Coping strategies and self-esteem in the high-risk offspring of bipolar parents.

Goodday, Sarah M. and Bentall, Richard and Jones, Steven Huntley and Weir, Arielle and Duffy, Anne (2018) Coping strategies and self-esteem in the high-risk offspring of bipolar parents. Australian and New Zealand Journal of Psychiatry. ISSN 0004-8674

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Abstract

Objectives: This study investigated whether there were differences in coping strategies and self-esteem between offspring of parents with bipolar disorder (high-risk) and offspring of unaffected parents (control), and whether these psychological factors predicted the onset and recurrence of mood episodes. Methods: High-risk and control offspring were followed longitudinally as part of the Flourish Canadian high-risk bipolar offspring cohort study. Offspring were clinically assessed annually by a psychiatrist using semi-structured interviews and completed a measure of coping strategies and self-esteem. Results: In high-risk offspring, avoidant coping strategies significantly increased the hazard of a new onset Diagnostic and Statistical Manual of Mental Disorders, 4th Edition twice revised mood episode or recurrence (hazard ratio: 1.89, p = 0.04), while higher self-esteem significantly decreased this hazard (hazard ratio: 2.50, p < 0.01). Self-esteem and avoidant coping significantly interacted with one another (p < 0.05), where the risk of a Diagnostic and Statistical Manual of Mental Disorders, 4th Edition twice revised new onset mood episode or recurrence was only significantly increased among high-risk offspring with both high avoidant coping and low self-esteem. Conclusion: A reduction of avoidant coping strategies in response to stress and improvement of self-esteem may be useful intervention targets for preventing the new onset or recurrence of a clinically significant mood disorder among individuals at high familial risk.

Item Type: Journal Article
Journal or Publication Title: Australian and New Zealand Journal of Psychiatry
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2700/2738
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 124098
Deposited By: ep_importer_pure
Deposited On: 12 Oct 2018 08:10
Refereed?: Yes
Published?: Published
Last Modified: 26 Feb 2020 04:21
URI: https://eprints.lancs.ac.uk/id/eprint/124098

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