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

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Title: Correlation between emotion dysregulation and mood symptoms of bipolar disorder: A systematic review and meta‐analysis.
Authors: Oliva, Vincenzo (AUTHOR), De Prisco, Michele (AUTHOR), Fico, Giovanna (AUTHOR), Possidente, Chiara (AUTHOR), Fortea, Lydia (AUTHOR), Montejo, Laura (AUTHOR), Anmella, Gerard (AUTHOR), Hidalgo‐Mazzei, Diego (AUTHOR), Grande, Iria (AUTHOR), Murru, Andrea (AUTHOR), Fornaro, Michele (AUTHOR), de Bartolomeis, Andrea (AUTHOR), Dodd, Alyson (AUTHOR), Fanelli, Giuseppe (AUTHOR), Fabbri, Chiara (AUTHOR), Serretti, Alessandro (AUTHOR), Vieta, Eduard (AUTHOR), Radua, Joaquim (AUTHOR)
Source: Acta Psychiatrica Scandinavica. Dec2023, Vol. 148 Issue 6, p472-490. 19p.
Subjects: Bipolar disorder, Emotion regulation, Emotions, Symptoms, Drug therapy
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Correlation between emotion dysregulation and mood symptoms of bipolar disorder: A systematic review and meta‐analysis.
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  Data: <searchLink fieldCode="AR" term="%22Oliva%2C+Vincenzo%22">Oliva, Vincenzo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Prisco%2C+Michele%22">De Prisco, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fico%2C+Giovanna%22">Fico, Giovanna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Possidente%2C+Chiara%22">Possidente, Chiara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fortea%2C+Lydia%22">Fortea, Lydia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Montejo%2C+Laura%22">Montejo, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anmella%2C+Gerard%22">Anmella, Gerard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hidalgo‐Mazzei%2C+Diego%22">Hidalgo‐Mazzei, Diego</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grande%2C+Iria%22">Grande, Iria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murru%2C+Andrea%22">Murru, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fornaro%2C+Michele%22">Fornaro, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Bartolomeis%2C+Andrea%22">de Bartolomeis, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dodd%2C+Alyson%22">Dodd, Alyson</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fanelli%2C+Giuseppe%22">Fanelli, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fabbri%2C+Chiara%22">Fabbri, Chiara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Serretti%2C+Alessandro%22">Serretti, Alessandro</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vieta%2C+Eduard%22">Vieta, Eduard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Radua%2C+Joaquim%22">Radua, Joaquim</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Dec2023, Vol. 148 Issue 6, p472-490. 19p.
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  Data: <searchLink fieldCode="DE" term="%22Bipolar+disorder%22">Bipolar disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Emotion+regulation%22">Emotion regulation</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+therapy%22">Drug therapy</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/acps.13618
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        Text: English
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      – SubjectFull: Emotions
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