Highest correlations between emotion regulation strategies and mood symptoms in bipolar disorder: A systematic review and Bayesian network meta-analysis.

Autor:	Oliva V; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain., De Prisco M; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain., Fico G; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain., Possidente C; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain., Bort M; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain., Fortea L; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Imaging of Mood, and Anxiety-Related Disorders (IMARD) Group, IDIBAPS, Barcelona, Catalonia, Spain., Montejo L; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain., Anmella G; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain., Hidalgo-Mazzei D; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain., Murru A; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain., Fornaro M; Section of Psychiatry, Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy., Vieta E; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Bipolar and Depressive Disorders Unit, Hospìtal Clinic de Barcelona, c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. Electronic address: evieta@clinic.cat., Radua J; Department of Medicine, Faculty of Medicine and Health Sciences, University of Barcelona (UB), C. Casanova, 143, Barcelona, Catalonia 08036, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), c. Villarroel, 170, Barcelona, Catalonia 08036, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Imaging of Mood, and Anxiety-Related Disorders (IMARD) Group, IDIBAPS, Barcelona, Catalonia, Spain.
Jazyk:	angličtina
Zdroj:	Neuroscience and biobehavioral reviews [Neurosci Biobehav Rev] 2024 Dec 02; Vol. 169, pp. 105967. Date of Electronic Publication: 2024 Dec 02.
DOI:	10.1016/j.neubiorev.2024.105967
Abstrakt:	Bipolar disorder (BD) is associated with alterations in emotion regulation (ER) strategies, with both depressive and (hypo)manic symptoms correlated with utilization of maladaptive instead of adaptive strategies. However, which ER strategies are the most affected during the most severe mood symptoms remains unclear despite the potentially relevant treatment implications. To this end, we conducted a systematic review and Bayesian network meta-analysis (NMA) of studies documenting correlations between ER and depressive and (hypo)manic symptoms of BD, from inception until November 9th, 2023. We included 15 studies in the review, 14 of which provided data to conduct a Bayesian NMA. Rumination emerged as the ER strategy most strongly associated with both depressive (ES=0.43, 95 %CrI=0.27,0.59) and (hypo)manic symptoms (ES=0.26, 95 %CrI=0.05,0.46) of BD. Other ER strategies showed associations primarily with depressive symptoms. There was no significant heterogeneity or network inconsistency. These findings emphasize the importance of rumination in BD and suggest that altered ER strategies are more evident in depressive symptoms rather than (hypo)manic ones. While promising for targeted interventions, these results are based on cross-sectional data, limiting causal interpretation. Future longitudinal studies are necessary to clarify the temporal dynamics of the relationship between affective symptoms and ER in BD. Competing Interests: Declaration of Competing Interest None. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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