Izlaganje sa skupa
COULD BIPOLARITY BE INFLUENCED BY STRESSFUL LIFE EVENTS? A REFLECTION BASED ON A CASE REPORT
Alice Bries
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic Unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Christine Reynaert
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic Unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Nicolas Zdanowicz
; Medicine Faculty, Université Catholique de Louvain, Psychopathology and Psychosomatic Unit Hospital Universitary Center Mont-Godinne, Yvoir, Belgium
Sažetak
Introduction: Bipolar disorder (BPD) has over the last fifteen years been considered as a biological disease with genetic bases,
possibly triggered by stress factors. On the basis of a clinical case, we will question this theory.
Subject and methods: Mrs. X, a patient with a history of domestic violence, has two manic episodes that corresponded with
conjugal difficulties. This would lead us to believe that stressful life events may have triggered the onset and the relapse of the illness
of our patient. To confirm this , we made a literature review with the keywords bipolar disorder, stress, family functioning and
domestic violence on three databases: PubMed, PsycInfo and PsycArticles.
Results: Studies show that BPD has likely genetic and biological origins. It is also established in the literature that stressful life
events influence the course of the disease, with for example the “Kindling” effect. However, there is very few data regarding the
precise nature of these events. It is also established that the family interactions are affected by the BPD. Nonetheless, little is known
about the influence of the family’s interactions on the onset of the disease.
Conclusions: Our clinical case raises the question of the stress factors that may influence the onset and the course of BPD. It
also raises the question of the possible link between BPD and domestic violence and the question of theeffect of stressors on the
genetic and biological factors, introducing a more psychodynamic view of BPD. Further research on this subject should allow us to
expand the treatment to more comprehensive care.
Ključne riječi
bipolar disorder; stress factor; family functioning; domestic violence
Hrčak ID:
265665
URI
Datum izdavanja:
5.11.2014.
Posjeta: 455 *