Kuo Shih-Yu, Chang Yun-Hsuan, Wang Tzu-Yun, Tseng Huai-Hsuan, Huang Chih-Chun, Chen Po See, Lane Hsien-Yuan, Yang Yen Kuang, Lu Ru-Band
Department of Psychology, Asia University, Taichung, Taiwan.
Clinical Psychological Center, Asia University Hospital, Taichung, Taiwan.
Front Psychiatry. 2021 Feb 18;12:597461. doi: 10.3389/fpsyt.2021.597461. eCollection 2021.
An emotional intelligence (EI) deficit has been noticed in euthymic bipolar spectrum disorder (BD) patients. However, whether this deficit is affected by mood or subtype is unclear. The aim of this study was to investigate whether an EI deficit is mood-dependent, and which mood symptoms have more impact on EI in BD. Two hundred and thirty participants aged between 18 and 65 years old were recruited [130 BD patients (51 bipolar I disorder (BDI) and 79 bipolar II disorder (BDII): 39.2% males; 91 healthy controls (HCs): 48.4% males)]. The Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT), which contains experiential and strategic EI ratings, was used to assess social cognition. The Hamilton Depression Rating Scale (HDRS) and the Young's Mania Rating Scale (YMRS) were used for evaluating the severity [HAMD and YMRS scores ≦7 were euthymic (BD) and HAMD YMRS sores ≧8 were episodic (BD)]. Analyses of covariance (ANCOVA) were performed, with adjustment for background information between the BD patients and HCs. The results showed that, compared to the HCs, the BD patients showed no difference in any MSCEIT measures, while the BD patients showed lower scores in all MSCEIT measures, except for perceiving emotions. In addition, a main effect of mood state instead of BD subtype was found for the managing emotions branch ( < 0.0007). Regression analyses showed that the duration of illness and HDRS scores were correlated with the scores in the strategic area of the MSCEIT, while age and YMRS scores were more relevant to the scores in the experiential area of the MSCEIT. The results confirm that an EI deficit is mood-dependent in BD patients. In addition, a depressive mood is more related to the strategic EI area, while a manic mood is correlated with the experiential EI area. Understanding the different domains of EI deficits in BD patients may be helpful for developing interventions for BD.
在心境正常的双相谱系障碍（BD）患者中已发现存在情商（EI）缺陷。然而，这种缺陷是否受情绪或亚型影响尚不清楚。本研究的目的是调查EI缺陷是否依赖于情绪，以及BD中哪些情绪症状对EI影响更大。招募了230名年龄在18至65岁之间的参与者[130名BD患者（51名双相I型障碍（BDI）和79名双相II型障碍（BDII）：男性占39.2%；91名健康对照者（HCs）：男性占48.4%）]。使用包含经验性和策略性EI评分的梅耶-萨洛维-卡鲁索情商测试（MSCEIT）来评估社会认知。汉密尔顿抑郁量表（HDRS）和杨氏躁狂量表（YMRS）用于评估严重程度[HAMD和YMRS评分≤7为心境正常（BD），HAMD和YMRS评分≥8为发作期（BD）]。进行了协方差分析（ANCOVA），并对BD患者和HCs之间的背景信息进行了调整。结果显示，与HCs相比，BD患者在任何MSCEIT测量指标上均无差异，而BD患者在除感知情绪外的所有MSCEIT测量指标上得分较低。此外，在情绪管理分支中发现了情绪状态而非BD亚型的主效应（<0.0007）。回归分析表明，病程和HDRS评分与MSCEIT策略领域的得分相关，而年龄和YMRS评分与MSCEIT经验领域的得分更相关。结果证实，BD患者的EI缺陷依赖于情绪。此外，抑郁情绪与策略性EI领域的关系更大，而躁狂情绪与经验性EI领域相关。了解BD患者EI缺陷的不同领域可能有助于制定针对BD的干预措施。
