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Extreme and conflicting appraisals of activated internal states discriminate remitted bipolar disorder from remitted unipolar depression and non-clinical controls.

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Extreme and conflicting appraisals of activated internal states discriminate remitted bipolar disorder from remitted unipolar depression and non-clinical controls. / Kelly, Rebecca; Mansell, Warren; Wood, Alex; Alatiq, Y; Dodd, Alyson; Searson, Ruth.

In: Journal of Affective Disorders, Vol. 134, No. 1-3, 2011, p. 438-443.

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Kelly, Rebecca ; Mansell, Warren ; Wood, Alex ; Alatiq, Y ; Dodd, Alyson ; Searson, Ruth. / Extreme and conflicting appraisals of activated internal states discriminate remitted bipolar disorder from remitted unipolar depression and non-clinical controls. In: Journal of Affective Disorders. 2011 ; Vol. 134, No. 1-3. pp. 438-443.

Bibtex

@article{da31d923abdb4abdb74bd54c58585750,
title = "Extreme and conflicting appraisals of activated internal states discriminate remitted bipolar disorder from remitted unipolar depression and non-clinical controls.",
abstract = "BackgroundThis research aimed to test whether positive, negative, or conflicting appraisals about activated mood states (e.g., energetic and high states) predicted bipolar disorder.MethodsA 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.ResultsHigh 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.LimitationsAppraisals of internal states were based on self-report.ConclusionsThe 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.",
keywords = "Bipolar disorder; Activation; Appraisals; Mood swings",
author = "Rebecca Kelly and Warren Mansell and Alex Wood and Y Alatiq and Alyson Dodd and Ruth Searson",
year = "2011",
doi = "10.1016/j.jad.2011.05.042",
language = "English",
volume = "134",
pages = "438--443",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "Elsevier",
number = "1-3",

}

RIS

TY - JOUR

T1 - Extreme and conflicting appraisals of activated internal states discriminate remitted bipolar disorder from remitted unipolar depression and non-clinical controls.

AU - Kelly, Rebecca

AU - Mansell, Warren

AU - Wood, Alex

AU - Alatiq, Y

AU - Dodd, Alyson

AU - Searson, Ruth

PY - 2011

Y1 - 2011

N2 - BackgroundThis research aimed to test whether positive, negative, or conflicting appraisals about activated mood states (e.g., energetic and high states) predicted bipolar disorder.MethodsA 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.ResultsHigh 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.LimitationsAppraisals of internal states were based on self-report.ConclusionsThe 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.

AB - BackgroundThis research aimed to test whether positive, negative, or conflicting appraisals about activated mood states (e.g., energetic and high states) predicted bipolar disorder.MethodsA 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.ResultsHigh 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.LimitationsAppraisals of internal states were based on self-report.ConclusionsThe 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.

KW - Bipolar disorder; Activation; Appraisals; Mood swings

U2 - 10.1016/j.jad.2011.05.042

DO - 10.1016/j.jad.2011.05.042

M3 - Journal article

VL - 134

SP - 438

EP - 443

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

IS - 1-3

ER -