Relationship between Personality Disorder Functioning Styles and the Emotional States in Bipolar I and II Disorders |
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| Authors: | Jiashu Yao You Xu Yanhua Qin Jing Liu Yuedi Shen Wei Wang Wei Chen |
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| Institution: | 1. Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou, China.; 2. Department of Clinical Psychology and Psychiatry/ School of Public Health, Zhejiang University College of Medicine, Hangzhou, China.; 3. Department of Diagnostics, Hangzhou Normal University School of Medicine, Hangzhou, China.; Catholic University of Sacred Heart of Rome, ITALY, |
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| Abstract: | BackgroundBipolar disorder types I (BD I) and II (BD II) behave differently in clinical manifestations, normal personality traits, responses to pharmacotherapies, biochemical backgrounds and neuroimaging activations. How the varied emotional states of BD I and II are related to the comorbid personality disorders remains to be settled.MethodsWe therefore administered the Plutchick – van Praag Depression Inventory (PVP), the Mood Disorder Questionnaire (MDQ), the Hypomanic Checklist-32 (HCL-32), and the Parker Personality Measure (PERM) in 37 patients with BD I, 34 BD II, and in 76 healthy volunteers.ResultsCompared to the healthy volunteers, patients with BD I and II scored higher on some PERM styles, PVP, MDQ and HCL-32 scales. In BD I, the PERM Borderline style predicted the PVP scale; and Antisocial predicted HCL-32. In BD II, Borderline, Dependant, Paranoid (-) and Schizoid (-) predicted PVP; Borderline predicted MDQ; Passive-Aggressive and Schizoid (-) predicted HCL-32. In controls, Borderline and Narcissistic (-) predicted PVP; Borderline and Dependant (-) predicted MDQ.ConclusionBesides confirming the different predictability of the 11 functioning styles of personality disorder to BD I and II, we found that the prediction was more common in BD II, which might underlie its higher risk of suicide and poorer treatment outcome. |
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