studies indicate common familial alterations in brain activity during both implicit and explicit forms of emotion regulation in BD patients and unaffected FDRs, although these brain alterations may be specific to certain types of coping strategies that serve to downregulate emotion (Kanske et al, 2015; Kanske, Heissler, Schönfelder, Forneck, & Wessa, 2013; Miskowiak et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…In general, neuroimaging studies indicate common familial alterations in brain activity during both implicit and explicit forms of emotion regulation in BD patients and unaffected FDRs, although these brain alterations may be specific to certain types of coping strategies that serve to downregulate emotion (Kanske et al, 2015; Kanske, Heissler, Schönfelder, Forneck, & Wessa, 2013; Miskowiak et al, 2017). Similarly, behavioural and questionnaire-based studies indicate that the use of maladaptive strategies such as rumination, self-blame and disengagement coping are prevalent in FDRs, and may thus represent a familial trait (Bridi et al, 2018; Fortgang, Hultman, & Cannon, 2016; Green et al, 2011). In turn, adaptive emotion regulation strategies such as planning, positive reframing and task-oriented coping are prevalent in FDRs but not individuals with BD themselves (Bridi et al, 2018; Green et al, 2011; Meluken et al, 2019; Miskowiak et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, behavioural and questionnaire-based studies indicate that the use of maladaptive strategies such as rumination, self-blame and disengagement coping are prevalent in FDRs, and may thus represent a familial trait (Bridi et al, 2018; Fortgang, Hultman, & Cannon, 2016; Green et al, 2011). In turn, adaptive emotion regulation strategies such as planning, positive reframing and task-oriented coping are prevalent in FDRs but not individuals with BD themselves (Bridi et al, 2018; Green et al, 2011; Meluken et al, 2019; Miskowiak et al, 2017). The use of these strategies may thus provide some form of resilience to psychopathology in the former but not the latter.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Understanding familial liability for emotion regulation difficulties in bipolar disorder

et al. 2020

View full text Add to dashboard Cite

Background There has been relatively limited work focused on understanding whether relatives of individuals with bipolar disorder (BD) have difficulties in the regulation of emotion, particularly in relation to perceptions about whether emotions can be effectively regulated, or trait behaviours that acknowledge emotions as self-regulators themselves. In this study, we assessed the presence and extent of difficulties in these dimensions of emotion regulation in individuals with BD compared to unaffected first-degree biological relatives (FDR) for the first time. Methods In total, 161 participants, including euthymic individuals with BD, unaffected FDRs, and healthy controls, were compared on the Difficulties in Emotion Regulation Scale (DERS) – a multi-dimensional measure of habitual emotion regulation. Clinical data were also collected and examined in relation to DERS scores in a secondary analysis. Results In the BD group, difficulties were evident for most dimensions of emotion regulation as measured by the DERS; and correlated with an earlier onset of illness and more mood episodes. FDRs displayed generally normal emotion regulation, except in terms of their beliefs that emotions can be effectively regulated; on this dimension, their reported difficulty was intermediate to the BD group and controls. Conclusion Habitual emotion regulation difficulties in BD persist irrespective of mood state, are related to the course of illness, and should be targeted in psychological interventions. Further, the perception that emotions cannot be effectively regulated during times of distress seems to represent an endophenotype for BD.

show abstract

Differences in coping strategies in adult patients with bipolar disorder and their first-degree relatives in comparison to healthy controls

Cited by 7 publications

References 30 publications

Coping Strategies and Their Relationship With Subjective Distress due to the COVID-19 Pandemic in Brazil

Coping Strategies and Their Relationship With Subjective Distress due to the COVID-19 Pandemic in Brazil

Functional and Dysfunctional Neuroplasticity in Learning to Cope with Stress

Understanding familial liability for emotion regulation difficulties in bipolar disorder

Contact Info

Product

Resources

About