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
Authors: 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
Issue Date: Nov-2011
Publisher: Elsevier for the International Society for Affective Disorders
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.
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.
Type: Journal Article
URI: http://hdl.handle.net/1893/12206
DOI Link: http://dx.doi.org/10.1016/j.jad.2011.05.042
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Manchester
University of Manchester
Socio-Management
University of Oxford
Lancaster University
University of Manchester

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