Objective: The aim of this study was to investigate the probable interaction between attachment styles and clinical features of bipolar disorder.
Methods: 44 euthymic bipolar patients were enrolled in this study. Attachment styles were evaluated with Adult Attachment Style Questionnaire. Information about characteristics of each patients illness was obtained by chart rewiev from our unit.
Results: Premenstrual syndrom, physical and sexual abuse were more frequent in patients with insecure attachment (p= 0.008, 0.025 and 0.02). Seven important findings were higher numbers of episodes and hospitalisation in patients with insecure attachment (p= 0.028 and p= 0.039); more postpartum onset, seasonality, DMI paterns, comorbid conditions, mostly alcohol and substance use disorder and lower social functionality in patients with insecure attachment (p= 0.05, p= 0.029,p= 0.039, p= 0.034, p= 0.05 and p= 0.007).
Conclusion: Attachment styles seems to effect severity, phenomenological features, and course patterns of bipolar disorder.