Relationship between Chinese adjective descriptors of personality and emotional symptoms in young Chinese patients with bipolar disorders

Yu, Enyan; Li, Huihui; Fan, Hongying; Gao, Qianqian; Tan, Yunfei; Lou, Junyao; Zhang, Jie; Wang, Wei

doi:10.1177/0300060515594192

Cited by 5 publications

(5 citation statements)

References 57 publications

(94 reference statements)

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“…We also found that patients with BD I and BD II scored significantly higher than the healthy volunteers, while patients with BD I scored higher on HCL-32 than those with BD II. These outcomes are consistent with previous findings [42–44] and support the suggestion that BD I and BD II represent manic and depressive extremes in the bipolar spectrum respectively [45]. Moreover, we found that ES2 latency was reduced under Erotica in the BD I group, ES2 latencies were prolonged under Disgust and Happiness, and ES2 durations were reduced under Disgust, Happiness and Sadness in the BD II group.…”

Section: Discussionsupporting

confidence: 93%

Inhibitory brainstem reflexes under external emotional-stimuli in bipolar I and II disorders

Zhu¹,

Wang²,

Shen³

et al. 2017

BMC Psychiatry

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BackgroundBipolar disorder types I (BD I) and II (BD II) might present different dysfunctions of the cortex and brainstem, as reflected by the second exteroceptive suppression period of temporalis muscle activity (ES2) under different stimuli of external emotions.MethodsThis study included 30 BD I and 20 BD II patients, and 40 healthy volunteers. All participants were invited to answer the Mood Disorder Questionnaire, the Hypomania Checklist-32, and the Plutchik-van Praag Depression inventory, as well as to undergo the ES2 test under external emotional-stimuli (emotional pictures plus sounds) of Disgust, Erotica, Fear, Happiness, and Sadness.ResultsThe scale scores were elevated in both patient groups, but were not correlated with ES2 parameters. Compared to healthy controls, BD I showed prolonged ES2 latency under Erotica, and their perceived happiness and sadness intensities were negatively correlated with the respective ES2 durations, while BD II showed prolonged ES2 latencies under Disgust and Happiness, and shortened ES2 durations under Disgust, Happiness and Sadness. Moreover, ES2 duration under Sadness was significantly shorter in BD II than that in BD I.ConclusionsThe cortico-brainstem inhibitory dysfunctions in BD I and BD II was different, and this difference was independent of the patient’s ongoing emotions. Our study thus provides some hints to distinguish the two types of bipolar disorders.

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Section: Discussionsupporting

confidence: 93%

Inhibitory brainstem reflexes under external emotional-stimuli in bipolar I and II disorders

Zhu¹,

Wang²,

Shen³

et al. 2017

BMC Psychiatry

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“…Participants were asked to complete the rating items using the Likert type scales: 1-very unlike me, 2-moderately unlike me, 3-somewhat like and unlike me, 4-moderately like me, and 5-very like me. The internal alphas of each CADP factor in the two groups were satisfactory (Table 1) as demonstrated previously [6, 7]. …”

Section: Methodssupporting

confidence: 84%

“…Since its development is based on the Chinese culture, CADP might be more suitable to measure the personality-related psychiatric disorders in China. Recently, it has been demonstrated that the CADP traits were correlated respectively with the clinical symptoms of two types of bipolar disorder in Chinese culture [7]. …”

Section: Introductionmentioning

confidence: 99%

Predicting personality disorder functioning styles by the Chinese Adjective Descriptors of Personality: a preliminary trial in healthy people and personality disorder patients

Fan

Zhu

et al. 2016

BMC Psychiatry

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BackgroundCultural and personality factors might contribute to the clinical differences of psychiatric patients all over the world including China. One cultural oriented Chinese Adjective Descriptors of Personality (CADP) designed to measure normal personality traits, might be specifically associated with different personality disorder functioning styles.MethodsWe therefore have invited 201 healthy volunteers and 67 personality disorder patients to undergo CADP, the Parker Personality Measure (PERM), and the Plutchik-van Praag Depression Inventory (PVP) tests.ResultsPatients scored significantly higher on PVP scale and all 11 PERM personality disorder functioning styles, as well as CADP Emotional and Unsocial traits. The PVP was significantly correlated with some CADP traits and PERM styles in both groups. In healthy volunteers, only one CADP trait, Unsocial, prominently predicted 11 PERM styles. By contrast in patients, CADP Intelligent predicted the PERM Narcissistic and Passive-Aggressive styles; CADP Emotional the PERM Paranoid, Borderline, and Histrionic styles; CADP Conscientious the PERM Obsessive-Compulsive style; CADP Unsocial the PERM Schizotypal, Antisocial, Narcissistic, Avoidant, Dependent, and Passive-Aggressive styles; CADP Agreeable the PERM Antisocial style.ConclusionAs a preliminary study, our results demonstrated that, in personality disorder patients, all five CADP traits were specifically associated with almost all 11 personality disorder functioning styles, indicating that CADP might be used as an aid to diagnose personality disorders in China.

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“…In our study, BD II patients scored significantly higher on PVP than BD I patients and controls did, BD I patients scored significantly higher on MDQ than both BD II patients and controls did, and both BD I and BD II patients scored significantly higher on HCL-32 than controls did. These results were consistent with previous findings (Xu et al, 2015; Yao et al, 2015; Yu et al, 2015) and supported that BD I and BD II represent manic and depressive extremes in the bipolar spectrum, respectively (Judd et al, 2003). The mean nightmare frequencies were not different between the three groups of participants.…”

Section: Discussionsupporting

confidence: 93%

Nightmare experience in bipolar I and II disorders.

Knepper

Zhu

et al. 2018

Dreaming

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Some patients with bipolar disorder have traumatic experience, sleep disturbance, and emotional variations, which are related to nightmare reports in clinics. We hypothesized that the nightmare experience might present some uniqueness in different types of bipolar disorder. We invited 200 healthy volunteers and 141 bipolar disorder I (BD I) and 78 bipolar disorder II (BD II) patients who had at least one nightmare lifelong to undergo tests of the Nightmare Experience Questionnaire (NEQ) and the questionnaires measuring mania, hypomania, and depression. Compared with healthy controls, both BD I and BD II patients displayed their abnormal affective states and scored significantly higher on NEQ Meaning Interpretation; BD I patients, in addition, scored higher on NEQ Horrible Stimulation. Hypomania was correlated with Horrible Simulation in BD II patients, and depression was correlated with Physical Effect and Horrible Stimulation in healthy controls. We found some NEQ scales were elevated in bipolar disorder, but these abnormalities failed to differentiate BD I from BD II.

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Relationship between Chinese adjective descriptors of personality and emotional symptoms in young Chinese patients with bipolar disorders

Abstract: Four out of five Chinese personality traits were associated with emotional symptoms in patients with bipolar I or II disorder, but displayed different associations depending on disorder type.

Cited by 5 publications

References 57 publications

Inhibitory brainstem reflexes under external emotional-stimuli in bipolar I and II disorders

Inhibitory brainstem reflexes under external emotional-stimuli in bipolar I and II disorders

Predicting personality disorder functioning styles by the Chinese Adjective Descriptors of Personality: a preliminary trial in healthy people and personality disorder patients

Nightmare experience in bipolar I and II disorders.

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