DOI: 10.1097/01.yic.0000405623.88201.8b

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Issn Print: 0268-1315

Publication Date: 2011/09/01


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Dysfunctional attitudes and symptom of illness in bipolar disorder

Inki Sohn; EungJo Kim; Seongdoo Won; Jengun Bae

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Excerpt

Objective: There are several reports that patient with bipolar disorder have the negative cognitive style such as depressive disorder and it affect the course of illness. The insight of his or her own illness is also contribute to the course of it. In this article, I would like to investigate the relationship between symptoms, cognitive insight and dysfunctional attitudes of bipolar disorder.
Methods: A total of 87 Bipolar patients and matched normal controls were recruited. All subjects completed the following questionnaires: Korean version of mood disorder questionnaire(K-MDQ), Korean version of Dysfunctional Attitude Style (K-DAS), and Korean version of Beck cognitive insight scale(K-BCIS), Korean version of Young Mania Rating Scales(K-YMRS) and Korean version of Hamilton Depression Rating Scale(K-HDRS) were administered to all patients by clinicians.
Results: Compared with normal controls, patients with bipolar disorder showed significantly higher cognitive dysfunctional attitude scores. In subscales, scores of evaluation and perfection were significant differences. K-YMRS scores were negatively correlated with K-MDQ scores and K-BCIS scores. K-YMRS scores and K-MDQ scores had no correlation with scores of the dysfunctional attitudes. but were correlated with the self-esteem subscale of the dysfunctional attitude. Also, K-BCIS scores did not correlated with scores of the dysfunctional attitudes.
Conclusion: Our results suggest that mood symptoms in bipolar disorder may affect subjective experience and cognitive insight of illness, but may not correlate with dysfunctional attitudes. The cognitive insight also do not correlate with dysfunctional attitudes. But compared with normal control, patient with bipolar disorder showed higher cognitive dysfunctional attitudes, especially evaluation and perfection.
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