Relationship between personality disorder functioning styles and the emotional states in bipolar I and II disorders

Jiashu Yao; You Xu; Yanhua Qin; Jing Liu; Yuedi Shen; Wei Wang; Wei Chen

doi:10.1371/journal.pone.0117353

Relationship between personality disorder functioning styles and the emotional states in bipolar I and II disorders

PLoS One. 2015 Jan 27;10(1):e0117353. doi: 10.1371/journal.pone.0117353. eCollection 2015.

Authors

Jiashu Yao¹, You Xu², Yanhua Qin¹, Jing Liu¹, Yuedi Shen³, Wei Wang⁴, Wei Chen¹

Affiliations

¹ Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou, China.
² Department of Clinical Psychology and Psychiatry/ School of Public Health, Zhejiang University College of Medicine, Hangzhou, China.
³ Department of Diagnostics, Hangzhou Normal University School of Medicine, Hangzhou, China.
⁴ Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University College of Medicine, Hangzhou, China; Department of Clinical Psychology and Psychiatry/ School of Public Health, Zhejiang University College of Medicine, Hangzhou, China.

Abstract

Background: Bipolar disorder types I (BD I) and II (BD II) behave differently in clinical manifestations, normal personality traits, responses to pharmacotherapies, biochemical backgrounds and neuroimaging activations. How the varied emotional states of BD I and II are related to the comorbid personality disorders remains to be settled.

Methods: We therefore administered the Plutchick - van Praag Depression Inventory (PVP), the Mood Disorder Questionnaire (MDQ), the Hypomanic Checklist-32 (HCL-32), and the Parker Personality Measure (PERM) in 37 patients with BD I, 34 BD II, and in 76 healthy volunteers.

Results: Compared to the healthy volunteers, patients with BD I and II scored higher on some PERM styles, PVP, MDQ and HCL-32 scales. In BD I, the PERM Borderline style predicted the PVP scale; and Antisocial predicted HCL-32. In BD II, Borderline, Dependent, Paranoid (-) and Schizoid (-) predicted PVP; Borderline predicted MDQ; Passive-Aggressive and Schizoid (-) predicted HCL-32. In controls, Borderline and Narcissistic (-) predicted PVP; Borderline and Dependent (-) predicted MDQ.

Conclusion: Besides confirming the different predictability of the 11 functioning styles of personality disorder to BD I and II, we found that the prediction was more common in BD II, which might underlie its higher risk of suicide and poorer treatment outcome.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Bipolar Disorder / psychology*
Case-Control Studies
Emotions
Female
Humans
Male
Personality Disorders / psychology*
Young Adult

Grants and funding

The study was supported by the grants from the Natural Science Foundation of China to Drs. W. Wang (No. 91132715), Y. Shen (No. 81272502), and W. Chen (No. 81371490). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.