Disability and social cognition in euthymic patients with bipolar disorder.

IF 3.4 2区 医学 Q2 PSYCHIATRY
Muhammet Sevindik, Aybüke Demir, Elif Erdem, Şerif Bora Nazlı
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Abstract

Background: Cognitive performance is known to influence the functional level of psychiatric disorders in both the short and long term. This study aims to examine disability, social cognition, and the clinical and sociodemographic variables affecting both in individuals diagnosed with bipolar disorder (BD) during the euthymic phase.

Methods: This cross-sectional study included 62 euthymic patients diagnosed with BD who attended the Mood Disorders Outpatient Clinic of the Psychiatry Department and agreed to participate. Data collection involved a sociodemographic information form, the Reading the Mind in the Eyes Test (RMET) and the Basic Empathy Scale (BES) to assess social cognition, and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS-2) to evaluate disability.

Results: A significant positive correlation was identified between RMET scores and educational level (r = 0.320, p < 0.05). Regression analysis revealed that age (β=-0.284; p = 0.025) and social support(β=-0.310; p = 0.008) had a significant negative impact on WHODAS-2 total scores, whereas having a first episode of depression compared to a first episode of mania had a significant positive impact on WHODAS-2 total scores (β = 0.281; p = 0.025).

Conclusion: The findings suggest that the onset of BD with a depressive episode and the lack of social support may be associated with disability even in the euthymic phase. The significant negative association between age and disability implies that increased awareness through psychoeducation and the development of appropriate coping strategies may contribute to reduced disability in later life. These results highlight the importance of early intervention and supportive factors in the management of BD.

双相情感障碍优秀期患者的残疾与社会认知。
背景:认知表现对精神疾病的功能水平有短期和长期的影响。本研究旨在探讨在健康期诊断为双相情感障碍(BD)的个体的残疾、社会认知以及影响两者的临床和社会人口学变量。方法:本横断面研究纳入62例在精神科心境障碍门诊就诊并同意参与的心境良好的双相障碍患者。数据收集采用社会人口学信息表、社会认知能力评估采用RMET和基本共情量表(BES),残疾评估采用世界卫生组织残疾评估表2.0 (WHODAS-2)。结果:RMET评分与受教育程度之间存在显著正相关(r = 0.320, p)。结论:双相障碍伴抑郁发作和缺乏社会支持可能与残疾相关,即使是在健康期。年龄与残疾之间的显著负相关表明,通过心理教育和制定适当的应对策略来提高认识可能有助于减少以后生活中的残疾。这些结果强调了早期干预和支持性因素在双相障碍治疗中的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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