Associations of Attachment and Coping Styles with Social Functioning in Patients with Bipolar Disorder I

Karas¸ H., Ca¸rpar E., Küçükgöncü S., Kas¸er M.

Journal of Nervous and Mental Disease, vol.209, no.8, pp.578-584, 2021 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 209 Issue: 8
  • Publication Date: 2021
  • Doi Number: 10.1097/nmd.0000000000001352
  • Journal Name: Journal of Nervous and Mental Disease
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ATLA Religion Database, BIOSIS, CAB Abstracts, Child Development & Adolescent Studies, CINAHL, Educational research abstracts (ERA), EMBASE, MEDLINE, MLA - Modern Language Association Database, Psycinfo, Violence & Abuse Abstracts
  • Page Numbers: pp.578-584
  • Keywords: attachment, Bipolar disorder, coping styles, social functioning
  • Istanbul Gelisim University Affiliated: Yes


© 2021 Lippincott Williams and Wilkins. All rights reserved.The aim of this study was to investigate the relationship of attachment and coping mechanisms with social functioning in patients with bipolar disorder (BD). Sixty-three patients with BD type I and 63 healthy controls were evaluated. Structured Clinical Interview for DSM-IV Axis I Disorders, Hamilton Depression Rating Scale, Young Mania Rating Scale, Experiences in Close Relationships Questionnaire II, Coping Orientation to Problems Experienced (COPE) inventory, and Social Functioning Scale were used. In the BD group, adaptive coping style scores and attachment avoidance scores were significantly lower than the control group, but mean scores of maladaptive coping styles were higher than the control group. Regression analysis showed that positive reinterpretation and growth, active coping, use of emotional social support, planning, religious activities, and mental disengagement subscales of COPE were significantly associated with social functioning. Psychosocial interventions to strengthen adaptive coping mechanisms may help improve the social functioning in patients with BD. © 2021 Wolters Kluwer Health, Inc. All rights reserved.