Defence and coping in bipolar affective disorder: stability and change of adaptational processes.

Details

Ressource 1Download: 19573282.pdf (385.73 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_32E9AFB03C8E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Defence and coping in bipolar affective disorder: stability and change of adaptational processes.
Journal
The British journal of clinical psychology
Author(s)
Kramer U.
ISSN
0144-6657 (Print)
ISSN-L
0144-6657
Publication state
Published
Issued date
09/2010
Peer-reviewed
Oui
Volume
49
Number
Pt 3
Pages
291-306
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Defence mechanisms and coping have rarely been investigated from an integrative point of view. We are particularly interested in stability and change of these adaptational processes in clinical crisis situations of in-patients presenting with bipolar affective disorder.
We conducted a controlled interview study including an in-patient and a matched control group; longitudinal data are provided by follow-up interviewing for all participants.
A total of N=18 participants per group (patients presenting with bipolar affective disorder and non-clinical controls) were recruited and interviewed twice. All interviews were transcribed and analysed according to observer-rater systems for coping (Coping Action Patterns) and defence mechanisms (Defence Mechanism Rating Scales). Symptom check list-90-R, as well as specific symptomatic measures, were used for symptomatic assessment and hierarchical linear modelling was used for statistical computation.
Overall, defensive functioning remains stable over a 3 month period, whereas overall, coping functioning increases over the same period in-patients, as they are discharged from in-patient treatment; no such effect was found in controls.
Overall, stability in adaptational processes may be attributed to defensive functioning, whereas change over short periods of time are related to coping concepts in in-patients presenting with bipolar affective disorder.
Keywords
Adaptation, Psychological, Adult, Aged, Bipolar Disorder/psychology, Case-Control Studies, Defense Mechanisms, Female, Humans, Interviews as Topic, Longitudinal Studies, Male, Middle Aged, Psychiatric Status Rating Scales, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
08/03/2011 10:24
Last modification date
20/08/2019 13:18
Usage data