STRUCTURE OF COPING-BEHAVIOR IN PATIENTS WITH PRIMARY EPISODE OF BIPOLAR AFFECTIVE DISORDER
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i1.10725Keywords:
bipolar affective disorder, primary episode, coping behaviorAbstract
Problem of bipolar affective disorder (BAD) is one of the actual problems in modern psychiatry.
The aim of the study is to investigate the coping behavior of patients with a primary episode of bipolar affective disorder, taking into account the gender factor and clinical variant of the BAD debut.
Material and Methods. The features of coping behavior in 153 patients with primary episode of BAD were analyzed using the Surveillance Behavior Questionnaire S. Folkman and R. Lazarus.
Results and Discussion. It was found that in the depressive variant of the primary episode, escape-avoidance strategies prevail – 26.5 % of all patients, 25.2 % of men, 27.3 % of women; accepting responsibility – 17.5 %, 15.2 %, 18.9 %; seeking social support – 17.5 %, 16.3 %, 18.3 %; less important are self-control – 13.0 %, 14.4 %, 12.1 %; distance – 8.3 %, 8.0 %, 8.5 %; planning of problem solving – 7.7 %, 9.1 %, 6.9 %; confrontational coping – 6.5 %, 8.5 %, 5.3 % and positive revaluation – 2.9 %, 3.3 %, 2.7 %. In the maniacal version, confrontational coping is dominant – 26.6 %, 28.4 %, 23.1 %; at least distance – 17.8 %, 21.0 %, 11.9 %; escape-avoidance – 15.6 %, 13.8 %, 19.0 %; positive revaluation – 15.3 %, 15.7 %, 14.5 %; planning of problem solving – 9.1 %, 9.0 %, 9.2 %; self-control – 7.3 %, 6.0 %, 9.8 %; seeking social support – 6.6 %, 4.9 %, 9.9 % and accepting responsibility – 1.7 %, 1.2 %, 2.6 %. In the mixed version, distance prevails – 20.9 %, 19.2 %, 22.9 %; escape-avoidance – 18.8 %, 17.2 %, 20.7 %; confrontational coping – 18.1 %, 24.4 %, 11.0 %; less important are the search for social support – 14.8 %, 10.1 %, 20.0 %; self-control – 9.4 %, 8.1 %, 10.9 %; accepting responsibility – 6.0 %, 6.8 %, 5.1 %; positive revaluation – 6.2 %, 7.1 %, 5.1 % and problem solving planning – 5.8 %, 7.1 %, 4.3 %.
Conclusions. Patients with a primary episode of BAD have gender-specific coping behaviors that are predominant in men's confrontational coping, self-control, problem-solving planning and positive reassessment, and women have distancing, seeking social support, accepting responsibility, and escape-avoidance. The clinical version of the primary episode is crucial to coping behavior, with the depressive variant associated with escape, avoidance, responsibility, and social support strategies; maniacal – with strategies of confrontational coping, distance and escape-avoidance, and in the mixed version, the choice of coping strategy is determined by the actual mental state.
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