Remisyonda Bipolar Bozuklukta Belirsizliğe Tahammülsüzlük, Bağlanma Biçimleri ve Klinik Özelliklerin İlişkisi

2020; 31(3): 174-184
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Relationship of Intolerance of Uncertainty and Attachment Styles with the Clinical Features of Bipolar Disorder in Remission

Objective: The intolerance of uncertainty and attachment styles may
predict the severity and clinical characteristics of bipolar disorder. In this
study, we aimed to investigate these features in remitted bipolar patients.
Method: This cross-sectional descriptive study included 150 BPD
patients who were followed up at the outpatient clinics of Bakırköy
Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatric
and Neurological Diseases. After the evaluation for the inclusion/
exclusion criteria, scores on the Young Mania Rating Scale and the
Hamilton Depression Rating Scale were determined to confirm the
state of remission. A sociodemographic data form, the Intolerance of
Uncertainty Scale (IUS-12), the Relationship Scales Questionnaire
(RSQ), the Inventory of Close Relationship Experiences 2 (ICRE-
2), the Suicidal Behavior Questionnaire (SBQ) and the World Health
Organization Disability Assessment Schedule 2.0 (WHODAS-2) were
used to acquire data.
Results: Patients with a history of two or more suicidal attempts
had significantly increased scores on the ICRE-2 avoidant subscale
(p=0.001). Their scores on the ICRE-2 anxious subscale positively
correlated with those on the IUS-12 prospective anxiety (p=0.000),
and inhibitory anxiety (p=0.000) subscales. The linear regression model
including the scores on the ICRE-2 avoidant and anxious subscales,
the IUS-12 prospective anxiety and inhibitory anxiety subscales and the
WHODAS-2 was predictive of the number of suicide attempts.
Conclusion: The number of suicide attempts might be higher in BPD
patients with avoidant or anxious attachment styles, high intolerance of
uncertainty and high levels of disability.
Key Words: Bipolar disorder, uncertainty, attachment, disability, suicide