Resilience and Impulsivity in a Sample of Patients With Bipolar Disorder in Remission: A Cross-Sectional Comparative Study

Ahmed, Mohamed Abdelatty Soliman; El Sayed, Mona; Elhusseiny, Aya; Haggag, Wafaa Elleithy

doi:10.21608/ermhs.2025.390034.1055

Resilience and Impulsivity in a Sample of Patients With Bipolar Disorder in Remission: A Cross-Sectional Comparative Study

Document Type : Original Article

Authors

¹ Psychiatry and Neurology resident, Port Said Mental Health and Addiction Treatment Hospital, Port Said, Egypt

² Professor of Psychiatry, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

³ Lecturer of Psychiatry, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

10.21608/ermhs.2025.390034.1055

Abstract

Background: Bipolar Disorder (BD) is defined as a chronic relapsing mood disorder, and relapses appear to be associated with low resilience and high impulsivity. However, there is a lack of data about resilience in BD patients and its connection with impulsivity, especially in the Arabic culture. The aim of the current study was to investigate the level of resilience and impulsivity in BD patients during remission and their clinical correlates.
Methods: A cross-sectional comparative study was conducted on 52 participants: 26 patients with BD during remission and 26 matched controls who were free from psychiatric disorders. The assessment included a clinical interview, Structured Clinical Interview for DSM-IV (SCID-I/SCID-II), and Adult ADHD self-report scale v1.1 to confirm the diagnosis of bipolar disorder and exclude ADHD, personality disorders, and other psychiatric comorbidities. Young Mania Rating Scale and Hamilton Depression Rating Scale were also used to exclude patients in episodes. In addition, Connor Davidson Resilience Scale 25 and Barratt Impulsiveness Scale 11 were chosen to assess resilience and impulsivity, respectively.
Results: Patients with BD in remission showed highly significantly lower resilience scores (44.65±9.13) compared to the healthy control group (68.35±11.24), (p<0.001). Additionally, they exhibited higher impulsivity scores (61.19±25.72) than controls (27.81±10.59), with a high significant difference (p<0.001). A moderate negative correlation was observed between resilience and impulsivity scores among the whole study sample (rho= -.513), with high statistical significance (P<0.001).

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