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    Rights statement: This is the peer reviewed version of the following article: Palmier-Claus, J. E., Dodd, A., Tai, S., Emsley, R. and Mansell, W. (2016), Appraisals to affect: Testing the integrative cognitive model of bipolar disorder. Br J Clin Psychol, 55: 225–235. doi:10.1111/bjc.12081 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/bjc.12081/abstract/. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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Appraisals to affect: testing the integrative cognitive model of bipolar disorder

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Appraisals to affect : testing the integrative cognitive model of bipolar disorder. / Palmier-Claus, Jasper; Dodd, Alyson; Tai, Sara; Emsley, Richard; Mansell, Warren.

In: British Journal of Clinical Psychology, Vol. 55, No. 3, 09.2016, p. 225-235.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Palmier-Claus, J, Dodd, A, Tai, S, Emsley, R & Mansell, W 2016, 'Appraisals to affect: testing the integrative cognitive model of bipolar disorder', British Journal of Clinical Psychology, vol. 55, no. 3, pp. 225-235. https://doi.org/10.1111/bjc.12081

APA

Palmier-Claus, J., Dodd, A., Tai, S., Emsley, R., & Mansell, W. (2016). Appraisals to affect: testing the integrative cognitive model of bipolar disorder. British Journal of Clinical Psychology, 55(3), 225-235. https://doi.org/10.1111/bjc.12081

Vancouver

Palmier-Claus J, Dodd A, Tai S, Emsley R, Mansell W. Appraisals to affect: testing the integrative cognitive model of bipolar disorder. British Journal of Clinical Psychology. 2016 Sep;55(3):225-235. https://doi.org/10.1111/bjc.12081

Author

Palmier-Claus, Jasper ; Dodd, Alyson ; Tai, Sara ; Emsley, Richard ; Mansell, Warren. / Appraisals to affect : testing the integrative cognitive model of bipolar disorder. In: British Journal of Clinical Psychology. 2016 ; Vol. 55, No. 3. pp. 225-235.

Bibtex

@article{f5615a243bdf43f2ac320af164fbe5e4,
title = "Appraisals to affect: testing the integrative cognitive model of bipolar disorder",
abstract = "ObjectiveCognitive models have suggested that extreme appraisals of affective states and maladaptive affect regulation strategies are important in the development of bipolar symptomatology. Little is known about the pathway by which these appraisals and behaviours interact in the formation of activated and depressed affective states. This study tested the predictions that (1) ascent behaviours mediate the relationship between positive appraisals of activated mood and activation; and (2) descent behaviours mediate the relationship between negative appraisals of activated mood and depression.MethodA total of 52 individuals with a DSM-IV diagnosis of bipolar I or II disorder (confirmed by structured interview) completed biweekly assessments of affect regulation behaviours and mood for 4 weeks. Positive and negative appraisals of affective states were assessed at baseline through the Hypomanic Attitudes and Positive Prediction Inventory. Multilevel mediation analysis was used to explore the data.ResultsAscent behaviours partially mediated the relationship between positive appraisals of activated mood and activation. Descent behaviours, but not negative appraisals of activated mood, predicted levels of depression indicating the absence of a mediation effect.ConclusionThe results suggest that positive appraisals of activated mood can escalate activation in individuals with bipolar disorder. Such appraisals may be inherently rewarding and reinforcing directly elevating levels of activation, whilst increasing individuals' use of ascent behaviours. The results are consistent with the view that appraisals and behaviours should be targeted during cognitive behavioural therapy for bipolar disorder.Practitioner pointsIt may be beneficial to target positive appraisals of activated mood in cognitive behavioural therapy for mania.Cognitive behavioural therapists may also wish to focus on identifying and targeting individuals' use of ascent behaviours to reduce highly activated states.",
keywords = "bipolar disorder, affect regulation, activation, depression, appraisal",
author = "Jasper Palmier-Claus and Alyson Dodd and Sara Tai and Richard Emsley and Warren Mansell",
note = "This is the peer reviewed version of the following article: Palmier-Claus, J. E., Dodd, A., Tai, S., Emsley, R. and Mansell, W. (2016), Appraisals to affect: Testing the integrative cognitive model of bipolar disorder. Br J Clin Psychol, 55: 225–235. doi:10.1111/bjc.12081 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/bjc.12081/abstract/. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. ",
year = "2016",
month = sep,
doi = "10.1111/bjc.12081",
language = "English",
volume = "55",
pages = "225--235",
journal = "British Journal of Clinical Psychology",
issn = "0144-6657",
publisher = "Blackwell-Wiley",
number = "3",

}

RIS

TY - JOUR

T1 - Appraisals to affect

T2 - testing the integrative cognitive model of bipolar disorder

AU - Palmier-Claus, Jasper

AU - Dodd, Alyson

AU - Tai, Sara

AU - Emsley, Richard

AU - Mansell, Warren

N1 - This is the peer reviewed version of the following article: Palmier-Claus, J. E., Dodd, A., Tai, S., Emsley, R. and Mansell, W. (2016), Appraisals to affect: Testing the integrative cognitive model of bipolar disorder. Br J Clin Psychol, 55: 225–235. doi:10.1111/bjc.12081 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/bjc.12081/abstract/. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

PY - 2016/9

Y1 - 2016/9

N2 - ObjectiveCognitive models have suggested that extreme appraisals of affective states and maladaptive affect regulation strategies are important in the development of bipolar symptomatology. Little is known about the pathway by which these appraisals and behaviours interact in the formation of activated and depressed affective states. This study tested the predictions that (1) ascent behaviours mediate the relationship between positive appraisals of activated mood and activation; and (2) descent behaviours mediate the relationship between negative appraisals of activated mood and depression.MethodA total of 52 individuals with a DSM-IV diagnosis of bipolar I or II disorder (confirmed by structured interview) completed biweekly assessments of affect regulation behaviours and mood for 4 weeks. Positive and negative appraisals of affective states were assessed at baseline through the Hypomanic Attitudes and Positive Prediction Inventory. Multilevel mediation analysis was used to explore the data.ResultsAscent behaviours partially mediated the relationship between positive appraisals of activated mood and activation. Descent behaviours, but not negative appraisals of activated mood, predicted levels of depression indicating the absence of a mediation effect.ConclusionThe results suggest that positive appraisals of activated mood can escalate activation in individuals with bipolar disorder. Such appraisals may be inherently rewarding and reinforcing directly elevating levels of activation, whilst increasing individuals' use of ascent behaviours. The results are consistent with the view that appraisals and behaviours should be targeted during cognitive behavioural therapy for bipolar disorder.Practitioner pointsIt may be beneficial to target positive appraisals of activated mood in cognitive behavioural therapy for mania.Cognitive behavioural therapists may also wish to focus on identifying and targeting individuals' use of ascent behaviours to reduce highly activated states.

AB - ObjectiveCognitive models have suggested that extreme appraisals of affective states and maladaptive affect regulation strategies are important in the development of bipolar symptomatology. Little is known about the pathway by which these appraisals and behaviours interact in the formation of activated and depressed affective states. This study tested the predictions that (1) ascent behaviours mediate the relationship between positive appraisals of activated mood and activation; and (2) descent behaviours mediate the relationship between negative appraisals of activated mood and depression.MethodA total of 52 individuals with a DSM-IV diagnosis of bipolar I or II disorder (confirmed by structured interview) completed biweekly assessments of affect regulation behaviours and mood for 4 weeks. Positive and negative appraisals of affective states were assessed at baseline through the Hypomanic Attitudes and Positive Prediction Inventory. Multilevel mediation analysis was used to explore the data.ResultsAscent behaviours partially mediated the relationship between positive appraisals of activated mood and activation. Descent behaviours, but not negative appraisals of activated mood, predicted levels of depression indicating the absence of a mediation effect.ConclusionThe results suggest that positive appraisals of activated mood can escalate activation in individuals with bipolar disorder. Such appraisals may be inherently rewarding and reinforcing directly elevating levels of activation, whilst increasing individuals' use of ascent behaviours. The results are consistent with the view that appraisals and behaviours should be targeted during cognitive behavioural therapy for bipolar disorder.Practitioner pointsIt may be beneficial to target positive appraisals of activated mood in cognitive behavioural therapy for mania.Cognitive behavioural therapists may also wish to focus on identifying and targeting individuals' use of ascent behaviours to reduce highly activated states.

KW - bipolar disorder

KW - affect regulation

KW - activation

KW - depression

KW - appraisal

U2 - 10.1111/bjc.12081

DO - 10.1111/bjc.12081

M3 - Journal article

VL - 55

SP - 225

EP - 235

JO - British Journal of Clinical Psychology

JF - British Journal of Clinical Psychology

SN - 0144-6657

IS - 3

ER -