Childhood maltreatment and coping in bipolar disorder

Childhood maltreatment and coping in bipolar disorder

Author Daruy-filho, Ledo Google Scholar
Brietzke, Elisa Autor UNIFESP Google Scholar
Kluwe-schiavon, Bruno Google Scholar
Fabres, Cristiane Da Silva Google Scholar
Grassi-oliveira, Rodrigo Google Scholar
Institution Pontifícia Universidade Católica do Rio Grande do Sul
Universidade Federal de São Paulo (UNIFESP)
Abstract A personal history of childhood maltreatment has been associated with unfavorable outcomes in bipolar disorder (BD). The impact of early life stressors on the course of BD may be influenced by individual differences in coping skills. The coping construct relies on neurocognitive mechanisms that are usually influenced by childhood maltreatment. The objective of the present study was to verify the association between childhood maltreatment and coping skills in individuals with BD Type 1. Thirty female euthymic outpatients with BD Type 1 were evaluated using the Childhood Trauma Questionnaire and two additional instruments to measure their coping preferences: Ways of Coping Questionnaire (coping strategies) and Brief COPE (coping styles). Reports of physical abuse (B = .64, p < .01) and emotional abuse (B = .44, p = .01) were associated with the use of maladaptive strategies that focused on emotional control. Adaptive strategies and styles of coping, such as focusing on the problem, were chosen less frequently by women who had experienced emotional neglect (B = .53, p < .01) and physical abuse (B = -.48, p < .01) in childhood. The small sample size in the present study prevented subgroup analyses. The sample did not include male BD participants. Our results indicate that early traumatic events may have a long-lasting deleterious influence on coping abilities in female BD patients. Future prospective studies may investigate whether the negative impact of childhood maltreatment over the course of BD is mediated by individual differences in coping abilities.
Keywords coping
child abuse
childhood trauma
bipolar disorder
Language English
Date 2013-12-01
Published in Psychology & Neuroscience. Pontificia Universidade Católica do Rio de JaneiroUniversidade de BrasíliaUniversidade de São Paulo, v. 6, n. 3, p. 271-277, 2013.
ISSN 1983-3288 (Sherpa/Romeo)
Publisher Pontificia Universidade Católica do Rio de JaneiroUniversidade de BrasíliaUniversidade de São Paulo
Extent 271-277
Access rights Open access Open Access
Type Article
SciELO ID S1983-32882013000300005 (statistics in SciELO)

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