Behavioral Approach System and Behavioral Inhibition System sensitivities and bipolar spectrum disorders: prospective prediction of bipolar mood episodes

Alloy, Lauren B.; Abramson, Lyn Y.; Walshaw, Patricia D.; Cogswell, Alex; Grandin, Louisa D.; Hughes, Mary Elizabeth; Iacoviello, Brian M.; Whitehouse, Wayne G.; Urošević, Snežana; Nusslock, Robin; Hogan, Michael E.

doi:10.1111/j.1399-5618.2007.00547.x

Cited by 213 publications

(316 citation statements)

References 79 publications

Supporting

Mentioning

298

Contrasting

Unclassified

Order By: Relevance

“…However, structured clinical interviews confirmed that none of the participants were experiencing a mood episode or had a history of a bipolar spectrum disorder. This design contrasts with and indeed compliments other highrisk designs that have used bipolar II and cyclothymia diagnoses as risk categories (Alloy et al, 2008).…”

Section: Positive Self-appraisalmentioning

confidence: 96%

Objective assessment of circadian activity and sleep patterns in individuals at behavioural risk of hypomania

Ankers¹,

Jones

2009

J Clin Psychol

View full text Add to dashboard Cite

Although sleep and circadian rhythm disturbances are significant features of bipolar disorder and are associated with illness severity and recurrence, less is known about their significance prior to illness onset. Therefore, this study investigated these variables using objective assessment methods within a sample at high-risk of bipolar spectrum disorders. Thirty-one high-risk and 24 age- and gender-matched control participants wore an actigraph for 7 days to obtain sleep and circadian activity data. Self-report measures of mood, bed and get-up times, and cognitive style were also obtained. High-risk participants exhibited greater variability in duration, fragmentation, and efficiency of sleep, shorter sleep duration, and later and more variable bedtimes than controls. They also had lower relative amplitude of activity patterns and made more positive self-appraisals for hypomanic experiences. Logistic regression showed that positive self-appraisal and variability in bedtime significantly discriminated between the two groups. Results suggest that sleep and circadian activity differences are apparent in high-risk participants and, therefore, may not simply represent an artifact of the illness. Such individuals also report cognitive styles consistent with those observed in bipolar patients. Relevance of these results to current evolutions of the instability theory of bipolar disorder is discussed.

show abstract

Section: Positive Self-appraisalmentioning

confidence: 96%

Objective assessment of circadian activity and sleep patterns in individuals at behavioural risk of hypomania

Ankers¹,

Jones

2009

J Clin Psychol

View full text Add to dashboard Cite

show abstract

“…Es más, cuanto menor es la activación de este sistema, mayor es la persistencia de los síntomas de depresión a los 6 meses de seguimiento (30). Asimismo, se ha comprobado la presencia de una hipersensibilidad del SAC en personas con un diagnóstico de trastorno bipolar, concretamente en los periodos de manía, en tanto que se produce una hipoactividad del mismo en los periodos depresivos (31,32). Otros estudios han puesto de manifiesto una asociación entre la sensibilidad del SAC y haber sido diagnosticado con un trastorno por abuso de sustancias o alcohol a lo largo de la vida (33).…”

Section: Psicopatología Sobre Las Bases De La Teoría De La Sensibilidunclassified

El papel de los sistemas de aproximación e inhibición conductual (SAC/SIC) en la adaptación psicológica al dolor crónico

Serrano‐Ibáñez¹,

López‐Martínez²,

Ramírez‐Maestre³

et al. 2017

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

“…studies, although high scores on the BAS predicted hypomania, BAS scores were unrelated to subsequent depressive symptoms (Alloy, Abramson, Urosevic, Bender, & Wagner, 2009b;Alloy et al, 2008). Thus, hypomania, perhaps through its correlation with stronger BAS, may indeed reflect resilience rather than a cause for concern.…”

Section: Bipolar 18mentioning

confidence: 95%

Can a Diagnosis Be Epidemic, With Therapeutic Efforts the Catastrophe?

Littrell

2012

Ethical Hum Psychol Psychiatry

View full text Add to dashboard Cite

The diagnosis of Bipolar Spectrum Disorders (BSD) given for office visits has risen 40 fold for children and has risen dramatically for adults as well. Some of the growth may have been fueled by re-categorization of individuals who would previously have received diagnoses of major depression along with the widening of diagnostic criteria for BSD. Concomitant with the rise in BSD diagnoses, the number of adults and children receiving atypical antipsychotics has increased dramatically. Recent evidence finds that atypical antipsychotics cause considerable reduction in brain volume. It is thus imperative to ensure that those with diagnoses comprising BSD-Bipolar I, Bipolar II, and Bipolar Not Otherwise specified (NOS)-actually share a common etiology and are being appropriately treated. This paper reviews the history, evidentiary support, and implications associated with the expansion of the Bipolar Spectrum. Can a Diagnosis Be Epidemic, with Therapeutic Efforts the Catastrophe?In the years from 1999 to 2003, the diagnosis of bipolar given in office visits has increased 40 fold for children. Bipolar Disorder diagnoses have increased during the same time period for adults as well rising from 4.77% of office visits to 6.28% of office visits (Moreno et al., 2007).Allen Frances (2009), the Chairperson of the DSM-IV, has suggested that the sharp rise in bipolar diagnoses is attributable to the manner in which criteria for the disorders were written-that it was an issue of taxonomy rather than epidemiology. Obviously, diagnostic criteria have profound implications for who is diagnosed, at what age, and whether they are treated with psychotropic medications. Because psychotropic medications carry substantial risks-if not guarantees-of side effects, those decisions must be judicious, and ever cognizant of Hippocrates' admonishment: First, do no harm. This review constitutes an audit of psychiatry's books, asking if they balance when the substantial risk of harm from such diagnoses and the regimen of medication they entail is taken fully into account. Creation of the Bipolar SpectrumOver the years, those behaviors categorized under the bipolar label have expanded greatly. In the DSM-II (Association, 1968), manic-depression, listed under the heading "affective psychoses", was the only bipolar type diagnosis. With subsequent editions of the DSM, new categories of affect perturbations were included in manuals. The DSM-III (Association, 1980) provided descriptions of the behaviors required to meet criteria for mixed and manic episodes. The DSM-III-R (Association, 1987) added criteria for hypomania (specified in the next paragraph). The literature recognized that some persons who had experienced an episode of depression did have periods when they were enthusiastic, energetic, and animated to the extent that they met criteria for hypomania. Kupfer, Carpenter, and Frank (1988) had argued that such individuals, who were labeled Bipolar II, should be viewed as experiencing a variant of major depression. Dunner (1993) disagr...

show abstract

Behavioral Approach System and Behavioral Inhibition System sensitivities and bipolar spectrum disorders: prospective prediction of bipolar mood episodes

Abstract: Consistent with the BAS hypersensitivity model of bipolar disorder, a highly responsive BAS provides vulnerability to onsets of (hypo)manic episodes. In addition, a highly sensitive BIS increases risk for major depressive episodes.

Cited by 213 publications

References 79 publications

Objective assessment of circadian activity and sleep patterns in individuals at behavioural risk of hypomania

Objective assessment of circadian activity and sleep patterns in individuals at behavioural risk of hypomania

El papel de los sistemas de aproximación e inhibición conductual (SAC/SIC) en la adaptación psicológica al dolor crónico

Can a Diagnosis Be Epidemic, With Therapeutic Efforts the Catastrophe?

Contact Info

Product

Resources

About