title: Is coping well a matter of personality? A study of euthymic unipolar and bipolar patients.
abstract: BACKGROUND
  Euthymic bipolar disorder (BD) patients often demonstrate better clinical outcomes than remitted patients with unipolar illness (UP). Reasons for this are uncertain, however, personality and coping styles are each likely to play a key role. This study examined differences between euthymic BD and UP patients with respect to the inter-relationship between personality, coping style, and clinical outcomes.
  
  
  METHODS
  A total of 96 UP and 77 BD euthymic patients were recruited through the CADE Clinic, Royal North Shore Hospital in Sydney, and assessed by a team comprising Psychiatrists and Psychologists. They underwent a structured clinical diagnostic interview, and completed self-report measures of depression, anxiety, stress, personality, coping, social adjustment, self-esteem, dysfunctional attitudes, and fear of negative evaluation.
  
  
  RESULTS
  Compared to UP, BD patients reported significantly higher scores on levels of extraversion, adaptive coping, self-esteem, and lower scores on trait anxiety and fear of negative evaluation. Extraversion correlated positively with self-esteem, adaptive coping styles, and negatively with trait anxiety and fear of negative evaluation. Trait anxiety and fear of negative evaluation correlated positively with eachother, and both correlated negatively with self-esteem and adaptive coping styles. Finally, self-esteem correlated positively with adaptive coping styles.
  
  
  CONCLUSIONS
  The results cannot be generalised to depressive states of BD and UP, as differences in the course of illness and types of depression are likely to impact on coping and clinical outcomes, particularly for BD.
  
  
  CONCLUSIONS
  During remission, functioning is perhaps better 'preserved' in BD than in UP, possibly because of the protective role of extraversion which drives healthier coping styles.
authors.affiliation: CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, Sydney, Australia.
authors.forename: Carissa M
authors.initials: CM
authors.lastname: Coulston
authors.forename: Danielle M
authors.initials: DM
authors.lastname: Bargh
authors.forename: Michelle
authors.initials: M
authors.lastname: Tanious
authors.forename: Emma L
authors.initials: EL
authors.lastname: Cashman
authors.forename: Kimberly
authors.initials: K
authors.lastname: Tufrey
authors.forename: Genevieve
authors.initials: G
authors.lastname: Curran
authors.forename: Sandy
authors.initials: S
authors.lastname: Kuiper
authors.forename: Hugh
authors.initials: H
authors.lastname: Morgan
authors.forename: Lisa
authors.initials: L
authors.lastname: Lampe
authors.forename: Gin S
authors.initials: GS
authors.lastname: Malhi
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety; D001714:Bipolar Disorder / Q000503:physiopathology / Q000523:psychology*; D003863:Depression; D003866:Depressive Disorder / Q000503:physiopathology / Q000523:psychology*; D005120:Extraversion, Psychological; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D012649:Self Concept; D012917:Social Adjustment