The social cognitive ability in Han Chinese euthymic patients with bipolar I and bipolar II disorder

Liu, Yu Chia; Tseng, Huai Hsuan; Chang, Yun Hsuan; Chang, Hui Hua; Yang, Yen Kuang; Chen, Po See

doi:10.1016/j.jfma.2020.10.012

Cited by 11 publications

(12 citation statements)

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“…The impairment of the understanding emotions of the MSCEIT was noted in euthymic BD patients, which is consistent with previous findings ( 33 , 50 ). In addition, regardless of mood episodes, the lower scores on the understanding emotions branch in both the BD epi and BD eut groups compared to the HC imply a possible endo-phenotypic symptom in BD.…”

Section: Discussionsupporting

confidence: 92%

“…In regard to emotional intelligence, the results showed that, regardless of background information, the BD eut groups had significantly lower scores on the understanding emotions branch compared to the HCs, while the BD epi group had lower scores on all subscales of the MSCEIT. Our findings are similar to those of Liu et al ( 50 ), who reported that euthymic BD was associated with relatively lower scores on the understanding emotions branch of the MSCEIT compared to HCs.…”

Section: Discussionsupporting

confidence: 92%

“…A previous study also reported that remitted BD patients have significantly lower scores in both the total scores and the branches of experiential EI and strategic EI, compared to HCs ( 33 , 50 ). Remitted BD patients still demonstrate poorer EI, and, for the Han Chinese BD population, the EI aspect of understanding emotions was found to be impaired in euthymic BD patients, both in terms of BDI and BDII ( 50 ). However, the correlation with mood symptomatology is not clear.…”

Section: Introductionmentioning

confidence: 71%

“…A score of 0–3 is defined as normal, 4–7 as marginal, 8–15 as mild, 16–26 as moderate, and higher than 27 as severe ( 55 ). Based on previous studies, BD patients with HAMD and YMRS scores of ≦7 were considered euthymic ( 6 , 34 , 50 , 55 ).…”

Section: Methodsmentioning

confidence: 99%

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Impairment in Emotional Intelligence May Be Mood-Dependent in Bipolar I and Bipolar II Disorders

et al. 2021

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Background: 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.Objectives: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.Methods: 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 (BDeut) and HAMD YMRS sores ≧8 were episodic (BDepi)]. Analyses of covariance (ANCOVA) were performed, with adjustment for background information between the BD patients and HCs.Results: The results showed that, compared to the HCs, the BDeut patients showed no difference in any MSCEIT measures, while the BDepi 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 (p < 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.Conclusion: 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.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 71%

Section: Methodsmentioning

confidence: 99%

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Impairment in Emotional Intelligence May Be Mood-Dependent in Bipolar I and Bipolar II Disorders

et al. 2021

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“…Pan et al 7 revealed that manic BD patients performed significantly poorer in recognizing negative emotions; however, the performance of euthymic BD patients in recognizing emotional faces was only numerically worse than that of the controls. In contrast, Liu et al 8 showed that euthymic Han Chinese BD patients exhibited significant social cognitive deficits in terms of understanding emotion, but no statistical difference in perceiving emotional faces was observed as compared with controls.…”

Section: Introductionmentioning

confidence: 89%

Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder

Lee

Huang

Chang

et al. 2022

The Kaohsiung J of Med Scie

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Emotion recognition deficit is related to impaired community functioning. Loneliness is also associated with impaired social performance. However, the way in which emotion recognition and loneliness may contribute to social functioning remains unclear in euthymic patients with bipolar disorder. We aimed to examine emotion recognition ability in Han Chinese euBD patients relative to healthy controls (HCs) and to investigate the associations between emotion recognition, loneliness, and social functioning.Thirty-nine HCs and 46 euthymic BD patients completed an emotion recognition task and nonsocial cognitive measures related to executive function and attention. The UCLA loneliness scale and Social Performance Scale were administered to evaluate psychological loneliness and social functioning, respectively. We observed lower emotion recognition accuracy, higher loneliness, and poorer social functioning in the BD patients after adjustment for demographic data. Loneliness was negatively associated with global social functioning in both the BD and HC groups. Higher loneliness and lower emotion recognition accuracy were associated with poorer social functioning in euthymic BD in different subdomains. Our study confirmed a subtle impairment of emotion recognition ability in euthymic BD. Loneliness impacts globally on social functioning, while emotion recognition ability may affect specific subdomains of social functioning in euthymic BD. Alleviation of loneliness and enhancement of social cognition might improve social functioning in BD patients.

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Discrepancy of social cognition between bipolar disorders and major depressive disorders

Chang,

Yu,

Huang

et al. 2023

Brain and Behavior

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BackgroundThe research landscape examining social cognition (SC) impairment in patients with major depressive disorders (MDD) and bipolar disorders (BD) is notably scarce. Presently, assessments predominantly rely on static stimuli and self‐reported measures, which may not capture the dynamic dimensions of social cognition.ObjectivesThis study aimed to validate the Chinese version of Movie Assessment of Social Cognition (MASC‐CH) and to investigate whether MDD and BD exhibit distinct patterns of SC impairments, shedding light on potential differences between these two mood disorders.MethodsThe study encompassed 197 participants, aged 18–65, distributed as follows: 21 BD, 20 MDD, and 156 healthy controls (HC). We focused on examining “cognitive” and “emotional” SC scores and “undermentalizing” and “overmentalizing” error patterns, with nonsocial inference as a control. Additional assessments included the Reading Mind in the Eyes Test (RMET) and the Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT). We also explored the association between depression severity (measured by the Hamilton Depressive Rating Scale, HDRS) and distinct SC dimensions between MDD and BD.ResultsThe MASC‐CH exhibited strong validity and reliability for SC assessment. In group comparisons, BD participants scored significantly lower on MASC‐CH, while the MDD group scores were not significantly different from HC. Specifically, BD individuals had notably lower cognitive SC scores and made more undermentalizing and absence of mentalizing errors than MDD and HC. Additionally, a negative correlation between HDRS score and overmentalizing was observed in BD, not in the MDD.ConclusionsThe findings indicate that depression severity scores in BD were inversely related to MASC‐CH scores. In contrast, this relationship was not observed in the MDD group. These results underscore the importance of SC impairments as distinguishing characteristics of both BD and MDD. It provides valuable insights into the distinct social‐cognitive profiles of both mood disorders.

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The social cognitive ability in Han Chinese euthymic patients with bipolar I and bipolar II disorder

Cited by 11 publications

References 43 publications

Impairment in Emotional Intelligence May Be Mood-Dependent in Bipolar I and Bipolar II Disorders

Impairment in Emotional Intelligence May Be Mood-Dependent in Bipolar I and Bipolar II Disorders

Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder

Discrepancy of social cognition between bipolar disorders and major depressive disorders

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