Work

Psychological processes in bipolar affective disorder: negative cognitive style and reward processing

Year: 2009

Type: article

Abstract: BACKGROUND: Psychological processes in bipolar disorder are of both clinical and theoretical importance. AIMS: To examine depressogenic psychological processes and reward responsivity in relation to different mood episodes (mania, depression, remission) and bipolar symptomatology. METHOD: One hundred and seven individuals with bipolar disorder (34 in a manic/hypomanic or mixed affective state; 30 in a depressed state and 43 who were euthymic) and 41 healthy controls were interviewed with Structured Clinical Interview for DSM-IV and completed a battery of self-rated and experimental measures assessing negative cognitive styles, coping response to negative affect, self-esteem stability and reward responsiveness. RESULTS: Individuals in all episodes differed from controls on most depression-related and reward responsivity measures. However, correlational analyses revealed clear relationships between negative cognitive styles and depressive symptoms, and reward responsivity and manic symptoms. CONCLUSIONS: Separate psychological processes are implicated in depression and mania, but cognitive vulnerability to depression is evident even in patients who are euthymic.

Source: The British Journal of Psychiatry

DOI: 10.1192/bjp.bp.107.047894

Authors: Emma Van der Gucht, Richard Morriss, Gill Lancaster, Peter Kinderman, Richard P. Bentall

Institutions: University of Leeds, University of Nottingham, Lancaster University, University of Liverpool, Bangor University

Language: English

Topic: Bipolar Disorder and Treatment

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W2149507269