雙相情緒障礙症之情緒症狀與情緒智力之相關性探討

ASIA unversity > 醫學暨健康學院 > 心理學系 > 博碩士論文 > Item 310904400/114158

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Title:	雙相情緒障礙症之情緒症狀與情緒智力之相關性探討 Emotional Intelligence Associated with Affective Symptoms in Patients with Bipolar Disorder
Authors:	郭仕語 KUO, SHIH-YU
Contributors:	心理學系
Keywords:	情緒智力;雙相情緒障礙症;疾病持續年限 duration of illness;emotional intelligence;bipolar disorder
Date:	2020
Issue Date:	2022-12-07 02:24:40 (UTC+0)
Publisher:	亞洲大學
Abstract:	研究背景：雙相情緒障礙症(bipolar disorder, BD)患者常處於情緒波動中，情緒症狀也替患者帶來負面影響。研究指出BD患者在社會認知中不同領域有不同的受損程度。社會認知延伸建構出情緒智力而發展出Mayer–Salovey–Caruso Emotional Intelligence Test(MSCEIT)。本研究透過MSCEIT測驗，了解BD患者的情緒智力(Emotional intelligence, EI)表現，並分析BD患者的情緒症狀與EI之間的關聯性。研究方法：本研究共招募127名BD患者，與91名健康參與者(Healthy Controls, HC)。BD患者另外接受憂鬱與躁症症狀評估，若BD患者符合HDRS 分數≦7 與YMRS 分數≦7並至少持續一週，則視為情緒平穩狀態。BD患者組中達情緒平穩狀態共58人，處於情緒症狀中的患者共69人。所有參與者皆完成MSCEIT測驗，透過變異數分析與相關分析了解BD患者組與HC的表現差異，以及情緒症狀與MSCEIT各項分數的相關性。結果：除情緒覺察分支以外，MSCEIT各項分數表現在情緒症狀期、情緒平穩期的BD患者以及HC組比較中有顯著差異，然而未觀察到情緒平穩的BD患者與HC組有顯著差異表現。在情緒症狀嚴重度相關分析中顯示，策略領域的EI僅與憂鬱症狀嚴重度相關(r= -.18, p<.05)，躁症嚴重度則無；然躁症症狀嚴重度則與經驗領域及所屬分支顯著負相關。結論：本研究結果顯示情緒平穩的BD患者與一般人的EI表現並無顯著差異。而BD患者在不同情緒症狀中受損傾向不同，憂鬱症狀對於高層次的EI似乎存在獨特負面影響力。然而，在情緒理解分支中有相較其他分支不同的表現，其未與情緒症狀具有關聯性，但BD患者與HC組相比有顯著受損表現，並顯著受到疾病持續年限的影響，故可能暗示疾病本身對於BD患者的情緒理解能力的受損特異性。 Background: Patients with BD are often suffer from mood swings which bring negative impact on patients’ interpersonal relationships. Previous studies have indicated that BD patients may have different degrees of impairment in various areas of social cognition. In this study, Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT) was utilized to explore the emotional intelligence (EI) performance in BD between mood episodes and euthymic state.Method: Total 127 BD patients and 91 healthy controls (HC) were recruited in this study. For BD patients, their severity was evaluated using Hamilton Depression Rating Scale (HDRS) and Young’s Mania Rating Scale (YMRS). For those BD patients had HDRS≦ 7 and YMRS ≦ 7 at least one week were considered as euthymic group. Total 58 BD patients were at euthymic state, and 69 BD patients were at the episodic state. All participants completed the MSCEIT. Results: Except for the branch of emotion perceiving, the results showed significant differences between BD groups and HC (p<.05). However, no significant difference was noticed between euthymic BD patients and HC group. A correlation analysis of mood symptoms showed that the EI of the strategy area was only related to the severity of HDRS score (r= -.18, p<.05) not YMRS score. The YMRS score was significantly negative correlated to the experience area (r= -.24, p<.05). Moreover, regression analysis showed greater impact of duration of illness than the state of depression or mania severity in predicting EI performance among BD patients (ΔR2= .78~ .29.1). oConclusion: The impairment of EI measured by MSCEIT seems state-like by the mood swing in the BD. In addition, the severity of depression more likely impacts on higher level of social cognition (Strategic area of MSCEIT). The BD patients showed no significant impairment of understanding emotion branch, which may imply that the basic or lower functioning in social cognition was not affected. Moreover, the duration of illness was found to have greater effect on EI performance, indicating that the BD patients suffering from chronic illness of this disorder than the state of severity, either depression or mania. Receiving appropriate treatment is suggested to prevent from greater impairment on higher level of EI.
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