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Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder

Background: Resilience represents one of the fundamental elements of attachment and has often been investigated in mood disorders. This study aims to investigate possible correlations between attachment and resilience in patients with major depressive disorder (MDD) and bipolar disorder (BD). Method...

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Autores principales: Craba, Ambra, Marano, Giuseppe, Kotzalidis, Georgios D., Avallone, Carla, Lisci, Francesco Maria, Crosta, Maria Luigia, Callea, Antonino, Monti, Laura, De Berardis, Domenico, Lai, Carlo, Balocchi, Marta, Sessa, Ilenia, Harnic, Désirée, Sani, Gabriele, Mazza, Marianna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304432/
https://www.ncbi.nlm.nih.gov/pubmed/37373958
http://dx.doi.org/10.3390/jpm13060969
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author Craba, Ambra
Marano, Giuseppe
Kotzalidis, Georgios D.
Avallone, Carla
Lisci, Francesco Maria
Crosta, Maria Luigia
Callea, Antonino
Monti, Laura
De Berardis, Domenico
Lai, Carlo
Balocchi, Marta
Sessa, Ilenia
Harnic, Désirée
Sani, Gabriele
Mazza, Marianna
author_facet Craba, Ambra
Marano, Giuseppe
Kotzalidis, Georgios D.
Avallone, Carla
Lisci, Francesco Maria
Crosta, Maria Luigia
Callea, Antonino
Monti, Laura
De Berardis, Domenico
Lai, Carlo
Balocchi, Marta
Sessa, Ilenia
Harnic, Désirée
Sani, Gabriele
Mazza, Marianna
author_sort Craba, Ambra
collection PubMed
description Background: Resilience represents one of the fundamental elements of attachment and has often been investigated in mood disorders. This study aims to investigate possible correlations between attachment and resilience in patients with major depressive disorder (MDD) and bipolar disorder (BD). Methods: 106 patients (51 MDD, 55 BD) and 60 healthy controls (HCs) were administered the 21-item Hamilton Depression Rating Scale (HAM-D-21), the Hamilton Anxiety Rating Scale (HAM-A), the Young Mania Rating Scale (YMRS), the Snaith–Hamilton Pleasure Scale (SHAPS), the Barratt Impulsiveness Scale-11 (BIS-11), the Toronto Alexithymia Scale (TAS), the Connor–Davidson Resilience Scale (CD-RISC), and Experiences in Close Relationship (ECR). Results: MDD and BD patients did not significantly differ from each other according to the HAM-D-21, HAM-A, YMRS, SHAPS, and TAS, while they scored higher than HCs on all these scales. Patients in the clinical group scored significantly lower on CD-RISC resilience than HCs (p < 0.01). A lower proportion of secure attachment was found among patients with MDD (27.4%) and BD (18.2%) compared to HCs (90%). In both clinical groups, fearful attachment prevailed (39.2% patients with MDD; 60% BD). Conclusions: Our results highlight the central role played by early life experiences and attachment in participants with mood disorders. Our study confirms the data from previous research showing a significant positive correlation between the quality of attachment and the development of resilience capacity, and supports the hypothesis that attachment constitutes a fundamental aspect of resilience capacity.
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spelling pubmed-103044322023-06-29 Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder Craba, Ambra Marano, Giuseppe Kotzalidis, Georgios D. Avallone, Carla Lisci, Francesco Maria Crosta, Maria Luigia Callea, Antonino Monti, Laura De Berardis, Domenico Lai, Carlo Balocchi, Marta Sessa, Ilenia Harnic, Désirée Sani, Gabriele Mazza, Marianna J Pers Med Article Background: Resilience represents one of the fundamental elements of attachment and has often been investigated in mood disorders. This study aims to investigate possible correlations between attachment and resilience in patients with major depressive disorder (MDD) and bipolar disorder (BD). Methods: 106 patients (51 MDD, 55 BD) and 60 healthy controls (HCs) were administered the 21-item Hamilton Depression Rating Scale (HAM-D-21), the Hamilton Anxiety Rating Scale (HAM-A), the Young Mania Rating Scale (YMRS), the Snaith–Hamilton Pleasure Scale (SHAPS), the Barratt Impulsiveness Scale-11 (BIS-11), the Toronto Alexithymia Scale (TAS), the Connor–Davidson Resilience Scale (CD-RISC), and Experiences in Close Relationship (ECR). Results: MDD and BD patients did not significantly differ from each other according to the HAM-D-21, HAM-A, YMRS, SHAPS, and TAS, while they scored higher than HCs on all these scales. Patients in the clinical group scored significantly lower on CD-RISC resilience than HCs (p < 0.01). A lower proportion of secure attachment was found among patients with MDD (27.4%) and BD (18.2%) compared to HCs (90%). In both clinical groups, fearful attachment prevailed (39.2% patients with MDD; 60% BD). Conclusions: Our results highlight the central role played by early life experiences and attachment in participants with mood disorders. Our study confirms the data from previous research showing a significant positive correlation between the quality of attachment and the development of resilience capacity, and supports the hypothesis that attachment constitutes a fundamental aspect of resilience capacity. MDPI 2023-06-08 /pmc/articles/PMC10304432/ /pubmed/37373958 http://dx.doi.org/10.3390/jpm13060969 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Craba, Ambra
Marano, Giuseppe
Kotzalidis, Georgios D.
Avallone, Carla
Lisci, Francesco Maria
Crosta, Maria Luigia
Callea, Antonino
Monti, Laura
De Berardis, Domenico
Lai, Carlo
Balocchi, Marta
Sessa, Ilenia
Harnic, Désirée
Sani, Gabriele
Mazza, Marianna
Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder
title Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder
title_full Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder
title_fullStr Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder
title_full_unstemmed Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder
title_short Resilience and Attachment in Patients with Major Depressive Disorder and Bipolar Disorder
title_sort resilience and attachment in patients with major depressive disorder and bipolar disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304432/
https://www.ncbi.nlm.nih.gov/pubmed/37373958
http://dx.doi.org/10.3390/jpm13060969
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