A pilot investigation of emotional regulation difficulties and mindfulness-based strategies in manic and remitted bipolar I disorder and major depressive disorder

Musket, Christie; Hansen, Natasha; Welker, Keith M.; Gilbert, Kirsten; Gruber, June

doi:10.1186/s40345-020-00206-0

Cited by 10 publications

(9 citation statements)

References 31 publications

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“…However, the small sample size affected the results. Previous studies reported significant ED in patients with mood disorders compared to the general population, which was pervasive across diverse mood states including manic, depressive, and euthymic conditions ( 44 , 45 ). In particular, mood dysregulation is more severe in BD-II than in BD-I ( 46 , 47 ), which corroborates our study findings.…”

Section: Discussionmentioning

confidence: 95%

Comparison of Patterns of Non-suicidal Self-Injury and Emotion Dysregulation Across Mood Disorder Subtypes

et al. 2022

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IntroductionNon-suicidal self-injury (NSSI) is frequently encountered in patients with mood disorders. Emotion dysregulation (ED), frequently observed in mood disorders, could be a major mediating factor in NSSI. The aim of this study was to explore differences in NSSI behavior and ED across mood disorder subtypes. The relationships between childhood trauma and NSSI and ED were also explored.MethodsA total of 191 patients with mood disorders were included in this study. The patterns of NSSI behavior and ED across patients with bipolar I disorder (BD-I), bipolar II disorder (BD-II), and major depressive disorder (MDD) were compared.ResultsMore than half (54%) of the subjects experienced NSSI. Patients with BD-II and MDD engaged in NSSI behavior more frequently than those diagnosed with BD-I. NSSI behaviors in patients with BD-II most commonly included cutting, whereas hitting behaviors were most common among other groups. Patients with BD-II and MDD reported more severe ED than those with BD-I. In the case of childhood trauma, those with BD-II and MDD reported greater emotional neglect than those with BD-I. Structural equation modeling revealed that ED mediated the association between childhood trauma and NSSI.ConclusionBD-I was associated with less frequent NSSI behavior and less severe ED than BD-II and MDD. ED mediated the association between childhood trauma and NSSI. Promoting emotion regulation strategies could prevent NSSI behavior in patients with mood disorders.

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Section: Discussionmentioning

confidence: 95%

Comparison of Patterns of Non-suicidal Self-Injury and Emotion Dysregulation Across Mood Disorder Subtypes

et al. 2022

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“…In line with our results, only one preliminary study investigated differences in ED levels between patients in different mood states. It concluded that all patients with BD had alterations in ED, with no significant differences between groups 73 …”

Section: Discussionmentioning

confidence: 96%

Correlation between emotion dysregulation and mood symptoms of bipolar disorder: A systematic review and meta‐analysis

Oliva,

De Prisco,

Fico

et al. 2023

Acta Psychiatr Scand

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BackgroundEmotion 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.MethodsWe 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.ResultsFourteen 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.ConclusionED 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.

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“…The significance of this finding is highlighted when it is seen that affective temperaments - especially depressive - also have the highest correlation with this domain and can explain 53% of the variance of negative affectivity. Recent studies have confirmed the role of negative affect [ 45 ], anxiety [ 46 ], and emotion regulation problems [ 47 ] in patients with affective disorders. The results of a review also point to the relationship between affective temperaments - especially depressive temperament - and negative affect/neuroticism [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with MDD showed higher scores than HCs only in the maladaptive facet of perceptual dysregulation. The incidence of psychotic symptoms, especially in patients with BD-II-I and emotional and perceptual dysregulation in depressed patients, has been previously reported [ 47 , 60 ]. Compared to other maladaptive domains, the psychoticism domain was more poorly predicted by affective temperaments.…”

Section: Discussionmentioning

confidence: 99%

The maladaptive domains according to the alternative model of personality disorders (AMPD) criterion B in patients with affective disorders and temperamental triads related to these domains: two unique profiles

Komasi¹,

Jananeh²,

Mahdavi³

et al. 2023

BMC Psychol

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Objectives The study aimed to (i) compare the maladaptive domains and facets according to the Alternative Model of Personality Disorders (AMPD) Criterion B in patients with a type II bipolar disorder (BD-II) or major depressive disorder (MDD) with healthy controls (HCs), and (ii) investigating the relationship between affective temperaments and these domains and facets in the total sample. Methods Outpatients diagnosed with current BD-II (n = 37; female 62.2%) or MDD (n = 17; female 82.4%) based on the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria and community HCs (n = 177; female 62.1%) in Kermanshah from July to October 2020 included this case-control study. All participants completed the Personality Inventory for DSM-5 (PID-5), the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A), and the second version of the Beck Depression Inventory (BDI-II). Data were analyzed using analysis of variance (ANOVA), Pearson correlation, and multiple regression. Results The score of patients with BD-II in all five domains and those with MDD in three domains including negative affectivity, detachment, and disinhibition are significantly higher than the HCs (p < 0.05). Depressive temperament (related to negative affectivity, detachment, and disinhibition) and cyclothymic temperament (related to antagonism and psychoticism) were the most important correlates of the maladaptive domains. Conclusions Two unique profiles are proposed, including three domains of negative affectivity, detachment, and disinhibition associated with the depressive temperament for MDD, and two domains of antagonism and psychoticism related to cyclothymic temperament for BD-II.

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A pilot investigation of emotional regulation difficulties and mindfulness-based strategies in manic and remitted bipolar I disorder and major depressive disorder

Cited by 10 publications

References 31 publications

Comparison of Patterns of Non-suicidal Self-Injury and Emotion Dysregulation Across Mood Disorder Subtypes

Comparison of Patterns of Non-suicidal Self-Injury and Emotion Dysregulation Across Mood Disorder Subtypes

Correlation between emotion dysregulation and mood symptoms of bipolar disorder: A systematic review and meta‐analysis

The maladaptive domains according to the alternative model of personality disorders (AMPD) criterion B in patients with affective disorders and temperamental triads related to these domains: two unique profiles

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