Browsing by Subject "Bipolar disorder"

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    Correlates of preferring a passive role in decision-making among patients with schizophrenia or bipolar disorder
    (Elsevier, 2021-05-05) Morán-Sánchez, I; Bernal-López, MLÁ; Salmerón, Diego; Pérez-Cárceles, MD; Ciencias Sociosanitarias
    Objective: To assess the factors associated with the persistence of clinician-led style in the therapeutic relationship in cases of serious mental illness, and the conditioning factors that the patients identify as determinants of their health. Method: Assessment of preferences in the decision-making process and health-related control locus of 107 outpatients with DSM-5 diagnosis of schizophrenia or bipolar disorder. Demographic and clinical information was also obtained through review of available records and using several scales. Results: 64.4 % patients preferred to adopt a passive role in the therapeutic relationship. In the multivariate analysis, the preference of playing a passive role in the decision-making process was significantly associated with the elderly, being disabled, or the view that one's health depends on doctors (AUC ROC value: 0.80). Conclusions: Patients with severe mental illness more frequently preferred a passive role in the decision-making process. We found several factors associated with a preference for the "expert role" model. Practice implications: The identified factors may permit care to be tailored to the most probable expectations as regard decision-making. Since the populations concerned may be vulnerable and suffer inequalities in the provision of health services, promoting participation in the care process could help improve clinical parameters ethically.
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    Psychological resilience and suicide attempt in patients with bipolar disorder: an exploratory study
    (SAGE Publications, 2021-10-29) Fernández-Rocha, María Luisa; García Izquierdo, Mariano; Ríos Risquez, María Isabel; Psiquiatría y Psicología Social; Facultad de Psicología y Logopedia
    Patients with bipolar affective disorder (BPAD) have a suicide risk of up to 30 times higher than the general population. There is increasing interest in analyzing the effects of resilience in psychiatric diseases and its relationship to other factors such as suicide risk. AIM: The main objective of this study was to analyze the relationship between psychological resilience and suicide attempts, along with other relevant clinical and sociodemographic variables in euthymic patients with BPAD. METHODS: Eighty six outpatients, more than 18 years old, mostly men (60.5%) with BPAD type 1, 2, mixed, and unspecified, in euthymic phase receiving antidepressant and/or euthimizing treatment,participated in the study. Sociodemographic and clinical variables were assessed by means of a questionnaire and psychological resilience by means of Connor-Davidson’s 10-item Resilience Scale. RESULTS: Patients with previous autolytic attempts scored significantly lower in resilience than those who had not attempted suicide (T = 3.30; p ≤ .001; 20.61 ± 6.58 vs. 26.52 ± 7.29). Patients diagnosed with BPAD scored significantly lower than other samples of university participants, workers, and the unemployed. The number of depressive episodes experienced was negatively and significantly associated with resilience scores (r = −.28; p < .01). CONCLUSIONS: Patients diagnosed with BPAD who had made autolytic attempts had lower resilience scores than those who had not made them and lower scores than other general nonpsychiatric samples. The promotion of resilience in patients diagnosed with BPAD would facilitate a more adaptive and positive coping with the disease and their recovery process.
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    Souffrir pour écrire, écrire pour guérir: poétique de la douleur dans Yoga d’Emmanuel Carrère.
    (Universidad de Murcia, Servicio de Publicaciones., 2025) Baës Kenaan, Paméla; Sin departamento asociado
    En Yoga, Carrère explora la enfermedad mental mediante estrategias narrativas específicas: humor corporal como defensa, vocabulario médico para legitimidad, y empatía para conectar con los lectores. La escritura y la meditación funcionan como prácticas terapéuticas complementarias que requieren disciplina e introspección. Aunque escribir no cura completamente, transforma el sufrimiento en creación literaria, proporcionando alivio temporal mientras reconoce el dolor como fuente esencial de expresión creativa.