NDLI: The relationship between insight and affective temperament in bipolar disorder: an exploratory study

Content Provider	Scientific Electronic Library Online (SciELO)
Author	Silva, Rafael de Assis da Mograbi, Daniel C. Camelo, Evelyn V. M. Amadeo, Luiza Nogueira Santana, Cristina M. T. Landeira-Fernandez, Jesus Cheniaux, Elie
Abstract	Abstract 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.
Related Links	http://www.scielo.br/scielo.php?script=sci_abstract&pid=S2237-60892018000300210&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000300210&lng=en&nrm=iso
Starting Page	210
Ending Page	215
Page Count	6
File Format	PDF
ISSN	22376089
DOI	10.1590/2237-6089-2017-0073
Journal	Trends in Psychiatry and Psychotherapy
Issue Number	3
Volume Number	40
Language	English
Publisher	Associação de Psiquiatria do Rio Grande do Sul
Publisher Date	2018-09-01
Access Restriction	Open
Subject Keyword	Bipolar disorder Insight Affective temperament Transtorno bipolar Temperamento afetivo
Alternative Title	A relação entre insight e temperamento afetivo no transtorno bipolar: um estudo exploratório
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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