Impact of biological rhythms on perception of illness and cognitive flexibility in bipolar patients in remission

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dc.authoridKOCAKAYA, HANIFE/0000-0002-5907-3808
dc.authoridYetkin, Sinan/0000-0001-7709-2837
dc.contributor.authorKocakaya, Hanife
dc.contributor.authorYetkin, Sinan
dc.date.accessioned2025-01-21T16:41:40Z
dc.date.available2025-01-21T16:41:40Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractOur study aims to examine the possible mediating effects of biological rhythms on the relationship between illness perception, cognitive flexibility, and functionality in bipolar patients in remission. A total of 150 patients with bipolar disorder (BD) were enrolled. The sociodemographic data form, Biological Rhythm Interview of Assessment in Neuropsychiatry (BRIAN), Brief Illness Perception Questionnaire (BIPQ), Cognitive Flexibility Scale (CFS), Young Mania Rating Scale, Montgomery and Asberg Depression Scale, Beck Anxiety Inventory, and Short Functionality Assessment Scale were applied to the patients in the study. The mean age of the patients was 42.10 +/- 12.92 (SD). The participants were 48.7% (n = 73) female and 66.6% (n = 100) BD-I. There was a negative correlation between the total BRIAN score and favorable BIPQ scores and a positive correlation between the total BRIAN score and unfavorable BIPQ scores (except timeline). Additionally, multiple regression analyses revealed that the total BRIAN score could predict favorable BIPQ (except treatment control) and unfavorable BIPQ (except timeline) scores (p < 0.05). The total CFS score also could predict favorable BIPQ (treatment control) and unfavorable BIPQ scores (except timeline). The second step mediation analysis showed that biological rhythm mediated the relationship between illness perception and cognitive flexibility. Our study found that biological rhythms played a full mediating role in the relationship between the perception of illness and cognitive flexibility. In addition, worsening in biological rhythms in bipolar patients could cause negative beliefs and attitudes towards their diseases with an unfavorable clinical course. Therefore, regularity in biological rhythms should be highly recommended for bipolar patients.
dc.identifier.doi10.1080/07420528.2024.2312811
dc.identifier.endpage416
dc.identifier.issn0742-0528
dc.identifier.issn1525-6073
dc.identifier.issue3
dc.identifier.pmid38311973
dc.identifier.scopus2-s2.0-85184178607
dc.identifier.scopusqualityQ2
dc.identifier.startpage406
dc.identifier.urihttps://doi.org/10.1080/07420528.2024.2312811
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24914
dc.identifier.volume41
dc.identifier.wosWOS:001158089300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Inc
dc.relation.ispartofChronobiology International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectBipolar disorder; illness perception; biological rhythms
dc.titleImpact of biological rhythms on perception of illness and cognitive flexibility in bipolar patients in remission
dc.typeArticle

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