University of Health Sciences Bursa Yüksek Ihtisas Training and Research Hospital, 16240 Nilüfer, Bursa, Turkey.
Neurology and Neurosurgery, Department of Psychiatry Bakirkoy Training and Research Hospital for Psychiatry, Istanbul, Turkey.
J Affect Disord. 2020 Apr 1;266:402-412. doi: 10.1016/j.jad.2020.01.079. Epub 2020 Jan 20.
The relationship between resilience and insight may be of potential importance for coping with stress in bipolar disorder (BD). The aim of this study was to investigate if there was a relation between insight and resilience in euthymic patients with BD and also to analyze the associations between resilience, impulsivity, aggression, alcohol use and affective temperament.
142 patients with BD type I in remission period were involved. Resilience Scale for Adults-Turkish version, Schedule for Assessment of Insight, Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire, Barratt Impulsiveness Scale, Buss-Perry Aggression Questionnaire, Michigan Alcoholism Screening Test were used.
Total insight scores were negatively correlated with the scores of perception of future. As distinct from other subscales of resilience, family cohesion had independent significant associations with insight in relabelling of psychotic experiences and attention impulsivity. There was no relationship between total insight and total resilience scores. Resilience scores were negatively correlated with number of depressive episodes and number of suicide attempts. Degree of aggression, degree of impulsivity, scores of depressive and hyperthymic temperament significantly predicted resilience.
Recruitment of patients from a tertiary centre limits the generalizability of the findings.
Better insight was related to negative perception of the future and did not have significant associations with total resilience. Number of depressive episodes, number of past suicide attempts correlated with resilience, emphasizing the importance of interventions to increase resilience in BD.
韧性和洞察力之间的关系对于应对双相情感障碍（BD）中的压力可能具有潜在的重要性。本研究旨在调查处于缓解期的双相情感障碍患者的韧性和洞察力之间是否存在关系，同时分析韧性、冲动性、攻击性、酒精使用和情感气质之间的关联。
纳入了 142 名处于缓解期的 I 型双相情感障碍患者。使用成人韧性量表-土耳其语版、评估洞察力时间表、孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估、巴雷特冲动量表、Buss-Perry 攻击性问卷、密歇根酒精筛查测试。
总洞察力评分与未来感知呈负相关。与韧性的其他子量表不同，家庭凝聚力与精神病性体验和注意冲动的重新标记方面的洞察力具有独立的显著关联。总洞察力和总韧性评分之间没有关系。韧性评分与抑郁发作次数和自杀尝试次数呈负相关。攻击性程度、冲动性程度、抑郁和欣快气质评分显著预测了韧性。
从三级中心招募患者限制了研究结果的普遍性。
更好的洞察力与对未来的消极看法有关，与总韧性没有显著关联。抑郁发作次数、过去自杀尝试次数与韧性相关，强调了在 BD 中增加韧性的干预措施的重要性。
