Associations of Attachment and Coping Styles With Social Functioning in Patients With Bipolar Disorder I

Abstract

The aim of this study was to investigate the relationship of attachment and coping mechanisms with social functioning in patients with bipolar disorder (BD). Sixty-three patients with BD type I and 63 healthy controls were evaluated. Structured Clinical Interview for DSM-IV Axis I Disorders, Hamilton Depression Rating Scale, Young Mania Rating Scale, Experiences in Close Relationships Questionnaire II, Coping Orientation to Problems Experienced (COPE) inventory, and Social Functioning Scale were used. In the BD group, adaptive coping style scores and attachment avoidance scores were significantly lower than the control group, but mean scores of maladaptive coping styles were higher than the control group. Regression analysis showed that positive reinterpretation and growth, active coping, use of emotional social support, planning, religious activities, and mental disengagement subscales of COPE were significantly associated with social functioning. Psychosocial interventions to strengthen adaptive coping mechanisms may help improve the social functioning in patients with BD.

Mindfulness on Daily Life Coping in People Experiencing Psychosis: A Randomized Controlled Trial

“…People experiencing psychosis tend to rely on avoidance and emotion-distraction coping ( Piotrowski et al., 2020 ), and, as in other psychopathological phenomena, the experimental avoidance of the stressor results in an increase in psychotic experiences ( Forman et al., 2021 ). Nevertheless, coping strategies focused on dealing with the stressor without avoiding it, while focusing on how to resolve it, have been related to reduced impact of psychotic experiences on well-being ( López-Navarro et al., 2018 ), enhanced social functioning ( Karaş et al., 2021 ), and reduction of the effect of stigma on recovery ( Ordóñez-Camblor et al., 2021 ). Schlier et al.…”