Impact of Childhood Trauma and Attachment on Resilience in Remitted Patients with Bipolar Disorder
| Autor: | Evrim Erten, Cihad Citak |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Bipolar Disorder media_common.quotation_subject 03 medical and health sciences 0302 clinical medicine Quality of life Rating scale Surveys and Questionnaires Medicine Humans Bipolar disorder Child Abuse Psychological abuse Child Depression (differential diagnoses) media_common business.industry Adult Survivors of Child Abuse medicine.disease 030227 psychiatry Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Quality of Life Anxiety Psychological resilience medicine.symptom business Psychosocial 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Journal of affective disorders. 280 |
| ISSN: | 1573-2517 |
| Popis: | Background Childhood trauma has been reported to be associated with severe course of illness, insecure attachment, and lower resilience in bipolar disorder. We aimed to examine the impact of childhood trauma on resilience and possible mediating role of attachment on this impact in bipolar disorder. Methods The study group comprised of 110 remitted patients with bipolar disorder. Hamilton Depression Rating Scale (HAM-D) and Young Mani Rating Scale (YMRS) are administered to verify remission. Childhood trauma questionnaire (CTQ-SF), Experiences in Close Relationships-revised (ECR-R), and Resilience Scale for Adults (RSA) scales administered to all patients. Results More than half of patients in bipolar disorder group reported childhood trauma. HAM-D scores were positively associated with childhood trauma total scores and emotional abuse scores, negatively associated with resilience, with attachment-related anxiety. Total childhood trauma scores were associated with lower scores of resilience, higher scores of attachment-related anxiety and avoidance. Resilience scores were negatively associated with attachment-related anxiety and avoidance. Impact of childhood trauma on resilience was partly mediated by attachment-related anxiety and avoidance, respectively. Limitations The cross-sectional design of this study is a limitation in terms of determining causality of the identified relationships. Conclusions Childhood traumas are associated with lower resilience and higher attachment-related anxiety and avoidance. Attachment-related anxiety and avoidance partly mediated the negative effect of childhood trauma on resilience. Since resilience is associated with increased quality of life in bipolar disorder, it might be helpful to develop attachment-informed psychosocial interventions to ameliorate the detrimental effect of childhood trauma on resilience. |
| Databáze: | OpenAIRE |
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