Author's Accepted Manuscript
Personality, coping, risky behavior, and mental disorders in the offspring of parents with bipolar disorder: A comprehensive psychosocial assessment R Nijjar, Mark A. Ellenbogen, Sheilagh Hodgins
www.elsevier.com/locate/jad
PII: DOI: Reference:
S0165-0327(14)00241-9 http://dx.doi.org/10.1016/j.jad.2014.04.047 JAD6714
To appear in:
Journal of Affective Disorders
Received date: 29 November 2013 Revised date: 18 April 2014 Accepted date: 19 April 2014 Cite this article as: R Nijjar, Mark A. Ellenbogen, Sheilagh Hodgins, Personality, coping, risky behavior, and mental disorders in the offspring of parents with bipolar disorder: A comprehensive psychosocial assessment, Journal of Affective Disorders, http://dx.doi.org/10.1016/j.jad.2014.04.047 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Psychosocial Risk Factors in Offspring 1 Personality, coping, risky behavior, and mental disorders in the offspring of parents with bipolar disorder: A comprehensive psychosocial assessment
Nijjar, R, M.A1., Mark A. Ellenbogen, Ph.D.1, and Sheilagh Hodgins, Ph.D.2 1
Centre for Research in Human Development, Concordia University, Montreal, Canada.
2
Institute of Psychiatry, King’s College London, London, UK, Department of Psychiatry,
Heidelberg University, Heidelberg, Germany, and Département de Psychiatrie, Université de Montréal, Montréal, Canada.
Acknowledgement: This research was supported by a grant from the Canadian Institutes of Health Research (awarded to Dr. Ellenbogen). Dr. Ellenbogen is currently supported by a Canada Research Chair appointment from the Social Sciences and Humanities Research Council of Canada (SSHRC). Rami Nijjar is supported by a doctoral scholarship from SSHRC. We thank Dr. Sophie Coté and Leandra Hallis for their invaluable assistance on this project, and all the families for so graciously taking the time to participate in our research.
Corresponding author: Mark A. Ellenbogen, Concordia University, Department of Psychology 7141 Sherbrooke West, Montréal, QC, Canada, H4B 1R6 Telephone: (514) 848-2424 ext. 7543; Fax: (514) 848-2815 E-mail: [email protected]
1
Psychosocial Risk Factors in Offspring 2 Abstract Objectives: It has been proposed that the offspring of parents with bipolar disorder (OBD), through genetic mechanisms and early family interactions, develop a heightened sensitivity to stress, maladaptive coping, and dysregulated behavior, which ultimately increases the risk for affective disorders. The current study tested certain predictions of this model by assessing different psychosocial and health-related outcomes in the OBD, including personality, coping style, smoking, suicidality, high-risk sexual behaviours, criminality, and mental health. Method: The sample was composed of 74 OBD and 75 control offspring, who were between 14 to 27 years of age (mean: 19.38 ± 3.56). Participants underwent a diagnostic interview and a structured interview to assess high-risk behavior and other maladaptive outcomes, and they completed the Revised NEO Personality Inventory and Coping in Stressful Situations questionnaire. Results: The rates of affective (31.1%) and non-affective (56.8%) disorders were elevated in the OBD compared to controls (9.5 % and 32.4%). Relative to controls, OBD endorsed fewer task-oriented and more distraction coping strategies [Wilk’s λ=.83, F(1,136) =6.92, p
Personality, coping, risky behavior, and mental disorders in the offspring of parents with bipolar disorder: A comprehensive psychosocial assessment R Nijjar, Mark A. Ellenbogen, Sheilagh Hodgins
www.elsevier.com/locate/jad
PII: DOI: Reference:
S0165-0327(14)00241-9 http://dx.doi.org/10.1016/j.jad.2014.04.047 JAD6714
To appear in:
Journal of Affective Disorders
Received date: 29 November 2013 Revised date: 18 April 2014 Accepted date: 19 April 2014 Cite this article as: R Nijjar, Mark A. Ellenbogen, Sheilagh Hodgins, Personality, coping, risky behavior, and mental disorders in the offspring of parents with bipolar disorder: A comprehensive psychosocial assessment, Journal of Affective Disorders, http://dx.doi.org/10.1016/j.jad.2014.04.047 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Psychosocial Risk Factors in Offspring 1 Personality, coping, risky behavior, and mental disorders in the offspring of parents with bipolar disorder: A comprehensive psychosocial assessment
Nijjar, R, M.A1., Mark A. Ellenbogen, Ph.D.1, and Sheilagh Hodgins, Ph.D.2 1
Centre for Research in Human Development, Concordia University, Montreal, Canada.
2
Institute of Psychiatry, King’s College London, London, UK, Department of Psychiatry,
Heidelberg University, Heidelberg, Germany, and Département de Psychiatrie, Université de Montréal, Montréal, Canada.
Acknowledgement: This research was supported by a grant from the Canadian Institutes of Health Research (awarded to Dr. Ellenbogen). Dr. Ellenbogen is currently supported by a Canada Research Chair appointment from the Social Sciences and Humanities Research Council of Canada (SSHRC). Rami Nijjar is supported by a doctoral scholarship from SSHRC. We thank Dr. Sophie Coté and Leandra Hallis for their invaluable assistance on this project, and all the families for so graciously taking the time to participate in our research.
Corresponding author: Mark A. Ellenbogen, Concordia University, Department of Psychology 7141 Sherbrooke West, Montréal, QC, Canada, H4B 1R6 Telephone: (514) 848-2424 ext. 7543; Fax: (514) 848-2815 E-mail: [email protected]
1
Psychosocial Risk Factors in Offspring 2 Abstract Objectives: It has been proposed that the offspring of parents with bipolar disorder (OBD), through genetic mechanisms and early family interactions, develop a heightened sensitivity to stress, maladaptive coping, and dysregulated behavior, which ultimately increases the risk for affective disorders. The current study tested certain predictions of this model by assessing different psychosocial and health-related outcomes in the OBD, including personality, coping style, smoking, suicidality, high-risk sexual behaviours, criminality, and mental health. Method: The sample was composed of 74 OBD and 75 control offspring, who were between 14 to 27 years of age (mean: 19.38 ± 3.56). Participants underwent a diagnostic interview and a structured interview to assess high-risk behavior and other maladaptive outcomes, and they completed the Revised NEO Personality Inventory and Coping in Stressful Situations questionnaire. Results: The rates of affective (31.1%) and non-affective (56.8%) disorders were elevated in the OBD compared to controls (9.5 % and 32.4%). Relative to controls, OBD endorsed fewer task-oriented and more distraction coping strategies [Wilk’s λ=.83, F(1,136) =6.92, p
