Effects of stress and social support on recurrence in bipolar disorder

Cohen, Amy N.; Hammen, Constance; Henry, Risha M.; Daley, Shannon E.

doi:10.1016/j.jad.2003.10.008

Cited by 157 publications

(134 citation statements)

References 11 publications

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“…Interpersonal difficulties are often associated with high relapse rates and poor recovery rates through a negative impact on social relationships, support networks and coping strategies (Dilillo, 2001;Platts et al 2002;Cohen et al 2004). This may help to explain why childhood trauma survivors often experience poorer clinical outcomes and are at increased risk of relapse and reduced recovery from psychiatric illness.…”

Section: Discussionmentioning

confidence: 99%

The association between childhood trauma, parental bonding and depressive symptoms and interpersonal functioning in depression and bipolar disorder

Marshall

Shannon

Meenagh

et al. 2017

Ir. j. psychol. Med.

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Objectives. This study explores rates of a history of childhood trauma in adult patients with bipolar disorder and depression and the impact of such trauma and parental bonding patterns on depressive mood and interpersonal functioning at the time of assessment. Methods.A cross-sectional design was used and a sample of 49 participants was recruited from a mental health outpatient service in Northern Ireland. Data were subject to correlations, one-way analysis of variance and hierarchal regression analyses. A cut-off point of r = ± 0.25 was used to select variables for inclusion in the hierarchal regression analyses.Results. High rates of childhood trauma were present in both samples: 74% in bipolar disorder and 82% in depression. Childhood trauma and poor parental bonding (with mother) were significant predictors of higher rates of current inter-episode depressive mood and interpersonal difficulties.Conclusions. This finding adds to the evidence that routine assessment of early childhood experience is likely to prove helpful in clinical care.

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Section: Discussionmentioning

confidence: 99%

The association between childhood trauma, parental bonding and depressive symptoms and interpersonal functioning in depression and bipolar disorder

Marshall

Shannon

Meenagh

et al. 2017

Ir. j. psychol. Med.

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show abstract

“…Persistent subthreshold symptoms also increase risk for subsequent mood episodes,334, 336, 337 and the presence of residual symptoms should therefore be an indicator of a need for further treatment optimization. Availability of psychosocial support and lower levels of stress are also protective against recurrence 337, 338…”

Section: Maintenance Therapy For Bipolar Disordermentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

et al. 2018

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The Canadian Network for Mood and Anxiety Treatments (CANMAT) previously published treatment guidelines for bipolar disorder in 2005, along with international commentaries and subsequent updates in 2007, 2009, and 2013. The last two updates were published in collaboration with the International Society for Bipolar Disorders (ISBD). These 2018 CANMAT and ISBD Bipolar Treatment Guidelines represent the significant advances in the field since the last full edition was published in 2005, including updates to diagnosis and management as well as new research into pharmacological and psychological treatments. These advances have been translated into clear and easy to use recommendations for first, second, and third‐ line treatments, with consideration given to levels of evidence for efficacy, clinical support based on experience, and consensus ratings of safety, tolerability, and treatment‐emergent switch risk. New to these guidelines, hierarchical rankings were created for first and second‐ line treatments recommended for acute mania, acute depression, and maintenance treatment in bipolar I disorder. Created by considering the impact of each treatment across all phases of illness, this hierarchy will further assist clinicians in making evidence‐based treatment decisions. Lithium, quetiapine, divalproex, asenapine, aripiprazole, paliperidone, risperidone, and cariprazine alone or in combination are recommended as first‐line treatments for acute mania. First‐line options for bipolar I depression include quetiapine, lurasidone plus lithium or divalproex, lithium, lamotrigine, lurasidone, or adjunctive lamotrigine. While medications that have been shown to be effective for the acute phase should generally be continued for the maintenance phase in bipolar I disorder, there are some exceptions (such as with antidepressants); and available data suggest that lithium, quetiapine, divalproex, lamotrigine, asenapine, and aripiprazole monotherapy or combination treatments should be considered first‐line for those initiating or switching treatment during the maintenance phase. In addition to addressing issues in bipolar I disorder, these guidelines also provide an overview of, and recommendations for, clinical management of bipolar II disorder, as well as advice on specific populations, such as women at various stages of the reproductive cycle, children and adolescents, and older adults. There are also discussions on the impact of specific psychiatric and medical comorbidities such as substance use, anxiety, and metabolic disorders. Finally, an overview of issues related to safety and monitoring is provided. The CANMAT and ISBD groups hope that these guidelines become a valuable tool for practitioners across the globe.

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“…Social support and the presence of close relationships is associated with a range of positive outcomes in bipolar disorder, such as reduced relapse, interepisodic remission, and lower depressive symptom severity (Cohen, Hammen, Henry & Daley, 2004;Johnson, Lundström, Åberg-Wistedt & Mathé, 2003;Weinstock & Miller, 2010). More broadly, people with psychological difficulties tend to seek support from close relationships prior to, and alongside, professional support (Barker & Pistrang, 2002;Barker, Pistrang, Shapiro & Shaw, 1990).…”

Section: Department Of Health (2014mentioning

confidence: 99%

‘Between a rock and a hard place’: family members’ experiences of supporting a relative with bipolar disorder

Baruch

Pistrang

Barker

2018

Soc Psychiatry Psychiatr Epidemiol

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Effects of stress and social support on recurrence in bipolar disorder

Cited by 157 publications

References 11 publications

The association between childhood trauma, parental bonding and depressive symptoms and interpersonal functioning in depression and bipolar disorder

The association between childhood trauma, parental bonding and depressive symptoms and interpersonal functioning in depression and bipolar disorder

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

‘Between a rock and a hard place’: family members’ experiences of supporting a relative with bipolar disorder

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