Heterogeneous experiences of people with bipolar disorder during euthymia: Profiles of global remission and personal recovery.

Objectives: Clinical heterogeneity is a major problem in mental health, referring to wide clinical variability among people with the same diagnosis. In bipolar disorders (BD), an heterogeneity was found both in global remission (symptomatic and functional) and in personal recovery during euthymia. T...

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Publicado en:British Journal of Clinical Psychology Vol. 64; no. 2; pp. 513 - 539
Autores principales: Munuera, Caroline, Compagnone, Philippe, Gard, Sébastien, Chevrier, François, Chevrier, Basilie, M'Bailara, Katia
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/bjc.12519
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        atl: Heterogeneous experiences of people with bipolar disorder during euthymia: Profiles of global remission and personal recovery.
      aug:
        au:
          Munuera, Caroline
          Compagnone, Philippe
          Gard, Sébastien
          Chevrier, François
          Chevrier, Basilie
          M'Bailara, Katia
        affil: Université deBordeaux, Laboratoire de psychologie, Bordeaux, France
      sug:
        subj:
          Bipolar Disorder Psychosocial Factors
          Mental Status
          Psychiatric Patients Psychosocial Factors
          Patient Attitudes
          Disease Remission
          Recovery
          Human
          Funding Source
          Male
          Female
          Exploratory Research
          Quantitative Studies
          Cross Sectional Studies
          Convenience Sample
          Self Report
          Questionnaires
          Cluster Analysis
          Analysis of Variance
          Fisher's Exact Test
          Post Hoc Analysis
          Descriptive Statistics
          Adult
          Middle Age
          Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objectives: Clinical heterogeneity is a major problem in mental health, referring to wide clinical variability among people with the same diagnosis. In bipolar disorders (BD), an heterogeneity was found both in global remission (symptomatic and functional) and in personal recovery during euthymia. This heterogeneity is a challenge for clinicians, who have to adapt their care to the individuals' characteristics. This preliminary study aimed at identifying profiles of experiences during euthymia by considering global remission (manic and depressive symptomatology, and functional impairment) and personal recovery, and exploring personal and contextual correlates associated with the heterogeneity of experiences. Methods: A convenience sample of 58 participants in euthymia of BD was recruited. Data were collected using self‐report questionnaires. Consistent with a person‐oriented approach, clustering was performed to identify profiles by simultaneously considering symptomatology, functional impairment, and personal recovery. Associations between the identified profiles and socio‐demographic, clinical, and family characteristics were explored using analysis of variance, Fisher's exact tests, and post hoc tests. Results: Five profiles were identified when considering both global remission and personal recovery: adverse experience (20.69%), slightly adverse experience (22.41%), unbalanced experience (10.34%), positive experience (22.14%), and hyperthymic positive experience (24.14%). Among the correlates, only current family functioning was significantly associated with the identified profiles through cohesion, communication, and satisfaction dimensions. Conclusions: These results highlight that personal recovery and family dynamics of people with BD should be more considered in the clinical practice to better understand their experience during euthymia and adapt therapeutic care accordingly.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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