Correlation between emotion dysregulation and mood symptoms of bipolar disorder: A systematic review and meta-analysis.
bipolar disorder
depressive symptoms
emotion dysregulation
emotion regulation
manic symptoms
Journal
Acta psychiatrica Scandinavica
ISSN: 1600-0447
Titre abrégé: Acta Psychiatr Scand
Pays: United States
ID NLM: 0370364
Informations de publication
Date de publication:
12 2023
12 2023
Historique:
revised:
28
08
2023
received:
12
06
2023
accepted:
05
09
2023
medline:
27
11
2023
pubmed:
23
9
2023
entrez:
23
9
2023
Statut:
ppublish
Résumé
Emotion dysregulation (ED) is a transdiagnostic construct characterized by difficulties regulating intense emotions. People with bipolar disorder (BD) are more likely to show ED and use maladaptive emotion regulation strategies than adaptive ones. However, little is known about whether ED in BD is a trait or it is rather an epiphenomenon of mood symptoms. We conducted a systematic review and meta-analysis of the evidence across major literature databases reporting correlations between measures of emotion regulation (overall ED and different emotion regulation strategies) and measures of depressive and (hypo)manic symptoms in BD from inception until April 12th, 2022. Fourteen studies involving 1371 individuals with BD were included in the qualitative synthesis, of which 11 reported quantitative information and were included in the meta-analysis. ED and maladaptive strategies were significantly higher during periods with more severe mood symptoms, especially depressive ones, while adaptive strategies were lower. ED significantly correlates with BD symptomatology, and it mainly occurs during mood alterations. ED may be a target for specific psychotherapeutic and pharmacological treatments, according to precision psychiatry. However, further studies are needed, including patients with mood episodes and longitudinal design, to provide more robust evidence and explore the causal direction of the associations.
Sections du résumé
BACKGROUND
Emotion dysregulation (ED) is a transdiagnostic construct characterized by difficulties regulating intense emotions. People with bipolar disorder (BD) are more likely to show ED and use maladaptive emotion regulation strategies than adaptive ones. However, little is known about whether ED in BD is a trait or it is rather an epiphenomenon of mood symptoms.
METHODS
We conducted a systematic review and meta-analysis of the evidence across major literature databases reporting correlations between measures of emotion regulation (overall ED and different emotion regulation strategies) and measures of depressive and (hypo)manic symptoms in BD from inception until April 12th, 2022.
RESULTS
Fourteen studies involving 1371 individuals with BD were included in the qualitative synthesis, of which 11 reported quantitative information and were included in the meta-analysis. ED and maladaptive strategies were significantly higher during periods with more severe mood symptoms, especially depressive ones, while adaptive strategies were lower.
CONCLUSION
ED significantly correlates with BD symptomatology, and it mainly occurs during mood alterations. ED may be a target for specific psychotherapeutic and pharmacological treatments, according to precision psychiatry. However, further studies are needed, including patients with mood episodes and longitudinal design, to provide more robust evidence and explore the causal direction of the associations.
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
472-490Subventions
Organisme : "La Caixa" Foundation
ID : LCF/BQ/DR21/11880019
Organisme : Rio Hortega
ID : CM21/00017
Organisme : Instituto de Salud Carlos III (ISCIII)
Organisme : Fondo Social Europeo Plus (FSE+)
Organisme : Spanish Ministry of Science and Innovation
ID : PI19/00954
Organisme : Spanish Ministry of Science and Innovation
ID : PI22/00840
Organisme : Spanish Ministry of Science and Innovation
ID : PI19/00672
Organisme : Spanish Ministry of Science and Innovation
ID : PI21/00787
Organisme : Spanish Ministry of Science and Innovation
ID : PI18/00805
Organisme : Plan Nacional de I + D + I
Organisme : ISCIII-Subdireccio ́n General de Evaluacio ́n
Organisme : Fondo Europeo de Desarrollo Regional (FEDER)
Organisme : Instituto de Salud Carlos III
Organisme : CIBER of Mental Health (CIBERSAM)
Organisme : Secretaria d'Universitats i Recerca del Departament d'Economia i Coneixement
ID : 2021 SGR 01358
Organisme : Secretaria d'Universitats i Recerca del Departament d'Economia i Coneixement
ID : 2017 SGR 1365
Organisme : CERCA Programme
Organisme : Departament de Salut de la Generalitat de Catalunya
ID : SLT006/17/00357
Organisme : European Union Horizon 2020 research and innovation program
ID : 945151
Organisme : European Union Horizon 2020 research and innovation program
ID : 754907
Organisme : Fondazione Umberto Veronesi
Organisme : CERCA Programme/Generalitat de Catalunya as well as the Fundació Clínic per la Recerca Biomèdica
ID : 2022-FRCB_PB1_2022
Informations de copyright
© 2023 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd.
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