Psychiatria Danubina, Vol. 34 No. 4, 2022.
Izvorni znanstveni članak
https://doi.org/10.24869/psyd.2022.706
THE EFFECT OF EMOTIONAL DYSREGULATION AND IMPULSIVITY ON SUICIDALITY IN PATIENTS WITH BIPOLAR DISORDER
Filiz Kulacaoglu
orcid.org/0000-0001-9800-4971
; Health Sciences University Prof. Dr. Mazhar Osman Bakirkoy Research and Training Hospital for Psychiatry and Neurological Diseases, Department of Psychiatry, Istanbul, Turkey
Filiz Izci
orcid.org/0000-0003-0576-9487
; Health Sciences University Erenkoy Research and Training Hospital for Psychiatry and Neurological Diseases, Department of Psychiatry, Istanbul, Turkey
Sažetak
Background: We aimed to evaluate the effect of emotional dysregulation and impulsivity on suicidality in patients with bipolar
disorder by comparing patients with bipolar disorder with healthy individuals.
Subjects and methods: The study included 85 patients (59 women, 26 men) with bipolar disorder and education and agematched
65 (44 women, 21 men) healthy volunteers. The patient group was separated into 3 different groups if they have a suicide
attempt history, or have suicidal ideation without attempt, or have neither suicide attempt nor ideation. Sociodemographic Form,
The Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsivity Scale (BIS-11), Scale for Suicidal Ideation, Suicide
Behaviors Questionnaire scales were applied to the participants.
Results: Patients with bipolar disorder (n=85) had significantly higher scores for emotion dysregulation and impulsivity than the
healthy controls (p<0.001, p<0.001). The scores of DERS, BIS-11, Suicidal ideation, and Suicide behavior scores were significantly
correlated. DERS Total and BIS Total scores of bipolar patients with suicide attempts were significantly higher than bipolar patients
with suicidal ideation and bipolar patients with neither attempt nor ideation. According to the hierarchical regression analysis,
strategies, clarity, and non-planning impulsiveness were found as the predictors of suicidal ideation in bipolar patients.
Conclusions: Suicidal behavior has a significant relationship between emotional dysregulation and impulsivity in patients with
BD. Clinicians must carefully evaluate emotional dysregulation and impulsivity among this population to develop treatment
strategies in suicide prevention.
Ključne riječi
emotional dysregulation; impulsivity; bipolar disorder; suicide
Hrčak ID:
291848
URI
Datum izdavanja:
22.12.2022.
Posjeta: 286 *