EN
Emotion Dysregulation Affects Functionality in Major Depressive Disorder
Abstract
Purpose: Mood disorders are recurrent chronic mental illnesses known to affect functionality. In this study, it was aimed to compare coping strategies and emotion regulation difficulties in depression and bipolar disorder and observe the effects of coping strategies and emotion regulation on functionality.
Methods: 31 patients with bipolar disorder (BD), 29 with major depressive disorder (MDD), and 27 healthy controls (HC) were included in the study. Participants completed the Coping Strategies Inventory (COPE), Bipolar Disorder Functioning Questionnaire (BDFQ), Difficulties in Emotion Regulation Scale (DERS), Hamilton Depression Scale (HAM-D), and Young Mania Rating Scale (YMRS).
Results: In the BD group, a positive significant correlation was found between COPE-M and DERS scores, and a negative significant correlation was found between COPE-M and BDFQ. In the MDD group, a positive significant correlation was found between COPE-A and BDFQ scores, and a negative significant correlation was found between DERS and BDFQ. BDFQ was statistically significantly predicted positively by COPE-A and negatively by DERS.
Conclusion: It was thought that emotion dysregulation may predispose to depressive symptomatology and negatively affect clinical course and functionality. Addressing emotion regulation difficulties and increasing the use of adaptive coping strategies in therapeutic interventions contribute to the improvement of functionality as well as clinical improvement.
Keywords
References
- 1. Gitlin MJ, Miklowitz DJ. The difficult lives of individuals with bipolar disorder: A review of functional outcomes and their implications for treatment. J Affect Disord. 2017;209:147-154. doi:10.1016/j.jad.2016.11.021
- 2. Ellicott A, Hammen C, Gitlin M,et al. Life events and the course of bipolar disorder. Am J Psychiatry. 1990;147(9):1194-1198. doi:10.1176/ajp.147.9.1194
- 3. Sarason IG, Johnson JH, Siegel JM. Assessing the impact of life changes: development of the Life Experiences Survey. J Consult Clin Psychol.1978;46(5):932-946. doi:10.1037//0022-006x.46.5.932
- 4. Linehan MM. Rationale for dialectical behavior therapy skills training: Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press, 2014. pp.3-13.
- 5. McCarthy CJ, Lambert RG, Moller NP. Preventive resources and emotion regulation expectancies as mediators between attachment and college students' stress outcomes. "Int. J. Stress Manag. 2006;13(1), 1-22. doi:10.1037/1072-5245.13.1.1
- 6. Compas BE, Jaser SS, Dunbar JP,et al. Coping and Emotion Regulation from Childhood to Early Adulthood: Points of Convergence and Divergence. Aust J Psychol. 2014;66(2):71-81. doi:10.1111/ajpy.12043
- 7. Koc-Apaydin Z, Atagun MI. Relationship of functionality with impulsivity and coping strategies in bipolar disorder. Dusunen Adam. 2018;31:21-29. https://doi.org/10.5350/DAJPN2018310102
- 8. Muhtadie L, Johnson SL, Carver CS,et al. A profile approach to impulsivity in bipolar disorder: the key role of strong emotions. Acta Psychiatr Scand. 2014;129(2):100-108. doi:10.1111/acps.12136
Details
Primary Language
English
Subjects
Psychiatry
Journal Section
Clinical Research
Authors
Publication Date
January 1, 2023
Submission Date
December 9, 2022
Acceptance Date
December 16, 2022
Published in Issue
Year 1970 Volume: 14 Number: 1