Additive impulsivity and emotion dysregulation in adolescents with comorbid bipolar and substance use disorder: a cross-sectional factorial study - Takeaways - MDSpire
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Impulsivity and Emotion Regulation Challenges in Adolescents with Co-occurring Bipolar Disorder and Substance Use Disorder: Findings from a Cross-Sectional Factorial Analysis

  • By

  • Fevzi T. Ocakoglu

  • Yiğit Özaydın

  • Naz Arslan

  • Birsen Şentürk Pilan

  • Tezan Bildik

  • Eyup S. Ercan

  • June 5, 2026

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  • 1

    Adolescents with comorbid bipolar disorder and substance use disorder exhibit higher impulsivity and emotion regulation difficulties than those with either disorder alone.

  • 2

    The study found significant interactions between bipolar disorder and substance use disorder affecting both impulsivity and emotion regulation in adolescents.

  • 3

    The BD+SUD group scored 38.90 points higher on emotion dysregulation and 26.72 points higher on impulsivity compared to the SUD-only group.

  • 4

    Impulsivity was identified as the strongest predictor of substance use severity among adolescents with substance use disorder.

  • 5

    Findings suggest the need for integrated interventions targeting impulsivity and emotion regulation in adolescents with dual diagnoses.

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