The belief that being high is a natural part of your personality predicts an increase in manic symptoms over time in bipolar disorder.

IF 2 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavioural and Cognitive Psychotherapy Pub Date : 2024-10-11 DOI:10.1017/S1352465824000389

Thomas Richardson, Warren Mansell

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Abstract

Background: Several psychological models of bipolar disorder propose that certain types of appraisals can lead to increases in manic symptoms.

Aims: We tested whether the belief that being 'high' is a natural part of one's personality and correlates with manic symptoms 4 months later when controlling for manic symptoms at baseline.

Method: This was a prospective 4-month follow-up design using self-report measures. Forty people with a diagnosis of bipolar disorder completed a measure of manic symptoms, a measure of appraisals associated with bipolar disorder, and a single-item measure, 'To what extent do you feel like being "high" is a natural part of your personality?', at baseline and follow-up.

Results: The single-item measure showed modest stability over time and construct validity in its correlation with a standardised measure of appraisals in bipolar disorder. As predicted, the single-item measure correlated with manic symptoms at follow-up when controlling for manic symptoms at baseline.

Conclusions: The belief that being 'high' is a natural part of one's personality is a potential predictor of manic symptoms. Further research needs to study the potential mediating mechanisms such as activating behaviours, and control for indicators of the bipolar endophenotype.

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认为亢奋是性格的自然组成部分这一信念预示着躁狂症患者的躁狂症状会随着时间的推移而增加。

背景：有几种双相情感障碍的心理模型认为，某些类型的评价会导致躁狂症状的增加：目的：我们测试了 "亢奋 "是一个人性格的自然组成部分这一信念是否与4个月后的躁狂症状相关，同时控制了基线时的躁狂症状：这是一项为期 4 个月的前瞻性随访设计，采用的是自我报告测量法。40名被诊断为躁狂症的患者在基线和随访期间完成了一项躁狂症状测量、一项与躁狂症相关的评价测量，以及一项单项测量 "你在多大程度上觉得'亢奋'是你性格的自然组成部分？结果：单项测量结果表明，随着时间的推移，该测量结果具有适度的稳定性，而且它与躁郁症评价的标准化测量结果之间的相关性具有建构有效性。正如预测的那样，在控制基线躁狂症状的情况下，单项测量与随访时的躁狂症状相关：结论：认为 "亢奋 "是一个人性格的自然组成部分是预测躁狂症状的潜在因素。进一步的研究需要对潜在的中介机制（如激活行为）进行研究，并对躁狂症内表型的指标进行控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioural and Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

5.60%

发文量

期刊介绍： An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.