Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/12206
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: Extreme positive and negative appraisals of activated states interact to discriminate bipolar disorder from unipolar depression and non-clinical controls
Author(s): Kelly, Rebecca E
Mansell, Warren
Wood, Alex M
Alatiq, Yousra
Dodd, Alyson
Searson, Ruth
Contact Email: alex.wood@stir.ac.uk
Keywords: Bipolar disorder
Activation
Appraisals
Mood swings
Bipolar Disorder
Depression
Manic-depressive illness
Issue Date: Nov-2011
Date Deposited: 22-Apr-2013
Citation: Kelly RE, Mansell W, Wood AM, Alatiq Y, Dodd A & Searson R (2011) Extreme positive and negative appraisals of activated states interact to discriminate bipolar disorder from unipolar depression and non-clinical controls. Journal of Affective Disorders, 134 (1-3), pp. 438-443. https://doi.org/10.1016/j.jad.2011.05.042
Abstract: Background: This research aimed to test whether positive, negative, or conflicting appraisals about activated mood states (e.g., energetic and high states) predicted bipolar disorder. Methods: A sample of individuals from clinical and control groups (171 with bipolar disorder, 42 with unipolar depression, and 64 controls) completed a measure of appraisals of internal states. Results: High negative appraisals related to a higher likelihood of bipolar disorder irrespective of positive appraisals. High positive appraisals related to a higher likelihood of bipolar disorder only when negative appraisals were also high. Individuals were most likely to have bipolar disorder, as opposed to unipolar depression or no diagnosis, when they endorsed both extremely positive and extremely negative appraisals of the same, activated states. Limitations: Appraisals of internal states were based on self-report. Conclusions: The results indicate that individuals with bipolar disorder tend to appraise activated, energetic internal states in opposing or conflicting ways, interpreting these states as both extremely positive and extremely negative. This may lead to contradictory attempts to regulate these states, which may in turn contribute to mood swing symptoms. Psychological therapy for mood swings and bipolar disorder should address extreme and conflicting appraisals of mood states.
DOI Link: 10.1016/j.jad.2011.05.042
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