Skip to main content
Top
Published in: International Journal of Bipolar Disorders 1/2015

Open Access 01-12-2015 | Research

Impact of childhood trauma and affective temperament on resilience in bipolar disorder

Authors: Sermin Kesebir, Başak Ünübol, Elif Tatlıdil Yaylacı, Duru Gündoğar, Hüseyin Ünübol

Published in: International Journal of Bipolar Disorders | Issue 1/2015

Login to get access

Abstract

Background

The aim of this study was to investigate whether childhood trauma (CT) and affective temperament have an impact on resilience in bipolar patients.

Methods

One hundred cases with bipolar disorder (BD) diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) were evaluated consecutively in their euthymic period during outpatient follow-up interviews. Diagnostic interviews were done with SCID-I, affective temperament was evaluated with the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire, and resilience was evaluated with the Resilience Scale for Adults (RSA). The presence of CT was determined and measured with the Childhood Trauma Questionnaire (CTQ).

Results

Among the bipolar patients, it was found that 35 cases (35%) were CT+. Depressive, cyclothymic, and anxious temperament scores were higher in CT+ cases. However, resilience scores were higher in CT− cases. In bipolar patients with and without childhood trauma, the relationship between temperament and resilience appears to be different. A negative relation between sexual abuse, emotional abuse, emotional neglect, and anxious temperament scores and resilience scores was shown in regression analysis.

Conclusions

CT and affective temperament both have an impact on resilience in bipolar patients.
Literature
go back to reference Akiskal HS, Mendlowicz MV, Jean-Louis G, Rapaport MH, Kelsoe JR, Gillin JC, et al. TEMPS-A: validation of a short version of a self-rated instrument designed to measure variations in temperament. J Affect Disord. 2005;85(1–2):45–52.CrossRefPubMed Akiskal HS, Mendlowicz MV, Jean-Louis G, Rapaport MH, Kelsoe JR, Gillin JC, et al. TEMPS-A: validation of a short version of a self-rated instrument designed to measure variations in temperament. J Affect Disord. 2005;85(1–2):45–52.CrossRefPubMed
go back to reference Alm PA, Risberg J. Stuttering in adults: the acoustic startle response, temperamental traits, and biological factors. J Commun Disord. 2007;40(1):1–41.CrossRefPubMed Alm PA, Risberg J. Stuttering in adults: the acoustic startle response, temperamental traits, and biological factors. J Commun Disord. 2007;40(1):1–41.CrossRefPubMed
go back to reference Angst J. Temperament and personality types in bipolar patients: a historical review. In: Marneros A, Angst J, editors. Bipolar disorders: 100 years after manic-depressive insanity. London: Kluwer Academic Publishers; 2000. p. 175–99. Angst J. Temperament and personality types in bipolar patients: a historical review. In: Marneros A, Angst J, editors. Bipolar disorders: 100 years after manic-depressive insanity. London: Kluwer Academic Publishers; 2000. p. 175–99.
go back to reference Amico F, Meisenzahl E, Koutsouleris N, Reiser M, Möller HJ, Frodl T. Structural correlates for vulnerability and resilience to major depressive disorder. J Psychiatry Neurosci. 2011;36(1):15–22.CrossRefPubMedCentralPubMed Amico F, Meisenzahl E, Koutsouleris N, Reiser M, Möller HJ, Frodl T. Structural correlates for vulnerability and resilience to major depressive disorder. J Psychiatry Neurosci. 2011;36(1):15–22.CrossRefPubMedCentralPubMed
go back to reference Basım HN, Çetin F. Reliability and validity of psychological resilience for adults. Turk Psikiyatri Derg. 2011;22(2):104–14.PubMed Basım HN, Çetin F. Reliability and validity of psychological resilience for adults. Turk Psikiyatri Derg. 2011;22(2):104–14.PubMed
go back to reference Bernstein DP, Ahluvalia T, Pogge D, Handelsman L. Validity of the Childhood Trauma Questionnaire in an adolescent psychiatric population. J Am Acad Child Adolesc Psychiatry. 1997;36(3):340–8.CrossRefPubMed Bernstein DP, Ahluvalia T, Pogge D, Handelsman L. Validity of the Childhood Trauma Questionnaire in an adolescent psychiatric population. J Am Acad Child Adolesc Psychiatry. 1997;36(3):340–8.CrossRefPubMed
go back to reference Clark LA. Temperament as a unifying basis for personality and psychopathology. J Abnorm Psychol. 2005;114(4):505–21.CrossRefPubMed Clark LA. Temperament as a unifying basis for personality and psychopathology. J Abnorm Psychol. 2005;114(4):505–21.CrossRefPubMed
go back to reference Çorapçıoğlu A, Aydemir Ö, Yıldız M, Esen Danacı A, Köroğlu E. DSM-IV Eksen I Bozuklukları (SCID-I) İçin Yapılandırılmış Klinik Görüşme, Klinik Versiyon. Hekimler Yayın Birliği; Ankara 1999. Çorapçıoğlu A, Aydemir Ö, Yıldız M, Esen Danacı A, Köroğlu E. DSM-IV Eksen I Bozuklukları (SCID-I) İçin Yapılandırılmış Klinik Görüşme, Klinik Versiyon. Hekimler Yayın Birliği; Ankara 1999.
go back to reference Degnan KA, Fox NA. Behavioral inhibition and anxiety disorders: multiple levels of a resilience process. Dev Psychopathol. 2007;19(3):729–46.CrossRefPubMed Degnan KA, Fox NA. Behavioral inhibition and anxiety disorders: multiple levels of a resilience process. Dev Psychopathol. 2007;19(3):729–46.CrossRefPubMed
go back to reference Evren C, Ozcetinkaya S, Ulku M, Cagil D, Gokalp P, Cetin T, et al. Relationship of defense styles with history of childhood trauma and personality in heroin dependent inpatients. Psychiatry Res. 2012;200(2–3):728–33.CrossRefPubMed Evren C, Ozcetinkaya S, Ulku M, Cagil D, Gokalp P, Cetin T, et al. Relationship of defense styles with history of childhood trauma and personality in heroin dependent inpatients. Psychiatry Res. 2012;200(2–3):728–33.CrossRefPubMed
go back to reference Fadardi JS, Azad H, Nemati A. The relationship between resilience, motivational structure and substance use. Procedia Social and Behavioral Sciences. 2010;5:1956–60.CrossRef Fadardi JS, Azad H, Nemati A. The relationship between resilience, motivational structure and substance use. Procedia Social and Behavioral Sciences. 2010;5:1956–60.CrossRef
go back to reference Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res. 2005;14:29–42.CrossRefPubMed Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res. 2005;14:29–42.CrossRefPubMed
go back to reference Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12:65–76.CrossRefPubMed Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12:65–76.CrossRefPubMed
go back to reference Gündoğar D, Kesebir S, Demirkan AK, Yaylacı ET. Is the relationship between affective temperament and resilience different in depression cases with and without childhood trauma? Compr Psychiatry. 2014;55(4):870–5.CrossRefPubMed Gündoğar D, Kesebir S, Demirkan AK, Yaylacı ET. Is the relationship between affective temperament and resilience different in depression cases with and without childhood trauma? Compr Psychiatry. 2014;55(4):870–5.CrossRefPubMed
go back to reference Kesebir S, Vahip S, Akdeniz F, Yüncü Z. Relation of affective temperament and clinical features in bipolar disorder. Turk Psikiyatri Derg. 2005;16(3):164–69.PubMed Kesebir S, Vahip S, Akdeniz F, Yüncü Z. Relation of affective temperament and clinical features in bipolar disorder. Turk Psikiyatri Derg. 2005;16(3):164–69.PubMed
go back to reference Kesebir S, Gündoğar D, Küçüksubaşı Y, Tatlıdil YE. The relation between affective temperament and resilience in depression: a controlled study. J Affect Disord. 2013;148:352–6.CrossRefPubMed Kesebir S, Gündoğar D, Küçüksubaşı Y, Tatlıdil YE. The relation between affective temperament and resilience in depression: a controlled study. J Affect Disord. 2013;148:352–6.CrossRefPubMed
go back to reference Lansford JE, Malone PS, Stevens KI, Dodge KA, Bates JE, Pettit GS. Developmental trajectories of externalizing and internalizing behaviors: factors underlying resilience in physically abused children. Dev Psychopathol. 2006;18(1):35–55.PubMedCentralPubMed Lansford JE, Malone PS, Stevens KI, Dodge KA, Bates JE, Pettit GS. Developmental trajectories of externalizing and internalizing behaviors: factors underlying resilience in physically abused children. Dev Psychopathol. 2006;18(1):35–55.PubMedCentralPubMed
go back to reference Levitan RD, Parikh SV, Lesage AD, Hegadoren KM, Adams M, Kennedy SH, et al. Major depression in individuals with a history of childhood physical or sexual abuse: relationship to neurovegetative features, mania, and gender. Am J Psychiatry. 1998;155(12):1746–52.CrossRefPubMed Levitan RD, Parikh SV, Lesage AD, Hegadoren KM, Adams M, Kennedy SH, et al. Major depression in individuals with a history of childhood physical or sexual abuse: relationship to neurovegetative features, mania, and gender. Am J Psychiatry. 1998;155(12):1746–52.CrossRefPubMed
go back to reference Ogawa JR, Sroufe LA, Weinfield NS, Carlson EA, Egeland B. Development and the fragmented self: longitudinal study of dissociative symptomatology in a nonclinical sample. Dev Psychopathol. 1997;9(4):855–79.PubMed Ogawa JR, Sroufe LA, Weinfield NS, Carlson EA, Egeland B. Development and the fragmented self: longitudinal study of dissociative symptomatology in a nonclinical sample. Dev Psychopathol. 1997;9(4):855–79.PubMed
go back to reference Pitzer LM, Fingerman KL. Psychosocial resources and associations between childhood physical abuse and adult well-being. J Gerontol B Psychol Sci Soc Sci. 2010;65(4):425–33.CrossRefPubMed Pitzer LM, Fingerman KL. Psychosocial resources and associations between childhood physical abuse and adult well-being. J Gerontol B Psychol Sci Soc Sci. 2010;65(4):425–33.CrossRefPubMed
go back to reference Purper-Ouakil D, Michel G, Mouren-Simeoni MC. Vulnerability to depression in children and adolescents: update and perspectives. Encéphale. 2002;28(number: 3 Pt 1):234–40.PubMed Purper-Ouakil D, Michel G, Mouren-Simeoni MC. Vulnerability to depression in children and adolescents: update and perspectives. Encéphale. 2002;28(number: 3 Pt 1):234–40.PubMed
go back to reference Rihmer Z, Akiskal KK, Rihmer A, Akiskal HS. Current research on affective temperaments. Curr Opin Psychiatry. 2010;23(1):12–8.CrossRefPubMed Rihmer Z, Akiskal KK, Rihmer A, Akiskal HS. Current research on affective temperaments. Curr Opin Psychiatry. 2010;23(1):12–8.CrossRefPubMed
go back to reference Rogers J, Raveendran M, Fawcett GL, Fox AS, Shelton SE, Oler JA, et al. CRHR1 genotypes, neural circuits and the diathesis for anxiety and depression. Mol Psychiatry. 2013;18(6):700–7.CrossRefPubMedCentralPubMed Rogers J, Raveendran M, Fawcett GL, Fox AS, Shelton SE, Oler JA, et al. CRHR1 genotypes, neural circuits and the diathesis for anxiety and depression. Mol Psychiatry. 2013;18(6):700–7.CrossRefPubMedCentralPubMed
go back to reference Rutter M. Resilience in the face of adversity: protective factors and resistance to psychiatric disorder. Br J Psychiatry. 1985;147:598–611.CrossRefPubMed Rutter M. Resilience in the face of adversity: protective factors and resistance to psychiatric disorder. Br J Psychiatry. 1985;147:598–611.CrossRefPubMed
go back to reference Rutter M. The interplay of nature, nurture, and developmental influences: the challenge ahead for mental health. Arch Gen Psychiatry. 2002;59(11):996–1000.CrossRefPubMed Rutter M. The interplay of nature, nurture, and developmental influences: the challenge ahead for mental health. Arch Gen Psychiatry. 2002;59(11):996–1000.CrossRefPubMed
go back to reference Samalin L, Llorca PM, Giordana B, Milhiet V, Yon L, El-Hage W, et al. Residual symptoms and functional performance in a large sample of euthymic bipolar patients in France (the OPTHYMUM study). J Affect Disord. 2014;159:94–102.CrossRefPubMed Samalin L, Llorca PM, Giordana B, Milhiet V, Yon L, El-Hage W, et al. Residual symptoms and functional performance in a large sample of euthymic bipolar patients in France (the OPTHYMUM study). J Affect Disord. 2014;159:94–102.CrossRefPubMed
go back to reference Simeon D, Yehuda R, Cunill R, Knutelska M, Putnam FW, Smith LM. Factors associated with resilience in healthy adults. Psychoneuroendocrinology. 2007;32(8–10):1149–52.CrossRefPubMed Simeon D, Yehuda R, Cunill R, Knutelska M, Putnam FW, Smith LM. Factors associated with resilience in healthy adults. Psychoneuroendocrinology. 2007;32(8–10):1149–52.CrossRefPubMed
go back to reference Şar V, Öztürk E, İkikardeş E. Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe uyarlamasının geçerlilik ve güvenilirliği. Türkiye Klinikleri. 2012;32(4):1054–63. Şar V, Öztürk E, İkikardeş E. Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe uyarlamasının geçerlilik ve güvenilirliği. Türkiye Klinikleri. 2012;32(4):1054–63.
go back to reference Vahip S, Kesebir S, Alkan M, Yazıcı O, Akiskal KK, Akiskal HS. Affective temperaments in clinically-well subjects in Turkey: initial psychometric data on the TEMPS-A. J Affect Disord. 2005;85:113–25.CrossRefPubMed Vahip S, Kesebir S, Alkan M, Yazıcı O, Akiskal KK, Akiskal HS. Affective temperaments in clinically-well subjects in Turkey: initial psychometric data on the TEMPS-A. J Affect Disord. 2005;85:113–25.CrossRefPubMed
go back to reference Werner EE. The children of Kauai: resiliency and recovery in adolescence and adulthood. J Adolesc Health. 1992;13(4):262–68.CrossRefPubMed Werner EE. The children of Kauai: resiliency and recovery in adolescence and adulthood. J Adolesc Health. 1992;13(4):262–68.CrossRefPubMed
Metadata
Title
Impact of childhood trauma and affective temperament on resilience in bipolar disorder
Authors
Sermin Kesebir
Başak Ünübol
Elif Tatlıdil Yaylacı
Duru Gündoğar
Hüseyin Ünübol
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Bipolar Disorders / Issue 1/2015
Electronic ISSN: 2194-7511
DOI
https://doi.org/10.1186/s40345-015-0023-3

Other articles of this Issue 1/2015

International Journal of Bipolar Disorders 1/2015 Go to the issue