Instituto de Psiquiatria (IPUB), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Trends Psychiatry Psychother. 2022 Dec 6;44:e20210196. doi: 10.47626/2237-6089-2021-0196.
Based on studies of the biographies of artists and on research in which modern diagnostic criteria were applied, it has been suggested that there is a relationship between bipolar disorder (BD) and creativity. Objective: To investigate the relationship between BD and creativity and whether creative capacity varies depending on mood state.
We conducted a systematic search of the scientific literature indexed on the PubMed, ISI Web of Science, PsycINFO, and SciELO databases using the terms "bipolar" OR "bipolar disorder" OR "mania" OR "manic" AND "creativ*". Original studies were selected that investigated samples of at least ten patients with BD using at least one psychometric instrument to assess creativity.
Twelve articles met the selection criteria. The results of comparisons of BD patients with control groups without BD were heterogeneous. BD was not associated with higher levels of creativity than other mental disorders. When comparing BD phases, depression was associated with worse performance on creativity tests and patients in mania (or hypomania) were not distinguished from euthymia patients.
It was not possible to corroborate the hypothesis that individuals with BD are more creative than individuals without psychiatric diagnoses or than patients suffering from other mental disorders, which may be related to the cross-sectional rather than longitudinal designs of virtually all of the clinical studies.
基于对艺术家传记的研究以及应用现代诊断标准的研究，有人提出双相情感障碍（BD）与创造力之间存在关系。目的：调查 BD 与创造力之间的关系，以及创造力是否会因情绪状态而有所不同。
我们使用了“bipolar”或“bipolar disorder”或“mania”或“manic”以及“creativ*”等术语，在 PubMed、ISI Web of Science、PsycINFO 和 SciELO 数据库中对科学文献进行了系统检索，并选择了至少使用一种心理计量工具评估创造力的至少十个 BD 患者样本的原始研究。
符合选择标准的有 12 篇文章。BD 患者与无 BD 的对照组之间的比较结果存在异质性。BD 患者的创造力水平并不高于其他精神障碍患者。在比较 BD 各阶段时，抑郁与创造力测试的表现较差相关，而躁狂（或轻躁狂）患者与缓解期患者无区别。
不能证实 BD 患者比无精神诊断或其他精神障碍患者更具创造力的假设，这可能与几乎所有临床研究都是横断面而非纵向设计有关。
