Relationship Between Personality Disorder Funetioning Styles And The Emotional States In Bipolar â… and â…¡ Disorders

Background:Bipolar disorder types â…  (BD â… ) and â…¡ (BD â…¡) behave differently in clinical manifestations, normal personality traits, responses to pharmacotherapies, biochemical backgrounds and neuroimaging activations. How the varied emotional states of BD â…  and â…¡ 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) in37patients with BD â… ,34BD â…¡, and in76healthy volunteers. Results:Compared to the healthy volunteers, patients with BD â…  and â…¡ scored higher on some PERM styles, PVP, MDQ and HCL-32scales. In BD I, the PERM Borderline style predicted the PVP scale; and Antisocial predicted HCL-32. In BD â…¡, Borderline, Dependant, Paranoid (-) and Schizoid (-) predicted PVP; Borderline predicted MDQ; Passive-Aggressive and Schizoid (-) predicted HCL-32. In controls, Borderline and Narcissistic (-) predicted PVP; Borderline and Dependant (-) predicted MDQ. Conclusion:Besides confirming the different predictability of the11functioning styles of personality disorder to BD I and â…¡, we found that the prediction was more common in BD â…¡, which might underlie its higher risk of suicide and poorer treatment outcome.