Comparison of impulsivity, emotional instability, decision making and risky behaviors in patients with bipolar disorder and borderline personality disorder

Abolalaei, Armina; Atadokht, Akbar; Basharpoor, Sajjad

doi:10.22098/jrp.2022.9579.1041

تعداد نشریات	30
تعداد شماره‌ها	426
تعداد مقالات	3,745
تعداد مشاهده مقاله	5,876,947
تعداد دریافت فایل اصل مقاله	4,066,793

	Comparison of impulsivity, emotional instability, decision making and risky behaviors in patients with bipolar disorder and borderline personality disorder
Journal of Research in Psychopathology
مقاله 1، دوره 3، شماره 10، 2022، صفحه 1-11 اصل مقاله (701.08 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2022.9579.1041
نویسندگان
Armina Abolalaei¹؛ Akbar Atadokht^* ²؛ Sajjad Basharpoor²
¹Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
²Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
چکیده
This study aimed to compare impulsivity, emotional instability, decision-making, and high-risk behaviors in individuals with bipolar disorder (BD) and borderline personality disorder (BPD). The present study was a comparative causal study. The statistical population of the present study includes patients with BD and BPD in psychiatric centers and psychiatric hospitals in Tabriz in 2020. The sample consisted of 2 groups of 50 people, each of which was selected based on a semi-structured clinical interview. Research instruments included the Bart impulsivity questionnaire, Eisenhower personality questionnaire, Iowa gambling test, and Mohammadi high-risk behaviors questionnaire. Multivariate analysis of variance (MANOVA) was used to analyze the hypotheses. The results showed that compared to BPD, participants with BD have significantly higher mean scores in impulsivities and high-risk decision-making (p < .05). On the contrary, the results also indicated that the mean scores of emotional instability and high-risk behaviors were higher in BPD (p < .05). Findings of the present study point to the fact that individuals with BD and BPD have unique problems in terms of impulsivity, high-risk decision-making, emotional instability, and high-risk behaviors. Thus, these findings must be taken into account by the healthcare specialists in order to provide effective and individualized treatments.
کلیدواژه‌ها
Impulsivity؛ Emotional instability؛ Decision making؛ High-risk behaviors؛ Bipolar disorder؛ Borderline personality disorder

مراجع
Adelson, S., Bell, R., Graff, A., Goldenberg, D., Haase, E., Downey, J. I., & Friedman, R. C. (2013). Is increased sexual behavior a symptom of bipolar disorder in children and adolescents? Psychodyn Psychiatry, 41(3), 419-435. doi:10.1521/pdps.2013.41.3.419 Aguglia, A., Mineo, L., Rodolico, A., Signorelli, M. S., & Aguglia, E. (2018). Asenapine in the management of impulsivity and aggressiveness in bipolar disorder and comorbid borderline personality disorder: an open-label uncontrolled study. Int Clin Psychopharmacol, 33(3), 121-130. doi:10.1097/yic.0000000000000206 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders : DSM-5. Arlington, VA: American Psychiatric Association. Asherson, P., Young, A. H., Eich-Höchli, D., Moran, P., Porsdal, V., & Deberdt, W. (2014). Differential diagnosis, comorbidity, and treatment of attention-deficit/hyperactivity disorder in relation to bipolar disorder or borderline personality disorder in adults. Curr Med Res Opin, 30(8), 1657-1672. doi:10.1185/03007995.2014.915800 Baptista, A., Cohen, D., Jacquet, P. O., & Chambon, V. (2021). The Cognitive, Ecological, and Developmental Origins of Self-Disturbance in Borderline Personality Disorder. Frontiers in psychiatry, 12, 707091-707091. doi:10.3389/fpsyt.2021.707091 Barker, V., Romaniuk, L., Cardinal, R. N., Pope, M., Nicol, K., & Hall, J. (2015). Impulsivity in borderline personality disorder. Psychol Med, 45(9), 1955-1964. doi:10.1017/s0033291714003079 Bart, C. P., Abramson, L. Y., & Alloy, L. B. (2019). Impulsivity and Behavior-Dependent Life Events Mediate the Relationship of Reward Sensitivity and Depression, but Not Hypomania, Among at-Risk Adolescents. Behav Ther, 50(3), 531-543. doi:10.1016/j.beth.2018.09.001 Bart, C. P., Nusslock, R., Ng, T. H., Titone, M. K., Carroll, A. L., Damme, K. S. F., . . . Alloy, L. B. (2021). Decreased reward-related brain function prospectively predicts increased substance use. J Abnorm Psychol, 130(8), 886-898. doi:10.1037/abn0000711 Bauer, I. E., Meyer, T. D., Sanches, M., Spiker, D., Zunta-Soares, G., & Soares, J. C. (2017). Are self-rated and behavioural measures of impulsivity in bipolar disorder mainly related to comorbid substance use problems? Cogn Neuropsychiatry, 22(4), 298-314. doi:10.1080/13546805.2017.1324951 Bayes, A., Parker, G., & Paris, J. (2019). Differential Diagnosis of Bipolar II Disorder and Borderline Personality Disorder. Curr Psychiatry Rep, 21(12), 125. doi:10.1007/s11920-019-1120-2 Bechara, A., Damasio, A. R., Damasio, H., & Anderson, S. W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50(1-3), 7-15. doi:10.1016/0010-0277(94)90018-3 Blanco, C., Compton, W. M., Saha, T. D., Goldstein, B. I., Ruan, W. J., Huang, B., & Grant, B. F. (2017). Epidemiology of DSM-5 bipolar I disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions - III. Journal of psychiatric research, 84, 310-317. doi:10.1016/j.jpsychires.2016.10.003 Brüne, M. (2016). Borderline Personality Disorder: Why 'fast and furious'? Evolution, medicine, and public health, 2016(1), 52-66. doi:10.1093/emph/eow002 Carpenter, R. W., & Trull, T. J. (2013). Components of emotion dysregulation in borderline personality disorder: a review. Current psychiatry reports, 15(1), 335-335. doi:10.1007/s11920-012-0335-2 Chen, W. Y., Huang, M. C., Lee, Y. C., Chang, C. E., Lin, S. K., Chiu, C. C., . . . Kuo, P. H. (2021). The Heterogeneity of Longitudinal Cognitive Decline in Euthymic Bipolar I Disorder With Clinical Characteristics and Functional Outcomes. Front Psychiatry, 12, 684813. doi:10.3389/fpsyt.2021.684813 Craig, R. J. (2001). Millon Clinical Multiaxial Inventory-III (mcmi-iii). In W. I. Dorfman & M. Hersen (Eds.), Understanding Psychological Assessment (pp. 173-186). Boston, MA: Springer US. DeShong, H. L., & Kurtz, J. E. (2013). Four factors of impulsivity differentiate antisocial and borderline personality disorders. J Pers Disord, 27(2), 144-156. doi:10.1521/pedi.2013.27.2.144 Dougherty, D. M., Bjork, J. M., Huckabee, H. C., Moeller, F. G., & Swann, A. C. (1999). Laboratory measures of aggression and impulsivity in women with borderline personality disorder. Psychiatry Res, 85(3), 315-326.doi:10.1016/s0165-1781(99)00011-6 Edge, H. M. (2020). Trends in pre-military sexually transmitted infections and associated risk behaviours in Canadian Armed Forces recruits. Can Commun Dis Rep, 46(9), 272-278. doi:10.14745/ccdr.v46i09a04 Ekhtiari, H., Janati, A., Moghimi, A., & Behzadi, A. (2003). The Farsi Version of the Balloon Analogue Risk Task: An Instrument for the Assessment of Riskful-Decision Making. Advances in Cognitive Sciences, 4(4), 9-11. Retrieved from http://icssjournal.ir/article-1-559-en.html Ekhtiari, H., Rezvanfard, M., & Mokri, A. (2008). Impulsivity and its Different Assessment Tools: A Review of View Points and Conducted Researches. Iranian Journal of Psychiatry and Clinical Psychology, 14(3), 247-257. Retrieved from http://ijpcp.iums.ac.ir/article-1-567-en.html Ekhtiari, H., Safaei, H., Djavid, G. E., Atefvahid, M. K., Edalati, H., & Mokri, A. (2008). Reliability and validity of Persian versions of Eysenck, Barratt, Dickman and Zuckerman questionnaires in assessing risky and impulsive behaviors. Iranian Journal of Psychiatry and Clinical Psychology, 14(3), 326-336. Eskander, N., Emamy, M., Saad-Omer, S. M., Khan, F., & Jahan, N. (2020). The Impact of Impulsivity and Emotional Dysregulation on Comorbid Bipolar Disorder and Borderline Personality Disorder. Cureus, 12(8), e9581. doi:10.7759/cureus.9581 Espiridion, E. D., & Kerbel, S. A. (2020). A Systematic Literature Review of the Association Between Somatic Symptom Disorder and Antisocial Personality Disorder. Cureus, 12(7), e9318. doi:10.7759/cureus.9318 Flannery, J. S., Riedel, M. C., Bottenhorn, K. L., Poudel, R., Salo, T., Hill-Bowen, L. D., . . . Sutherland, M. T. (2020). Meta-analytic clustering dissociates brain activity and behavior profiles across reward processing paradigms. Cogn Affect Behav Neurosci, 20(2), 215-235. doi:10.3758/s13415-019-00763-7 Fletcher, K., Parker, G., Bayes, A., Paterson, A., & McClure, G. (2014). Emotion regulation strategies in bipolar II disorder and borderline personality disorder: differences and relationships with perceived parental style. J Affect Disord, 157, 52-59. doi:10.1016/j.jad.2014.01.001 Fornaro, M., Orsolini, L., Marini, S., De Berardis, D., Perna, G., Valchera, A., . . . Stubbs, B. (2016). The prevalence and predictors of bipolar and borderline personality disorders comorbidity: Systematic review and meta-analysis. J Affect Disord, 195, 105-118. doi:10.1016/j.jad.2016.01.040 Fowler, J. C., Madan, A., Allen, J. G., Oldham, J. M., & Frueh, B. C. (2019). Differentiating bipolar disorder from borderline personality disorder: Diagnostic accuracy of the difficulty in emotion regulation scale and personality inventory for DSM-5. J Affect Disord, 245, 856-860. doi:10.1016/j.jad.2018.11.079 Ghaemi, S. N., Dalley, S., Catania, C., & Barroilhet, S. (2014). Bipolar or borderline: a clinical overview. Acta Psychiatrica Scandinavica, 130(2), 99-108. doi:10.1111/acps.12257 Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. Gruber, J. (2011). Can Feeling Too Good Be Bad?:Positive Emotion Persistence (PEP) in Bipolar Disorder. Current Directions in Psychological Science, 20(4), 217-221. doi:10.1177/0963721411414632 Haaland, V., & Landrø, N. I. (2007). Decision making as measured with the Iowa Gambling Task in patients with borderline personality disorder. J Int Neuropsychol Soc, 13(4), 699-703. doi:10.1017/s1355617707070890 Hıdıroğlu, C., Demirci Esen, Ö., Tunca, Z., Neslihan Gűrz Yalçìn, S., Lombardo, L., Glahn, D. C., & Özerdem, A. (2013). Can risk-taking be an endophenotype for bipolar disorder? A study on patients with bipolar disorder type I and their first-degree relatives. J Int Neuropsychol Soc, 19(4), 474-482. doi:10.1017/s1355617713000015 Hunt, G. E., Malhi, G. S., Cleary, M., Lai, H. M., & Sitharthan, T. (2016). Prevalence of comorbid bipolar and substance use disorders in clinical settings, 1990-2015: Systematic review and meta-analysis. J Affect Disord, 206, 331-349. doi:10.1016/j.jad.2016.07.011 Husain, S. F., Tang, T. B., Tam, W. W., Tran, B. X., Ho, C. S., & Ho, R. C. (2021). Cortical haemodynamic response during the verbal fluency task in patients with bipolar disorder and borderline personality disorder: a preliminary functional near-infrared spectroscopy study. BMC Psychiatry, 21(1), 201. doi:10.1186/s12888-021-03195-1 Jaggers, J. A., & Gruber, J. (2020). Mixed mood states and emotion-related urgency in bipolar spectrum disorders: a call for greater investigation. International journal of bipolar disorders, 8(1), 12-12. doi:10.1186/s40345-019-0171-y Johnson, S. L., Carver, C. S., Mulé, S., & Joormann, J. (2013). Impulsivity and risk for mania: towards greater specificity. Psychol Psychother, 86(4), 401-412. doi:10.1111/j.2044-8341.2012.02078.x Johnson, S. L., Carver, C. S., & Tharp, J. A. (2017). Suicidality in Bipolar Disorder: The Role of Emotion-Triggered Impulsivity. Suicide Life Threat Behav, 47(2), 177-192. doi:10.1111/sltb.12274 Jones, S. H., & Bentall, R. P. (2008). A review of potential cognitive and environmental risk markers in children of bipolar parents. Clin Psychol Rev, 28(7), 1083-1095. doi:10.1016/j.cpr.2008.03.002 Kaviani, H., Pournasseh, M., & Mousavi, A. S. (2005). Standardization and Validation of the Revised Eysenck Personality Questionnaire in the Iranian Population. Iranian Journal of Psychiatry and Clinical Psychology, 11(3), 304-311. Retrieved from http://ijpcp.iums.ac.ir/article-1-61-en.html Khalsa, H. K., Baldessarini, R. J., Tohen, M., & Salvatore, P. (2018). Aggression among 216 patients with a first-psychotic episode of bipolar I disorder. Int J Bipolar Disord, 6(1), 18.doi:10.1186/s40345-018-0126-8 Klimes-Dougan, B., Jeong, J., Kennedy, K. P., & Allen, T. A. (2017). Intellectual Functioning in Offspring of Parents with Bipolar Disorder: A Review of the Literature. Brain Sci, 7(11). doi:10.3390/brainsci7110143 Kopeykina, I., Kim, H. J., Khatun, T., Boland, J., Haeri, S., Cohen, L. J., & Galynker, II. (2016). Hypersexuality and couple relationships in bipolar disorder: A review. J Affect Disord, 195, 1-14. doi:10.1016/j.jad.2016.01.035 Kübler, U. (2013). Structured Clinical Interview for DSM-IV (SCID). In M. D. Gellman & J. R. Turner (Eds.), Encyclopedia of Behavioral Medicine (pp. 1919-1920). New York, NY: Springer New York. Lei, X., Liao, Y., Zhong, M., Peng, W., Liu, Q., Yao, S., . . . Yi, J. (2018). Functional Connectivity Density, Local Brain Spontaneous Activity, and Their Coupling Strengths in Patients With Borderline Personality Disorder. Front Psychiatry, 9, 342. doi:10.3389/fpsyt.2018.00342 Lima, I. M. M., Peckham, A. D., & Johnson, S. L. (2018). Cognitive deficits in bipolar disorders: Implications for emotion. Clin Psychol Rev, 59, 126-136. doi:10.1016/j.cpr.2017.11.006 Linehan, M. M. (1993). Dialectical behavior therapy for treatment of borderline personality disorder: implications for the treatment of substance abuse. NIDA Res Monogr, 137, 201-216. Malloy-Diniz, L. F., Miranda, D. M., & Grassi-Oliveira, R. (2017). Editorial: Executive Functions in Psychiatric Disorders. Frontiers in Psychology, 8(1461). doi:10.3389/fpsyg.2017.01461 Marques-Feixa, L., Moya-Higueras, J., Romero, S., Santamarina-Pérez, P., Rapado-Castro, M., Zorrilla, I., . . . Epi-Young Stress, G. (2021). Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events. Journal of clinical medicine, 10(22), 5293. doi:10.3390/jcm10225293 Martino, D. J., Strejilevich, S. A., Scápola, M., Igoa, A., Marengo, E., Ais, E. D., & Perinot, L. (2008). Heterogeneity in cognitive functioning among patients with bipolar disorder. J Affect Disord, 109(1-2), 149-156. doi:10.1016/j.jad.2007.12.232 Mason, B. L., Brown, E. S., & Croarkin, P. E. (2016). Historical Underpinnings of Bipolar Disorder Diagnostic Criteria. Behav Sci (Basel), 6(3). doi:10.3390/bs6030014 Massó Rodriguez, A., Hogg, B., Gardoki-Souto, I., Valiente-Gómez, A., Trabsa, A., Mosquera, D., . . . Amann, B. L. (2021). Clinical Features, Neuropsychology and Neuroimaging in Bipolar and Borderline Personality Disorder: A Systematic Review of Cross-Diagnostic Studies. Front Psychiatry, 12, 681876. doi:10.3389/fpsyt.2021.681876 Miller, C. J., Johnson, S. L., & Eisner, L. (2009). Assessment Tools for Adult Bipolar Disorder. Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association, 16(2), 188-201. doi:10.1111/j.1468-2850.2009.01158.x Minassian, A., Henry, B. L., Geyer, M. A., Paulus, M. P., Young, J. W., & Perry, W. (2010). The quantitative assessment of motor activity in mania and schizophrenia. Journal of Affective Disorders, 120(1-3), 200-206. doi:10.1016/j.jad.2009.04.018 Minzenberg, M. J., Poole, J. H., & Vinogradov, S. (2008). A neurocognitive model of borderline personality disorder: effects of childhood sexual abuse and relationship to adult social attachment disturbance. Dev Psychopathol, 20(1), 341-368. doi:10.1017/s0954579408000163 Mohammad Reza, M., Ali, D., Zahra, H., Alia, S., Maryam, S., Fatemeh, G., . . . Nehzat, F. (2021). Psychometric Properties of the Persian Version of Millon Clinical Multiaxial Inventory-IV (MCMI-IV). Iranian Journal of Psychiatry, 16(1). doi:10.18502/ijps.v16i1.5378 Moore, K. E., Oberleitner, L. M. S., Zonana, H. V., Buchanan, A. W., Pittman, B. P., Verplaetse, T. L., . . . McKee, S. A. (2019). Psychiatric Disorders and Crime in the US Population: Results From the National Epidemiologic Survey on Alcohol and Related Conditions Wave III. J Clin Psychiatry, 80(2). doi:10.4088/JCP.18m12317 Moukhtarian, T. R., Reinhard, I., Moran, P., Ryckaert, C., Skirrow, C., Ebner-Priemer, U., & Asherson, P. (2021). Comparable emotional dynamics in women with ADHD and borderline personality disorder. Borderline Personal Disord Emot Dysregul, 8(1), 6. doi:10.1186/s40479-021-00144-y Muhtadie, L., Johnson, S. L., Carver, C. S., Gotlib, I. H., & Ketter, T. A. (2014). A profile approach to impulsivity in bipolar disorder: the key role of strong emotions. Acta Psychiatr Scand, 129(2), 100-108. doi:10.1111/acps.12136 Ozten, M., & Erol, A. (2019). Impulsivity differences between bipolar and unipolar depression. Indian J Psychiatry, 61(2), 156-160. doi:10.4103/psychiatry.IndianJPsychiatry_166_18 Painter, J. M., Mote, J., Peckham, A. D., Lee, E. H., Campellone, T. R., Pearlstein, J. G., . . . Moskowitz, J. T. (2019). A positive emotion regulation intervention for bipolar I disorder: Treatment development and initial outcomes. Gen Hosp Psychiatry, 61, 96-103. doi:10.1016/j.genhosppsych.2019.07.013 Palmer, B. A., Pahwa, M., Geske, J. R., Kung, S., Nassan, M., Schak, K. M., . . . Singh, B. (2021). Self-report screening instruments differentiate bipolar disorder and borderline personality disorder. Brain Behav, 11(7), e02201. doi:10.1002/brb3.2201 Paris, J., & Black, D. W. (2015). Borderline personality disorder and bipolar disorder: what is the difference and why does it matter? J Nerv Ment Dis, 203(1), 3-7. doi:10.1097/nmd.0000000000000225 Patel, R. S., Manikkara, G., & Chopra, A. (2019). Bipolar Disorder and Comorbid Borderline Personality Disorder: Patient Characteristics and Outcomes in US Hospitals. Medicina (Kaunas), 55(1). doi:10.3390/medicina55010013 Paulus, F. W., Ohmann, S., Möhler, E., Plener, P., & Popow, C. (2021). Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review. Frontiers in psychiatry, 12, 628252-628252. doi:10.3389/fpsyt.2021.628252 Pearlstein, J. G., Johnson, S. L., Modavi, K., Peckham, A. D., & Carver, C. S. (2019). Neurocognitive mechanisms of emotion-related impulsivity: The role of arousal. Psychophysiology, 56(2), e13293. doi:10.1111/psyp.13293 Renaud, S., Corbalan, F., & Beaulieu, S. (2012). Differential diagnosis of bipolar affective disorder type II and borderline personality disorder: analysis of the affective dimension. Compr Psychiatry, 53(7), 952-961. doi:10.1016/j.comppsych.2012.03.004 Richard-Lepouriel, H., Kung, A. L., Hasler, R., Bellivier, F., Prada, P., Gard, S., . . . Etain, B. (2019). Impulsivity and its association with childhood trauma experiences across bipolar disorder, attention deficit hyperactivity disorder and borderline personality disorder. J Affect Disord, 244, 33-41. doi:10.1016/j.jad.2018.07.060 Riemann, G., Weisscher, N., Goossens, P. J., Draijer, N., Apenhorst-Hol, M., & Kupka, R. W. (2014). The addition of STEPPS in the treatment of patients with bipolar disorder and comorbid borderline personality features: a protocol for a randomized controlled trial. BMC Psychiatry, 14, 172. doi:10.1186/1471-244x-14-172 Rosario-Williams, B., Kaur, S., & Miranda, R. (2021). Examining decentering as a moderator in the relation between non-suicidal self-injury and suicide ideation via cognitive-affective factors. Suicide Life Threat Behav, 51(4), 741-754. doi:10.1111/sltb.12747 Scheiderer, E. M., Wang, T., Tomko, R. L., Wood, P. K., & Trull, T. J. (2016). Negative Affect Instability among Individuals with Comorbid Borderline Personality Disorder and Posttraumatic Stress Disorder. Clin Psychol Sci, 4(1), 67-81. doi:10.1177/2167702615573214 Selby, E. A., & Joiner, T. E., Jr. (2009). Cascades of Emotion: The Emergence of Borderline Personality Disorder from Emotional and Behavioral Dysregulation. Rev Gen Psychol, 13(3), 219. doi:10.1037/a0015687 Sleuwaegen, E., Hulstijn, W., Claes, L., Houben, M., Gandhi, A., Berens, A., & Sabbe, B. (2018). Are emotional action tendencies and attentional bias related to temperament dimensions in patients with borderline personality disorder? Psychiatry Res, 266, 247-252. doi:10.1016/j.psychres.2018.03.004 Solé, B., Jiménez, E., Torrent, C., Reinares, M., Bonnin, C. D. M., Torres, I., . . . Vieta, E. (2017). Cognitive Impairment in Bipolar Disorder: Treatment and Prevention Strategies. The international journal of neuropsychopharmacology, 20(8), 670-680. doi:10.1093/ijnp/pyx032 Song, J., Sjölander, A., Joas, E., Bergen, S. E., Runeson, B., Larsson, H., . . . Lichtenstein, P. (2017). Suicidal Behavior During Lithium and Valproate Treatment: A Within-Individual 8-Year Prospective Study of 50,000 Patients With Bipolar Disorder. Am J Psychiatry, 174(8), 795-802. doi:10.1176/appi.ajp.2017.16050542 Soyka, M., & Zingg, C. (2010). Association for methodology and documentation in psychiatry profiles predict later risk for criminal behavior and violent crimes in former inpatients with affective disorder. J Forensic Sci, 55(3), 655-659. doi:10.1111/j.1556-4029.2010.01354.x Steinberg, L. (2008). A Social Neuroscience Perspective on Adolescent Risk-Taking. Developmental review : DR, 28(1), 78-106. doi:10.1016/j.dr.2007.08.002 Subramanian, K., Sarkar, S., & Kattimani, S. (2017). Bipolar disorder in Asia: Illness course and contributing factors. Asian J Psychiatr, 29, 16-29. doi:10.1016/j.ajp.2017.04.009 Thakurdesai, A., & Sawant, N. (2018). A prospective study on sexual dysfunctions in depressed males and the response to treatment. Indian J Psychiatry, 60(4), 472-477. doi:10.4103/psychiatry.IndianJPsychiatry_386_17 Thomas, J., Knowles, R., Tai, S., & Bentall, R. P. (2007). Response styles to depressed mood in bipolar affective disorder. Journal of Affective Disorders, 100(1-3), 249-252. doi:10.1016/j.jad.2006.10.017 van Santvoort, F., Hosman, C. M., Janssens, J. M., van Doesum, K. T., Reupert, A., & van Loon, L. M. (2015). The Impact of Various Parental Mental Disorders on Children's Diagnoses: A Systematic Review. Clin Child Fam Psychol Rev, 18(4), 281-299. doi:10.1007/s10567-015-0191-9 Victor, S. E., Johnson, S. L., & Gotlib, I. H. (2011). Quality of life and impulsivity in bipolar disorder. Bipolar Disord, 13(3), 303-309. doi:10.1111/j.1399-5618.2011.00919.x White, T. L., Lejuez, C. W., & de Wit, H. (2008). Test-retest characteristics of the Balloon Analogue Risk Task (BART). Experimental and clinical psychopharmacology, 16(6), 565-570. doi:10.1037/a0014083 Wilson, S. T., Stanley, B., Oquendo, M. A., Goldberg, P., Zalsman, G., & Mann, J. J. (2007). Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. J Clin Psychiatry, 68(10), 1533-1539. doi:10.4088/jcp.v68n1010 Wojcik, G. M., Masiak, J., Kawiak, A., Kwasniewicz, L., Schneider, P., Postepski, F., & Gajos-Balinska, A. (2019). Analysis of Decision-Making Process Using Methods of Quantitative Electroencephalography and Machine Learning Tools. Front Neuroinform, 13, 73. doi:10.3389/fninf.2019.00073 Yechiam, E., Hayden, E. P., Bodkins, M., O'Donnell, B. F., & Hetrick, W. P. (2008). Decision making in bipolar disorder: a cognitive modeling approach. Psychiatry Res, 161(2), 142-152. doi:10.1016/j.psychres.2007.07.001 Yen, S., Frazier, E., Hower, H., Weinstock, L. M., Topor, D. R., Hunt, J., . . . Keller, M. B. (2015). Borderline personality disorder in transition age youth with bipolar disorder. Acta Psychiatrica Scandinavica, 132(4), 270-280. doi:10.1111/acps.12415 Zadehmohammadi, A., & Ahmadabadi, Z. (2008). The Co-Occurrence of Risky Behaviors among High School Adolescents in Tehran. Journal of Family Research, 4(13), 87-. Retrieved from https://www.magiran.com/paper/681033 Zanarini, M. C., Temes, C. M., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. M. (2018). Description and prediction of time-to-attainment of excellent recovery for borderline patients followed prospectively for 20 years. Psychiatry Res, 262, 40-45. doi:10.1016/j.psychres.2018.01.034 Zhang, X., Li, W., Zhao, N., Jin, Y., Cheung, T., Ungvari, G. S., . . . Angst, J. (2021). Comparing the Self- and External Assessment Versions of the HCL-33 as Screening Instruments for Bipolar Disorder in Older Depressed Patients. Frontiers in psychiatry, 12, 727992-727992. doi:10.3389/fpsyt.2021.727992 Zhuang, J. Y., Wang, J. X., Lei, Q., Zhang, W., & Fan, M. (2020). Neural Basis of Increased Cognitive Control of Impulsivity During the Mid-Luteal Phase Relative to the Late Follicular Phase of the Menstrual Cycle. Front Hum Neurosci, 14, 568399. doi:10.3389/fnhum.2020.568399 Zinchenko, O., & Enikolopova, E. (2017). The Impact of Executive Functions and Emotional Intelligence on Iowa Gambling Task Performance: Focus on Right Frontal Lobe Damage. Arch Clin Neuropsychol, 32(8), 1026-1036. doi:10.1093/arclin/acx065
آمار تعداد مشاهده مقاله: 1,231 تعداد دریافت فایل اصل مقاله: 944

سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب

پیوندهای مفید

آمار

Comparison of impulsivity, emotional instability, decision making and risky behaviors in patients with bipolar disorder and borderline personality disorder