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KMID : 0605720100160020167
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Journal of the Korean Society of Biological Therapies in Psychiatry
2010 Volume.16 No. 2 p.167 ~ p.173
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The Relations of Cognitive Insight and Dysfunctional Attitudes to Symptoms of Illness in Bipolar Disorder
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Bae Jung-Eun
Sohn In-Ki
Kim Im-Yel
Yang Seung-Ho
Lee Jong-Hun
Won Seong-Du
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Abstract
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Objectives: There are several reports that patients with bipolar disorder have the negative cognitive style such as depressive disorder and it affect the course of illness. The insight of his or her own illness is also contribute to the course of it. In this research, We would like to investigate the relationship between symptoms, cognitive insight and dysfunctional attitudes of bipolar disorder.
Methods: A total of 29 Bipolar patients and matched normal controls were recruited. All subjects completed the following questionnaires : Korean version of mood disorder questionnaire(K-MDQ), Korean version of Dysfunctional Attitude Style(K-DAS), and Korean version of Beck cognitive insight scale(K-BCIS), Korean version of Young Mania Rating Scales(K-YMRS) and Korean version of Hamilton Depression Rating Scale(K-HDRS) were administered to all patient by clinicians.
Results: Compared with normal controls, patients with bipolar disorder showed significantly higher cognitive dysfunctional attitude scores. In subscales, scores of evaluation and perfection were significant differences. K-YMRS scores were negatively correlated with K-MDQ scores and K-BCIS scores. K-YMRS scores and K-MDQ scores had no correlation with scores of the dysfunctional attitudes. But K-YMRS scores were positively correlated with the self-esteem subscale of the dysfunctional attitude.
Conclusion: Our results suggest that mood symptoms in bipolar disorder may affect subjective experience and cognitive insight of illness, but may not correlate with dysfunctional attitudes. The cognitive insight also do not correlate with dysfuctioanl attitudes. But compared with normal control, patient with bipolar disorder showed higher cognitive dysfunctional attitudes, especially evaluation and perfection.
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KEYWORD
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Bipolar disorder, Cognitive style, Mood, Cognitive insight, Dysfunctional attitudes
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