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    Rights statement: This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 293, 2021 DOI: 10.1016/j.jad.2021.06.035

    Accepted author manuscript, 247 KB, PDF document

    Embargo ends: 27/06/22

    Available under license: CC BY-NC-ND: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License

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Interactions and implications of Fuzzy-Trace Theory for risk taking behaviors in Bipolar disorder

Research output: Contribution to journalJournal articlepeer-review

Published
<mark>Journal publication date</mark>1/10/2021
<mark>Journal</mark>Journal of Affective Disorders
Volume293
Number of pages9
Pages (from-to)305-313
Publication StatusPublished
Early online date27/06/21
<mark>Original language</mark>English

Abstract

Background. According to Fuzzy-Trace Theory (FTT), qualitative, bottom-line,
“gist” reasoning leads to less risk taking and more mature decision-making, less
easily swayed by emotions than quantitative, detail-oriented, “verbatim” reasoning.
In Bipolar disorder deleterious risky behaviors are common. Prior research
confirmed the relationships posited between FTT and risk taking. We aim to
understand whether FTT acts upon risk taking in the manner proposed in the FTT
framework, namely, that (a) gist “values” mediate the role of “categorical gist”.
Furthermore, the roles of mania and impulsivity, cited as factors for risk-taking,
remain to be clarified. In this study, we investigate if (b) manic symptoms and
impulsivity moderate these relationships.
Methods. Participants (N = 105) completed an online survey including
demographics, clinical variables, symptomatology, FTT, risk taking and risk
perception.
Results. Mediational models indicated that (a) Gist Values mediated Categorical
Gist’s effect on risk taking, as expected by the FTT framework. (b) Impulsivity
moderates risk taking, but manic-type symptomatology does not.
Limitations. Voluntary, self-report surveys may have low participant motivation
and limit the diagnostic validity and the in-patient generalizability of the results.
Conclusions. The results move beyond a focus on mood-related aspects of Bipolar disorder and confirm the importance of understanding reasoning processes like FTT in combination with impulsivity, as potential behavioral factors of risk taking in Bipolar disorder. The clarifications on FTT’s functioning as a mechanism prescribe possible openings for more efficacious reduction of risky behaviors through behavioral interventions focusing on value creation.

Bibliographic note

This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, 293, 2021 DOI: 10.1016/j.jad.2021.06.035