@article{ref1,
title="Maladaptive personality traits and the course of suicidal ideation in young adults with bipolar disorder: cross-sectional and prospective approaches",
journal="Suicide and life-threatening behavior",
year="2020",
author="Kudinova, Anastacia Y. and MacPherson, Heather A. and Musella, Katharine and Schettini, Elana and Gilbert, Anna C. and Jenkins, Gracie A. and Clark, Lee Anna and Dickstein, Daniel P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Childhood-onset bipolar disorder (BD) has considerable morbidity and mortality, including suicide. Many risk factors have been identified for suicidality, but the potential role of personality traits as assessed by a computer-assisted self-report measure remains unclear.   AIMS: To address this gap in knowledge, we tested relations between pathological-range personality traits and suicidal ideation among young adults whose childhood-onset BD was prospectively confirmed by enrollment in the Course and Outcome of Bipolar Youth study (COBY) as children (n = 45) and a newly enrolled group of typically developing controls (TDCs; n = 52) both cross-sectionally and longitudinally after 1.5 years of follow up.   MATERIALS & METHODS: Personality traits were assessed with the computerized Schedule for Nonadaptive and Adaptive Personality-2 (SNAP-2).   RESULTS: Cross-sectionally, we found that participants with BD had elevated Suicide Proneness and Low Self-esteem versus TDCs at baseline. Furthermore, longitudinal analyses in the BD participants for whom we had 1.5 years of prospectively collected illness-course data showed that greater Suicide Proneness and Low Self-esteem prospectively predicted greater levels, shorter time until occurrence, and greater frequency of suicidal ideation during the follow-up.   CONCLUSION: Our findings suggest the role of specific personality-related vulnerabilities in the course of BD that, pending replication, could contribute to development of interventions focused on personality traits among individuals with BD.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12684",
url="http://dx.doi.org/10.1111/sltb.12684"
}