Publication:
Attitudes towards childbearing, casual attributions for bipolar disorder and psychological distress: a study of families with multiple cases of bipolar disorder

dc.contributor.author Meiser, Bettina en_US
dc.contributor.author Mitchell, Philip en_US
dc.contributor.author Kasparian, Nadine en_US
dc.contributor.author strong, Kim en_US
dc.contributor.author Simpson, Judy en_US
dc.contributor.author Mireskandari, Shab en_US
dc.contributor.author Tabassum, Laila en_US
dc.contributor.author Schofield, Peter en_US
dc.date.accessioned 2021-11-25T13:01:23Z
dc.date.available 2021-11-25T13:01:23Z
dc.date.issued 2007 en_US
dc.description.abstract Background. For families with multiple cases of bipolar disorder this study explored: attitudes towards childbearing; causal attributions for bipolar disorder, in particular the degree to which a genetic model is endorsed and its impact on the perceived stigma of bipolar disorder ; and predictors of psychological distress. Method. Two hundred individuals (95 unaffected and 105 affected with either bipolar disorder, schizo-affective disorder – manic type, or recurrent major disorder) were surveyed, using mailed, self-administered questionnaires. Results. Thirty-five (35%) participants reported being ‘not at all willing to have children’ or ‘ less willing to have children’ as a result of having a strong family history of bipolar disorder. Being not at all or less willing to have children was associated with perceived stigma of bipolar disorder [odds ratio (OR) 2.42, p=0.002], endorsement of a genetic model (OR 1.76, p=0.046), and being affected (OR 2.16, p=0.01). Among unaffected participants only, endorsement of a genetic model was strongly correlated with perceived stigma (rs=0.30, p=0.004). Perceiving the family environment as an important factor in causing bipolar disorder was significantly associated with psychological distress (OR 1.58, p=0.043) among unaffected participants. Among affected participants, perceived stigma was significantly correlated with psychological distress (OR 2.44, p=0.02), controlling for severity of symptoms (p<0.001). Conclusions. Having a genetic explanation for bipolar disorder may exacerbate associative stigma among unaffected members from families with multiple cases of bipolar disorder, while it does not impact on perceived stigma among affected family members. Affected family members may benefit from interventions to ameliorate the adverse effects of perceived stigma. en_US
dc.identifier.issn 0033-2917 en_US
dc.identifier.uri http://hdl.handle.net/1959.4/38955
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.source Legacy MARC en_US
dc.title Attitudes towards childbearing, casual attributions for bipolar disorder and psychological distress: a study of families with multiple cases of bipolar disorder en_US
dc.type Journal Article en
dcterms.accessRights open access
dspace.entity.type Publication en_US
unsw.accessRights.uri https://purl.org/coar/access_right/c_abf2
unsw.description.notePublic Copyright 2007 Cambridge University Press en_US
unsw.description.publisherStatement The definitive version is available at http://journals.cambridge.org/action/displayJournal?jid=PSM en_US
unsw.identifier.doiPublisher http://dx.doi.org/doi:10.1017/S0033291707000852 en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofjournal Psychological Medicine en_US
unsw.relation.ispartofpagefrompageto 1601-1611 en_US
unsw.relation.ispartofvolume 37 en_US
unsw.relation.originalPublicationAffiliation Meiser, Bettina, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Mitchell, Philip, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Kasparian, Nadine, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation strong, Kim en_US
unsw.relation.originalPublicationAffiliation Simpson, Judy en_US
unsw.relation.originalPublicationAffiliation Mireskandari, Shab, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Tabassum, Laila, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Schofield, Peter, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.school Clinical School Prince of Wales Hospital *
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