(1) Background: Suicide in patients with bipolar disorder (BD) is related to the chronotype of the person from a biological perspective. However, it is not known whether there is a relationship between suicide and psychological time in BD. The aim of our study was to evaluate the relationship between time perspective (TP) and suicide and the effect of TP on the relationship between suicide and chronotype in euthymic patients with BD. (2) Methods: We included 150 BD patients and 84 healthy controls in this cross-sectional study. We administered the Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HDRS), Beck Scale for Suicidal Ideation (BSSI), Zimbardo Time Perspective Inventory (ZTPI), and Morning–Evening Questionnaire (MEQ). (3) Results: There was a statistically significant difference between the median scores of past negative TP, present fatalistic TP, future TP, and MEQ total score (p < 0.001, p < 0.001, p = 0.010, and p = 0.020, respectively). There was a significant correlation between past negative TP, future TP, MEQ scores, and BSSI scores in the patient group (p < 0.001, p = 0.018, and p = 0.028, respectively). An inverse and significant relationship between the MEQ total score and BSSI score and TP types had a mediator role in this relationship. (4) Conclusions: Our study shows that TP, which evaluates time from a psychological perspective, has a direct relationship with suicidal ideation and a mediating role in the relationship between chronotype and suicide. According to our results, we can conclude that ZTPI can also be used to evaluate the risk of suicidality in patients with BD. Appropriate therapy methods for TP may help to prevent some suicide attempts.

Amaç: Bu çalışma psikiyatri servisinde tedavi gören psikotik olan ve olmayan hasta gruplarını DCPR sendromları ve Tip D kişilik açısından karşılaştırmayı, hastalık şiddeti ile Psikosomatik Araştırmalar için Tanı Ölçütleri(DCPR) sendromları ve Tip D kişilik arasında anlamlı bir ilişki olup olmadığını araştırmayı amaçlamıştır. Gereç ve Yöntem: Çalışmaya Gazi Üniversitesi Tıp Fakültesi Psikiyatri servisinde yatmakta olan 200 erişkin hasta alınmıştır. Hastalar psikotik olan (n:98) ve olmayan (n:102) şeklinde gruplandırılmıştır. Katılımcılara Sosyodemografik Veri Formu, Kısa Psikiyatrik Değerlendirme Ölçeği(KPDÖ), Tip D kişilik ölçeği ve DCPR Sendromları için yarı yapılandırılmış klinik görüşme uygulanmıştır. Bulgular: Ölüm Korkusu ve Süreğen Somatizasyon sendromlarının psikotik olmayan grupta anlamlı oranda yüksek olduğu saptanmıştır. Tip D kişiliği oluşturan alt bileşenler gruplar arasında ayrı ayrı değerlendirildiğinde, Olumsuz Duygulanım puanlarının psikotik bozukluğu olmayanlarda anlamlı düzeyde yüksek olduğu görülmüştür. Psikotik bozukluğu olanlarda KPDÖ puanları ile Ölüm Korkusu, Psikiyatrik Bozukluğa İkincil İşlevsel Somatik Belirtiler, Demoralizasyon ve Tip D kişilik varlığı arasında anlamlı bir ilişki saptanmıştır. Sonuç: DCPR ile değerlendirilen hastalar psikotik olup olmamalarına göre farklı DCPR sendromları tanılarını daha fazla oranda almışlardır. Psikotik Bozukluğu olanlarda DCPR sendromları hastalığın şiddetini göstermede bir yordayıcı olabilir.

Background and Objectives: This study aimed to examine the severity of misophonia symptoms in individuals diagnosed with obsessive–compulsive disorder (OCD) and to evaluate the pattern of the relationship between misophonia and OCD symptom severity in relation to anxiety sensitivity and mindfulness. Materials and Methods: This comparative and cross-sectional study included 108 patients diagnosed with OCD according to DSM-5 criteria and 81 healthy control subjects without any psychiatric diagnosis. Participants completed the Misophonia Symptom List (MSL), Anxiety Sensitivity Index-3 (ASI-3), Mindful Attention Awareness Scale (MAAS), Yale–Brown Obsessive Compulsive Scale (Y-BOCS), and Beck Anxiety Inventory (BAI). Statistical analyses included group comparisons, Pearson correlations, multiple linear regression, and mediation analyses using the PROCESS macro. Results: MSL scores were significantly higher in the OCD group compared to the control group (104.10 ± 33.00 vs. 87.56 ± 20.07, p < 0.001). ASI-3 (33.53 ± 18.72 vs. 18.12 ± 11.55, p < 0.001) and BAI scores (20.74 ± 13.14 vs. 11.04 ± 8.47, p < 0.001) were higher; MAAS scores were lower (53.23 ± 14.92 vs. 60.72 ± 12.70, p < 0.001). In the OCD group, MSL scores were positively correlated with anxiety sensitivity (r = 0.626, p < 0.001) and Beck anxiety (r = 0.515, p < 0.001) and negatively correlated with MAAS (r = −0.357, p < 0.001). In multiple regression analysis, anxiety sensitivity was identified as the only variable significantly predicting misophonia severity (β = 0.523, p < 0.001). Mediation analyses showed that anxiety sensitivity emerged as the dominant indirect pathway between OCD symptom severity and misophonia, whereas the contribution of mindfulness was not independent of anxiety sensitivity in the serial mediation model. Conclusions: The findings indicate that misophonia symptoms are significantly elevated in individuals diagnosed with OCD and that these symptoms are particularly associated with cognitive-emotional variables such as anxiety sensitivity and mindfulness. Given the cross-sectional design, the mediation findings should be interpreted as indirect associations rather than evidence of causal pathways. Considering these variables may be useful in assessing misophonia symptoms accompanying OCD and planning clinical approaches.

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