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INTRODUCTION: There is an intense loss of functionality in bipolar disorder both in mania or depressive periods and in euthymic periods. The study aims to determine effect of emotion regulation difficulties on functionality in adults in euthymic period diagnosed with bipolar disorder type I (BP-I). METHODS: Thirty-six patients with BP-I and control group of 40 persons, matched in terms of age, gender, educational status, were formed. The Difficulties in Emotion Regulation Scale (DERS) was used to assess current and clinically significant difficulties related to emotion regulation, and the Functional Assessment Short Test (FAST) was used to assess functionality. RESULTS: There were no significant differences between patient and control groups in terms of total score of DERS (p=0.422), Nonacceptance (p=0.870), Goal-directed behaviour (p=0.488), Impulse (p=0.220), Awareness (p=0.098), Strategies (p=0.682), Clarity (p=0.263) subscale scores of DERS scale, Wender Utah Rating Scale total score (p=0.261), and Hamilton Anxiety Rating Scale total score (p=0.766). Although the FAST total score was similar in both groups (p=0.558), in the BP-I group in terms of subscale scores, autonomy (p=0.010), cognitive functionality (p=0.048), financial issues (p=0.004) and leisure time activities (p=0.007) scores were statistically significantly higher than the control group. In the patient group, there was a significant positive correlation between the FAST total score and the DERS strategies subscale (r=0.338, p=0.044). Weak-to-moderate significant positive correlations were found between different subscales of FAST and DERS; those were ccupational functionality (FAST) and non-acceptance (DERS); cognitive functionionality (FAST) with goals, strategies, and clarity (FAST); financial issues (FAST) and awareness (DERS); leisure activities with goals (FAST) and awareness (DERS). DISCUSSION AND CONCLUSION: It should be aimed to improve the psychosocial functionality levels after the illness periods; it is concluded that it would be beneficial to improve emotion regulation difficulties in the euthymic period, which is associated with impaired functionality, by using appropriate treatment methods. |
