Department of Psychiatry, Psychotherapy and Psychosomatics, Division of Psychiatry I, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Department of Psychiatry and Psychotherapy, Paracelsus Private Medical University, Ignaz-Harrer-Straße 79, 5020, Salzburg, Austria.
Qual Life Res. 2021 Sep;30(9):2475-2485. doi: 10.1007/s11136-021-02843-z. Epub 2021 May 5.
Social cognitive skills, both psychosocial functioning and well-being of patients with schizophrenia (SZ) or bipolar disorder (BD), have consistently been shown to be interrelated. While previous research mainly focused on emotion perception, the present study investigates the impact of the other subdomains of emotion processing on a subjective Quality of Life (QoL) estimate and objective QoL indicators. We hypothesized that patients with better performance in the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) report better QoL; and assumed that SZ and BD patients report comparable subjective QoL, whereas BD patients show higher levels of objective QoL.
Patients diagnosed with either SZ (n = 63) or BD (n = 60), as well as 80 healthy controls, were included into a cross-sectional study. Emotional Intelligence (EI) and QoL were assessed using the MSCEIT and the German version of the Lancashire Quality of Life Profile.
The two patient groups were comparable with regard to overall EI, as well as subjective and objective QoL, but indicated significantly lower levels of EI and QoL than healthy controls. Whereas EI was not associated with both patient groups' subjective QoL, a significant correlation of EI with objective QoL was only observed in SZ. However, overall effect sizes were small.
Our findings point to a difference in the interrelation between EI and QoL in patients suffering from SZ and BD, and suggest that they may have different needs to achieve recovery. It will be critical to develop training programs targeting EI in SZ, and to examine their impact on objective QoL in these patients.
社会认知技能，包括精神分裂症（SZ）或双相情感障碍（BD）患者的心理社会功能和幸福感，一直被证明是相互关联的。虽然以前的研究主要集中在情绪感知上，但本研究调查了情绪处理的其他子领域对主观生活质量（QoL）评估和客观 QoL 指标的影响。我们假设在 Mayer-Salovey-Caruso 情绪智力测试（MSCEIT）中表现更好的患者报告更好的 QoL；并假设 SZ 和 BD 患者报告可比的主观 QoL，而 BD 患者表现出更高水平的客观 QoL。
纳入了 63 名 SZ 患者和 60 名 BD 患者以及 80 名健康对照者进行横断面研究。使用 MSCEIT 和德文版兰开夏郡生活质量概况评估情绪智力（EI）和 QoL。
这两个患者组在整体 EI 以及主观和客观 QoL 方面相当，但与健康对照组相比，EI 和 QoL 水平明显较低。尽管 EI 与两个患者组的主观 QoL 无关，但仅在 SZ 中观察到 EI 与客观 QoL 的显著相关性。然而，总体效应大小较小。
我们的发现表明，在患有 SZ 和 BD 的患者中，EI 和 QoL 之间的相互关系存在差异，并表明他们可能有不同的康复需求。在 SZ 中开发针对 EI 的培训计划，并检查它们对这些患者客观 QoL 的影响将至关重要。
