Department of Psychiatry, Maltepe University Faculty of Medicine, Istanbul, Turkey,
Psychiatr Danub. 2023 Spring;35(1):38-46. doi: 10.24869/psyd.2023.38.
Difficulties in emotion regulation have begun to be seen as the source of psychopathologies. It is one of the underlying factors of patients' suicidality, impulsivity, and aggression. This study aims to determine the difficulties in emotion regulation in schizophrenia (SZ) and bipolar disorder (BD) patients and their relationship with suicidality, aggression, and impulsivity. It also emphasizes the importance of emotion regulation in these patients.
52 healthy individuals, 58 BD, and 55 SZ patients in remission were included in the study. The participants were informed before the study, and their written consent was obtained. Suicide Probability Scale (SPS), Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsivity Scale (BIS-11), and Buss-Perry Aggression Questionnaire (BPAQ) were administered to all three groups.
DERS scores of patients with BD and SZ were higher than healthy individuals. SPS scores of patients with BD and SZ were higher than healthy individuals. The motor and total scores of the Barratt Impulsivity Scale (BIS-11) were higher in patients with BD than in patients with SZ and healthy individuals. According to Spearman correlation analysis, a significant positive relationship was found between all subscales of DERS and all subscales of SPS; physical aggression, anger, and hostility subscales of BPAQ; attention and motor subscales of BIS-11.
Suicidality may increase in patients with schizophrenia and bipolar disorder who have difficulty in emotion regulation. Determining the difficulties of emotion regulation may contribute to the presumption and prevention of suicides in BD and SZ patients with a high risk of death by suicide.
情绪调节困难已开始被视为精神病理学的根源。它是患者自杀、冲动和攻击性的潜在因素之一。本研究旨在确定缓解期精神分裂症（SZ）和双相情感障碍（BD）患者的情绪调节困难及其与自杀、攻击和冲动的关系。它还强调了情绪调节在这些患者中的重要性。
本研究纳入了 52 名健康个体、58 名 BD 和 55 名缓解期 SZ 患者。在研究前告知了参与者，并获得了他们的书面同意。对所有三组参与者均进行了自杀可能性量表（SPS）、情绪调节困难量表（DERS）、巴瑞特冲动量表（BIS-11）和 Buss-Perry 攻击问卷（BPAQ）的评估。
BD 和 SZ 患者的 DERS 评分高于健康个体。BD 和 SZ 患者的 SPS 评分高于健康个体。BD 患者的 BIS-11 的运动和总得分高于 SZ 患者和健康个体。根据 Spearman 相关分析，DERS 的所有分量表与 SPS 的所有分量表、BPAQ 的身体攻击、愤怒和敌意分量表以及 BIS-11 的注意和运动分量表之间均存在显著正相关。
情绪调节困难的精神分裂症和双相情感障碍患者的自杀风险可能增加。确定情绪调节困难可能有助于对自杀风险高的 BD 和 SZ 患者进行自杀的推测和预防。
