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

Abstract 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 disor...

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Main Authors: Chia Ning Lee, Yu‐Lien Huang, Hui Hua Chang, Che Yu Kuo, Tsung‐Hua Lu, Yi‐Ting Hsieh, Wei Hung Chang, Yen Kuang Yang, Po See Chen, Huai‐Hsuan Tseng
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.1002/kjm2.12539
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author Chia Ning Lee
Yu‐Lien Huang
Hui Hua Chang
Che Yu Kuo
Tsung‐Hua Lu
Yi‐Ting Hsieh
Wei Hung Chang
Yen Kuang Yang
Po See Chen
Huai‐Hsuan Tseng
author_facet Chia Ning Lee
Yu‐Lien Huang
Hui Hua Chang
Che Yu Kuo
Tsung‐Hua Lu
Yi‐Ting Hsieh
Wei Hung Chang
Yen Kuang Yang
Po See Chen
Huai‐Hsuan Tseng
author_sort Chia Ning Lee
collection DOAJ
description Abstract 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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spelling doaj.art-b572ac81dd2f4f22901318f8c834060d2022-12-22T01:22:24ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502022-07-0138770371110.1002/kjm2.12539Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorderChia Ning Lee0Yu‐Lien Huang1Hui Hua Chang2Che Yu Kuo3Tsung‐Hua Lu4Yi‐Ting Hsieh5Wei Hung Chang6Yen Kuang Yang7Po See Chen8Huai‐Hsuan Tseng9Department of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychology Fo Guang University Yilan TaiwanInstitute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, Dou‐Liou Branch Yunlin TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanDepartment of Psychiatry National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University Tainan TaiwanAbstract 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.https://doi.org/10.1002/kjm2.12539bipolar disorderemotion recognitioneuthymic statelonelinesssocial functioning
spellingShingle Chia Ning Lee
Yu‐Lien Huang
Hui Hua Chang
Che Yu Kuo
Tsung‐Hua Lu
Yi‐Ting Hsieh
Wei Hung Chang
Yen Kuang Yang
Po See Chen
Huai‐Hsuan Tseng
Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder
Kaohsiung Journal of Medical Sciences
bipolar disorder
emotion recognition
euthymic state
loneliness
social functioning
title Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder
title_full Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder
title_fullStr Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder
title_full_unstemmed Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder
title_short Associations of emotion recognition, loneliness, and social functioning in euthymic patients with bipolar disorder
title_sort associations of emotion recognition loneliness and social functioning in euthymic patients with bipolar disorder
topic bipolar disorder
emotion recognition
euthymic state
loneliness
social functioning
url https://doi.org/10.1002/kjm2.12539
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