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The relationship between insight and affective temperament in bipolar disorder: an exploratory study.
Silva, Rafael de Assis da; Mograbi, Daniel C; Camelo, Evelyn V M; Amadeo, Luiza Nogueira; Santana, Cristina M T; Landeira-Fernandez, Jesus; Cheniaux, Elie.
Afiliação
  • Silva RAD; Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio de Janeiro, RJ, Brazil.
  • Mograbi DC; Instituto de Psiquiatria (IPUB), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
  • Camelo EVM; Pontifícia Universidade Católica do Rio de Janeiro (PUC-Rio), Rio de Janeiro, RJ, Brazil.
  • Amadeo LN; Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Santana CMT; Instituto de Psiquiatria (IPUB), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
  • Landeira-Fernandez J; Pontifícia Universidade Católica do Rio de Janeiro (PUC-Rio), Rio de Janeiro, RJ, Brazil.
  • Cheniaux E; Instituto de Psiquiatria (IPUB), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Trends Psychiatry Psychother ; 40(3): 210-215, 2018.
Article em En | MEDLINE | ID: mdl-30304117
INTRODUCTION: In recent years, the association between temperament and clinical characteristics of mood disorders has been studied. Most bipolar patients show deficits in their awareness of signs and symptoms. The relationship between affective temperament and insight in bipolar patients has not been carried out in the literature so far. OBJECTIVE: To evaluate the relationship between affective temperament and insight in bipolar disorder. METHOD: A group of 65 bipolar patients were followed during a year. Patients underwent a clinical assessment and were diagnosed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Insight was evaluated through the Insight Scale for Affective Disorders (ISAD), and affective temperament, through the TEMPS-Rio de Janeiro. The relationship between affective temperament and insight was explored with Spearman rho correlations between scores on each item of the ISAD and on the TEMPS-Rio de Janeiro subscales. RESULTS: In euthymic phases, bipolars with depressive temperament were associated with a higher level of insight about the consequences of the disorder; when in mania, patients showed better insight about having an affective disorder, presenting psychomotor alterations, and suffering from guilt or grandiosity. Similarly, bipolar patients with higher scores of anxious temperament, when in mania, had better insight on alterations in attention. Bipolar patients with higher scores of hyperthymic temperament, when in mania, showed the worst insight about thought disorder. CONCLUSION: In addition to being determined by the phase of the disease and several varying symptoms, the level of insight in bipolar patients is also influenced by affective temperament.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Autoimagem / Transtorno Bipolar / Afeto Tipo de estudo: Guideline Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Trends Psychiatry Psychother Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Autoimagem / Transtorno Bipolar / Afeto Tipo de estudo: Guideline Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Trends Psychiatry Psychother Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil