Objective: Functional losses may be observed even in remission periods of bipolar disorder and psychopathological traits such as impulsivity, subsyndromal clinical symptoms, stigmatization influence functionality. Coping strategies define the attitudes towards daily life events and whether the attitudes are adaptive or not. It was aimed to investigate the effects of coping strategies and impulsivity to fuctionality in bipolar disorder and whether the effect of impulsivity is mediated by dysfunctional coping strategies.
Method: Remitted patients with bipolar disorder (n=74) and age, gender and education matched healthy controls (n=74) were enrolled. Measures were Functionality Scale for Bipolar Disorder (FSBD), Coping Strategies Inventory (COPE), Barratt Impulsivity Scale (BIS), Hamilton Depression Rating Scale (HAM-D), Young Mania Rating Scale (YRMS) and Hamilton Anxiety Rating Scale (HAM-A).
Results: Functionality score of the bipolar disorder group was significantly lower than the healthy control group (p=0.027). Moreover, attention (p=0.020) and motor (p=0.006) impulsivity scores were higher and maladaptive coping strategies score was lower (p=0.032) in the bipolar disorder group. Total score of the BIS was correlated with maladaptive coping strategies subscale of the COPE in the bipolar disorder group (r=0.38, p
Key words: Bipolar disorder, functionality, impulsivity, coping strategies
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