Dysfunctional family environment in affected versus unaffected offspring of parents with bipolar disorder

Dysfunctional family environment in affected versus unaffected offspring of parents with bipolar disorder

Author Ferreira, Guilherme S. Google Scholar
Moreira, Carolina R. L. Google Scholar
Kleinman, Ana Google Scholar
Nader, Edmir C. G. P. Google Scholar
Gomes, Bernardo Carramao Google Scholar
Teixeira, Ana Maria A. Google Scholar
Almeida Rocca, Cristiana C. Google Scholar
Nicoletti, Mark Google Scholar
Soares, Jair C. Google Scholar
Busatto, Geraldo F. Google Scholar
Lafer, Beny Google Scholar
Caetano, Sheila C. Google Scholar
Institution Universidade de São Paulo (USP)
Univ Texas Med Sch
Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: Children of parents with bipolar disorder (BD) are at heightened risk for developing mood and other psychiatric disorders. We proposed to evaluate the environment of families with at least one parent with BD type I (BDF) with affected offspring (aBDF) and unaffected offspring (uBDF) compared with control families without a history of DSM-IV Axis I disorder (CF).Method: We used the Family Environment Scale (FES) to evaluate 47 BDF (aBDF + uBDF) and 30 CF. Parents were assessed through the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Diagnosis of the offspring was determined through the Schedule for Affective Disorders and Schizophrenia for School-Age Children/Present and Lifetime Version (K-SADS-PL) interview.Results: There were statistically significant differences between aBDF, uBDF and CF in cohesion (p = 0.003), intellectual-cultural orientation (p = 0.01), active-recreational orientation (p = 0.007), conflict (p = 0.001), control (p = 0.01), moral-religious emphasis (p = 0.01) and organization (p = 0.001). the aBDF showed higher levels of control (p = 0.02) when compared to the uBDF.Conclusions: Families with a BD parent presented more dysfunctional interactions among members. Moreover, the presence of BD or other psychiatric disorders in the offspring of parents with BD is associated with higher levels of control. These results highlight the relevance of psychosocial interventions to improve resilience and family interactions.
Keywords Adolescents
bipolar disorder
family environment
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
National Alliance for Research on Schizophrenia and Depression (NARSAD)
American Psychiatric Association/AstraZeneca Young Minds in Psychiatry International Awards
L'Oreal-ABC-Unesco - Para Mulheres na Ciencia, Brazil.
Date 2013-11-01
Published in Australian and New Zealand Journal of Psychiatry. London: Sage Publications Ltd, v. 47, n. 11, p. 1051-1057, 2013.
ISSN 0004-8674 (Sherpa/Romeo, impact factor)
Publisher Sage Publications Ltd
Extent 1051-1057
Origin http://dx.doi.org/10.1177/0004867413506754
Access rights Closed access
Type Article
Web of Science ID WOS:000326561800013
URI http://repositorio.unifesp.br/handle/11600/36965

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