Abstract
In Chinese culture, people appreciate social harmony, which might lead to an emotional fluctuation in bipolar disorder when discordance exists (Chapter “Bipolar Disorders in Chinese Culture: From a Perspective of Harmony”). Chinese patients’ emotional variations might have their cultural-related personality bases. We have tested the Chinese Adjective Descriptors of Personality (CADP), and the scales measuring affective states, namely the Mood Disorder Questionnaire (MDQ), the Hypomanic Checklist-32 (HCL-32), as well as the Plutchik-van Praag Depression Inventory (PVP) in bipolar I (BD I) and II (BD II) disorder patients, and healthy volunteers. We found that both BD I and BD II groups got higher scores on the mood scales; BD II scored lower on the MDQ, but higher on the HCL-32 and PVP compared with BD I. Interestingly, in BD I, the CADP Intelligent trait predicted MDQ; Agreeable, Emotional and Intelligent traits predicted PVP. While in BD II, Agreeable, Unsocial and Intelligent traits predicted MDQ; Agreeable, Emotional and Intelligent traits predicted HCL-32. Four out of five CADP personality traits were linked with the affective states in patients, but they demonstrated different connections in the two types of bipolar disorder; and a Chinese culture featured similar influence of Intelligent trait on affective states of patients was found.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorder (5th ed.). Washington, DC: American Psychiatric Association.
Angst, J., Adolfsson, R., Benazzi, F., Gamma, A., Hantouche, E., Meyer, T. D., Skeppar, P., Vieta, E., & Scott, J. (2005). The HCL-32: Towards a self-assessment tool for hypomanic symptoms in outpatients. Journal of Affective Disorders, 88, 217–233.
Bagby, R. M., Bindseil, K. D., Schuller, D. R., Rector, N. A., Trevor, Y. L., Cooke, R. G., Seeman, M. V., McCay, E. A. T., & Joffe, R. (1997). Relationship between the five-factor model of personality and unipolar, bipolar and schizophrenic patients. Psychiatry Research, 70, 83–94.
Barnhill, G. P. (2001). Social attributions and depression in adolescents with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 16, 46–53.
Benazzi, F. (2007). Bipolar disorder-focus on bipolar II disorder and mixed depression. Lancet, 369, 935–945.
Ben-Porath, Y. S., & Tellegen, A. (2011). MMPI-2RF: Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.
Bond, M. H., & Pang, M. K. (1991). Trusting to the Tao: Chinese values and the re-centering of psychology. Bulletin of the Hong Kong Psychological Society, 26(27), 5–27.
Bowins, B. (2008). Hypomania: A depressive inhibition override defense mechanism. Journal of Affective Disorders, 109, 221–232.
Bush, T., & Qiang, H. (2000). Leadership and culture in Chinese education. Asia Pacific Journal of Education, 20, 58–67.
Castagnini, A., & Berrios, G. E. (2009). Acute and transient psychotic disorders (ICD-10 F23): A review from a European perspective. European Archives of Psychiatry and Clinical Neuroscience, 259, 433–443.
Cerimele, J. M., Chwastiak, L. A., Dodson, S., Dodson, S., & Katon, W. J. (2014). The prevalence of bipolar disorder in general primary care samples: A systematic review. General Hospital Psychiatry, 36, 19–25.
Chen, M. J. (1994). Chinese and Australia concepts of intelligence. Psychology and Developing Societies, 6, 103–117.
Chien, I. C., Chang, K. C., Lin, C. H., Chou, Y. J., & Chou, P. (2010). Prevalence of diabetes in patients with bipolar disorder in Taiwan: A population-based national health insurance study. General Hospital Psychiatry, 32, 577–582.
Costa, P. T., Jr., & McCrae, R. R. (1997). Stability and change in personality assessment: The revised NEO personality inventory in the year 2000. Journal of Personality Assessment, 68, 86–94.
Coulston, C. M., Bargh, D. M., Tanious, M., Cashman, E. L., Tufrey, K., Curran, G., Kuiper, S., Morgan, H., Lampe, L., & Malhi, G. S. (2013). Is coping well a matter of personality? A study of euthymic unipolar and bipolar patients. Journal of Affective Disorders, 145, 54–61.
de Fruyt, F., van Leeuwen, K., Bagby, R. M., Rolland, J., & Rouillon, F. (2006). Assessing and interpreting personality change and continuity in patients treated for major depression. Psychological Assessment, 8, 71–80.
Dervic, K., Garcia-Amador, M., Sudol, K., Freed, P., Brent, D. A., Mann, J. J., Harkavy-Friedman, J. M., & Oquendo, M. A. (2015). Bipolar I and II versus unipolar depression: Clinical differences and impulsivity/aggression traits. European Psychiatry, 30, 106–113.
Eysenck, H. J., & Eysenck, S. B. G. (1992). Manual of the Eysenck Personality Questionnaire-Revised. San Diego: Education and Industrial Testing Service.
Guo, Z. (1995). Chinese Confucian culture and the medical ethical tradition. Journal of Medical Ethics, 21, 239–246.
Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278–296.
Heine, S. J., & Buchtel, E. E. (2009). Personality: The universal and the culturally specific. Annual Review of Psychology, 60, 369–394.
Hirschfeld, R. M. A., Williams, J. B. W., Spitzer, R. L., Calabrese, J. R., Flynn, L., Keck, P. E., Lewis, L., McElroy, S. L., Post, R. M., Rapport, D. J., Russell, J. M., Sachs, G. S., & Zajecka, J. (2000). Development and validation of a screening instrument for bipolar spectrum disorder: The Mood Disorder Questionnaire. American Journal of Psychiatry, 157, 1873–1875.
Hui, L. (2005). Chinese cultural schema of Education: Implications for communication between Chinese students and Australian educators. Issues in Educational Research, 15, 17–36.
Isometsä, E., Suominen, K., Mantere, O., Valtonen, H., Leppämäki, S., Pippingsköld, M., & Arvilommi, P. (2003). The Mood Disorder Questionnaire improves recognition of bipolar disorder in psychiatric care. BMC Psychiatry, 3, 8.
Jain, U., Blais, M. A., Otto, M. W., Hirshfeld, D. R., & Sachs, G. S. (1999). Five-factor personality traits in patients with seasonal depression: Treatment effects and comparisons with bipolar patients. Journal of Affective Disorders, 55, 51–54.
Jamison, K. R. (1995). Manic-depressive illness and creativity. Scientific American, 272(2), 62–67.
Jorm, A. F. (2001). History of depression as a risk factor for dementia: An updated review. Australian and New Zealand Journal of Psychiatry, 35, 776–781.
Judd, L. L., Akiskal, H. S., Schettler, P. J., Coryell, W., Maser, J., Rice, J. A., Solomon, D. A., & Keller, M. B. (2003). The comparative clinical phenotype and long term longitudinal episode course of bipolar I and II: A clinical spectrum or distinct disorders. Journal of Affective Disorders, 73, 19–32.
Kahn, J., Coyne, J. C., & Margolin, G. (1985). Depression and marital disagreement: The social construction of despair. Journal of Social and Personal Relationships, 2, 447–461.
Kim, B., Lim, J. H., Kim, S. Y., & Joo, Y. H. (2012). Comparative study of personality traits in patients with bipolar I and II disorder from the five-factor model perspective. Psychiatry Investigation, 9, 347–353.
Krone, K. J., & Morgan, J. M. (2000). Emotion metaphors in management: The Chinese. In S. Fineman (Ed.), Emotion in organizations (2nd ed., pp. 83–100). London: Sage.
Lan, Y. C., Zelman, D. C., & Chao, W. T. (2018). Angry characters and frightened souls: Patients and family explanatory models of bipolar disorder in Taiwan. Transcultural Psychiatry, 55, 317–338.
Látalová, K. (2012). Insight in bipolar disorder. Psychiatric Quarterly, 83, 293–310.
Leao, I. A., & del Porto, J. A. (2012). Cross validation with the mood disorder questionnaire (MDQ) of an instrument for the detection of hypomania in Brazil: The 32 items hypomania check-list, first revision (HCL-32-R1). Journal of Affective Disorders, 140, 215–221.
Leung, K. (2008). Chinese culture, modernization, and international business. International Business Review, 17, 184–187.
Levy, K. N., Edell, W. S., & McGlashan, T. H. (2007). Depressive experiences in inpatients with borderline personality disorder. Psychiatric Quarterly, 78, 129–143.
Li, Y., Wang, M., Wang, C., & Shi, J. (2010). Individualism, collectivism, and Chinese adolescents’ aggression: Intracultural variations. Aggressive Behavior, 36, 187–194.
Lin, N. (2001). Social capital: A theory of social structure and action. New York: Cambridge University Press.
Liu, X., & Tein, J. (2005). Life events, psychopathology, and suicidal behavior in Chinese adolescents. Journal of Affective Disorders, 86, 195–203.
Lozano, B. E., & Johnson, S. L. (2001). Can personality traits predict increases in manic and depressive symptoms. Journal of Affective Disorders, 63, 103–111.
Maisel, E. (2013). Why smart people hurt: A guide for the bright, the sensitive, and the creative. Newburyport: Conari Press.
Merikangas, K. R., Jin, R., He, J. P., He, J., Kessler, R. C., Lee, S., Sampson, N. A., Viana, M. C., Andrade, L. H., Hu, C., Karam, E. G., Ladea, M., Medina-Mora, M. E., Ono, Y., Posada-Villa, J., Sagar, R., Wells, J. E., & Zarkov, Z. (2011). Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Archives of General Psychiatry, 68, 241–251.
Müller-Oerlinghausen, B., Berghöfer, A., & Bauer, M. (2002). Bipolar disorder. Lancet, 359, 241–247.
Ng, E. (2009). Heartache of the state, enemy of the self: Bipolar disorder and cultural change in urban China. Culture, Medicine and Psychiatry, 33, 421–450.
Parker, G., Gladstone, G., & Chee, K. T. (2001). Depression in the Planet’s largest ethnic group: The Chinese. American Journal of Psychiatry, 158, 857–864.
Phillips, M. L., & Kupfer, D. J. (2013). Bipolar disorder diagnosis: Challenges and future directions. Lancet, 381, 1663–1671.
Plutchik, R., & van Praag, H. M. (1987). Interconvertability of five self-report measures of depression. Psychiatry Research, 22, 243–256.
Quilty, L. C., Sellborm, M., Tackett, J. L., & Bagby, R. M. (2009). Personality trait preditors of bipolar disorder symptoms. Psychiatry Research, 169, 159–163.
Quilty, L. C., Pelletier, M., de Young, C. G., & Michael, B. R. (2013). Hierarchical personality traits and the distinction between unipolar and bipolar disorders. Journal of Affective Disorders, 147, 247–254.
Redding, G., & Wong, G. Y. Y. (1986). The psychology of Chinese organizational behavior. In M. H. Bond (Ed.), The psychology of the Chinese people (pp. 267–295). London: Oxford University Press.
Saddichha, S., & Schutz, C. (2014). Is impulsivity in remitted bipolar disorder a stable trait? A meta-analytic review. Comprehensive Psychiatry, 55, 1479–1484.
Schrijvers, D. L., de Bruijn, E. R., Destoop, M., Hulstijn, W., & Sabbe, B. G. C. C. (2010). The impact of perfectionism and anxiety traits on action monitoring in major depressive disorder. Journal of Neural Transmission, 117, 869–880.
Serpell, R. (2000). Intelligence and culture. In R. J. Sternberg (Ed.), Handbook of intelligence (pp. 549–578). Cambridge: Cambridge University Press.
Serretti, A., & Olgiati, P. (2007). Profiles of “manic” symptoms in bipolar I, bipolar II and major depressive disorders. Journal of Affective Disorders, 84, 159–166.
Stringer, D., Marshall, D., Pester, B., Baker, A., Langenecker, S. A., Angers, K., Frazier, N., Archer, C., Kamali, M., McInnis, M., & Ryan, K. A. (2014). Openness predicts cognitive functioning in bipolar disorder. Journal of Affective Disorders, 168, 51–57.
Sugaya, N., Yoshida, E., Yasuda, S., Tochigi, M., Takei, K., Otani, T., Otowa, T., Minato, T., Umekage, T., Konishi, Y., Sakano, Y., Chen, J., Nomura, S., Okazaki, Y., Kaiya, H., Sasaki, T., & Tanii, H. (2013). Prevalence of bipolar disorder in panic disorder patients in the Japanese population. Journal of Affective Disorders, 147, 411–415.
Tjosvold, D., & Su, F. (2007). Managing anger and annoyance in organizations in China: The role of constructive controversy. Group and Organization Management, 32, 260–289.
Triandis, H. C., & Suh, E. M. (2002). Cultural influences on personality. Annual Review of Psychology, 53, 133–160.
Tsai, S. Y., Chen, C. C., & Yeh, E. K. (1997). Alcohol problems and long-term psychosocial outcome in Chinese patients with bipolar disorder. Journal of Affective Disorders, 46, 143–150.
Tse, S., Yuen, Y. M., & Suto, M. (2014). Expected possible selves and coping skills among young and middle-aged adults with bipolar disorder. East Asian Arch Psychiatry, 24, 117–124.
Weintraub, M. (2012). Prosocial personality and cognitive buffers for partners of manic individuals. Undergraduate Journal of Psychology at Berkeley, 5, 20–28.
White, H. C. (1992). Identity and control: A structural theory of social action. Princeton: Princeton University Press.
Xu, S., Gao, Q., Ma, L., Fan, H., Mao, H., Liu, J., & Wang, W. (2015). The Zuckerman-Kuhlman Personality Questionnaire in bipolar I and II disorders: A preliminary report. Psychiatry Research, 226, 357–360.
Yang, K. S. (1990). Chinese personality and its change. In M. H. Bond (Ed.), The psychology of the Chinese people (pp. 106–170). Hong Kong: Oxford University Press.
Yang, S. Y., & Sternberg, R. J. (1997). Conceptions of intelligence in ancient Chinese philosophy. Journal of Theoretical and Philosophical Psychology, 17, 101–119.
Yao, J., Xu, Y., Qin, Y., Liu, J., Shen, Y., Wang, W., & Chen, W. (2015). Relationship between personality disorder functioning styles and the emotional states in bipolar I and II disorders. PLoS One, 10, e0117353.
Young, R. C., Biggs, J. T., Ziegler, V. E., & Meyer, D. A. (1978). A rating scale for mania: Reliability, validity and sensitivity. British Journal of Psychiatry, 133, 429–435.
Yu, E., Li, H., Fan, H., Gao, Q., Tan, Y., Lou, J., Zhang, J., & Wang, W. (2015). Relationship between Chinese adjective descriptors of personality and emotional symptoms in young Chinese patients with bipolar disorders. Journal of International Medical Research, 43, 790–801.
Zimmerman, M., & Galione, J. N. (2011). Screening for bipolar disorder with the Mood Disorder Questionnaire: A review. Harvard Review of Psychiatry, 19, 219–228.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Zhang, B., Zhu, J., Wang, W. (2019). Predicting Affective States of Bipolar Disorder by the Chinese Adjective Descriptors of Personality. In: Wang, W. (eds) Chinese Perspectives on Cultural Psychiatry . Springer, Singapore. https://doi.org/10.1007/978-981-13-3537-2_10
Download citation
DOI: https://doi.org/10.1007/978-981-13-3537-2_10
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-3536-5
Online ISBN: 978-981-13-3537-2
eBook Packages: Social SciencesSocial Sciences (R0)