Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China.
Department of Psychology, Zhejiang Police Vocational Academy, Hangzhou, China.
Psychiatry Res. 2015 Mar 30;226(1):357-60. doi: 10.1016/j.psychres.2015.01.019. Epub 2015 Jan 28.
Patients with bipolar disorder have tendencies of higher impulsivity and sensation seeking, they might contribute differently to the emotional states of bipolar I (BD I) and II (BD II). We administered the Zuckerman-Kuhlman Personality Questionnaire (ZKPQ), the Plutchik-van Praag Depression Inventory (PVP), the Mood Disorder Questionnaire (MDQ), and the Hypomania Checklist (HCL-32) in 23 patients with BD I, 22 BD II, and 64 healthy volunteers. Both BD I and II scored higher on ZKPQ Impulsive sensation seeking (and its Impulsivity facet), Neuroticism-anxiety and Aggression-hostility, and on PVP and HCL-32 scales than controls did; BD I scored higher on MDQ and General sensation seeking facet than controls did. Compared to BD II, BD I scored higher on Impulsive sensation seeking (and General sensation seeking) and on MDQ. Moreover, General sensation seeking predicted MDQ, and Activity predicted HCL-32 in BD I. Aggression-hostility predicted HCL-32 in BD II. General sensation seeking predicted MDQ and HCL-32, and together with Neuroticism-anxiety, predicted PVP in controls. Our study suggests that Impulsive sensation seeking, and its General sensation seeking facet might help to delineate the two types of bipolar disorder.
双相情感障碍患者的冲动性和寻求刺激的倾向较高,他们可能对双相情感障碍 I 型(BD I)和 II 型(BD II)的情绪状态有不同的影响。我们对 23 名 BD I 患者、22 名 BD II 患者和 64 名健康志愿者进行了 Zuckerman-Kuhlman 人格问卷(ZKPQ)、Plutchik-van Praag 抑郁量表(PVP)、心境障碍问卷(MDQ)和轻躁狂清单(HCL-32)的测试。BD I 和 II 在 ZKPQ 冲动寻求感觉(及其冲动方面)、神经质-焦虑和攻击性-敌意,以及 PVP 和 HCL-32 量表上的得分均高于对照组;BD I 在 MDQ 和一般感觉寻求方面的得分高于对照组。与 BD II 相比,BD I 在冲动寻求感觉(和一般感觉寻求)和 MDQ 上的得分更高。此外,一般感觉寻求预测了 MDQ,而活动预测了 BD I 的 HCL-32。攻击性-敌意预测了 BD II 的 HCL-32。一般感觉寻求预测了 MDQ 和 HCL-32,与神经质-焦虑一起,预测了对照组的 PVP。我们的研究表明,冲动寻求感觉及其一般感觉寻求方面可能有助于区分这两种类型的双相情感障碍。