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Irritable temperament and lifetime psychotic symptoms as predictors of anxiety symptoms in bipolar disorder.

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  • معلومة اضافية
    • المصدر:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 100927567 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1502-4725 (Electronic) Linking ISSN: 08039488 NLM ISO Abbreviation: Nord J Psychiatry Subsets: MEDLINE
    • بيانات النشر:
      Publication: London : Informa Healthcare
      Original Publication: Oslo ; Boston : Scandinavian University Press, c1999-
    • الموضوع:
      Irritable Mood* ; Temperament*; Anxiety/*psychology ; Bipolar Disorder/*psychology ; Psychotic Disorders/*psychology; Adult ; Aged ; Anxiety/diagnosis ; Anxiety/epidemiology ; Bipolar Disorder/diagnosis ; Bipolar Disorder/epidemiology ; Cross-Sectional Studies ; Female ; Forecasting ; Humans ; Italy/epidemiology ; Male ; Middle Aged ; Psychiatric Status Rating Scales ; Psychotic Disorders/diagnosis ; Psychotic Disorders/epidemiology
    • نبذة مختصرة :
      Purpose: Affective temperaments, hopelessness, alexithymia, and anxiety/agitation symptoms may play a significant role in the psychopathological characteristics of bipolar disorder (BD). Here, we aimed to investigate the eventual association between the mentioned explanatory variables and anxiety/agitation symptoms in BD.
      Materials and Methods: We recruited at the Section of Psychiatry, Department of Neuroscience, University of Genoa (Italy), 92 BD inpatients having a mean age of 52 (±13.8) years. Participants were assessed using specific psychometric instruments. Anxiety/agitation symptoms have been evaluated using the 11-item of the Beck Depression Inventory II (BDI-II).
      Results: Overall, 53.8% of participants presented with anxiety/agitation symptoms and 46.2% without. The two groups significantly differed about socio-economic status, lifetime psychotic symptoms, and residual depressive symptoms between episodes. Anxiety/agitation symptoms significantly correlated with irritable affective temperament (r = 0.407; p = .01), hopelessness (r = 0.541; p ≤ .001), difficulty identifying feelings (r = 0.440; p ≤ .001), difficulty describing feelings (r = 0.437; p ≤ .001), and externally oriented-thinking (r = 0.393; p ≤ .001). After multivariate analyses, irritable affective temperament (OR = 2.457, p ≤ .01) and less lifetime psychotic symptoms (OR = 0.007, p ≤ .05) remained the only significant variables associated with anxiety/agitation symptoms.
      Conclusions: The generalization of the main findings is limited by the small sample size and cross-sectional study design. Nevertheless, our results suggest that the careful assessment of affective temperaments and psychotic symptoms may help to early identify BD patients suffering from anxiety/agitation symptoms and may allow to perform targeted interventions in the clinical practice.
    • Contributed Indexing:
      Keywords: Bipolar disorder; alexithymia; anxiety/agitation symptoms; difficulty describing feelings; difficulty identifying feelings; externally oriented-thinking; hopelessness; irritable affective temperament; lifetime psychotic symptoms
    • الموضوع:
      Date Created: 20171013 Date Completed: 20180613 Latest Revision: 20181202
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.1080/08039488.2017.1385851
    • الرقم المعرف:
      29022840