Cognitive emotion regulation in euthymic bipolar disorder

Wolkenstein, Larissa; Zwick, Julia C.; Hautzinger, Martin; Joormann, Jutta

doi:10.1016/j.jad.2013.12.022

Cited by 60 publications

(46 citation statements)

References 34 publications

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“…18 A recent study in which rumination was induced in patients with BD and depression found that rumination increases positive affect in both types of patients. 9 An association has also been found between frequent rumination and sexual violence. 36 Gruber et al reported that rumination and worry were transdiagnostic symptoms between BD and insomnia.…”

Section: Discussionmentioning

confidence: 98%

Rumination in bipolar disorder: a systematic review

Silveira

Kauer-Sant’Anna

2015

Braz. J. Psychiatry

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Objective: To conduct a systematic review of the literature about the symptom of rumination in bipolar disorder (BD). Methods: We searched the MEDLINE (PubMed), ISI Web of Knowledge, PsycINFO, and SciELO databases using the descriptors ''rumination'' and ''bipolar disorder'' and no time limits. This strategy yielded 105 references, of which 74 were selected. Inclusion criteria were studies involving patients with BD and the use of at least one validated scale for the assessment of rumination. Review articles were excluded. Seventeen articles were ultimately analyzed and included in the review. Results: Rumination is present in all BD phases, is a stable interepisodic symptom, is associated with symptoms of depression, anxiety, and hypomania, and may occur in response to both positive and negative affect. There is no research on rumination and neurobiological findings in patients with BD. Conclusions: Rumination seems to be independent of mood state, but shows close relationship with it. It is possible that rumination has a negative impact on cognitive and executive functions, particularly inhibitory control. Finally, rumination is an important symptom in both phases of BD, and, therefore, may be a useful target for further exploration as a dimensional domain and a transdiagnostic phenomenon in Research Domain Criteria (RDoC) projects.

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Section: Discussionmentioning

confidence: 98%

Rumination in bipolar disorder: a systematic review

Silveira

Kauer-Sant’Anna

2015

Braz. J. Psychiatry

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“…In other words, this negative bias in subjective feelings could be a consequence of maladaptive emotion regulation strategies. In a study by Wolkeinstein and colleagues (Wolkenstein et al, 2014), euthymic patients with BD and patients with major depressive disorder (MDD) reported increased rumination, catastrophizing, and self-blame, along with decreased positive reappraisal and perspective-taking, compared with HC. This suggests that deficits in the habitual use of emotion regulation strategies may characterize individuals with BD or MDD, even outside an acute episode, and thereby play a role in the recurrence of affective disorders.…”

Section: Discussionmentioning

confidence: 99%

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

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a b s t r a c tBackground: Research has shown bipolar disorder to be characterized by dysregulation of emotion processing, including biases in facial expression recognition that is most prevalent during depressive and manic states. Very few studies have examined induced emotions when patients are in a euthymic phase, and there has been no research on complex emotions. We therefore set out to test emotional hyperreactivity in response to musical excerpts inducing complex emotions in bipolar disorder during euthymia. Methods: We recruited 21 patients with bipolar disorder (BD) in a euthymic phase and 21 matched healthy controls. Participants first rated their emotional reactivity on two validated self-report scales (ERS and MAThyS). They then rated their music-induced emotions on nine continuous scales. The targeted emotions were wonder, power, melancholy and tension. We used a specific generalized linear mixed model to analyze the behavioral data. Results: We found that participants in the euthymic bipolar group experienced more intense complex negative emotions than controls when the musical excerpts induced wonder. Moreover, patients exhibited greater emotional reactivity in daily life (ERS). Finally, a greater experience of tension while listening to positive music seemed to be mediated by greater emotional reactivity and a deficit in executive functions. Limitations: The heterogeneity of the BD group in terms of clinical characteristics may have influenced the results. Conclusions: Euthymic patients with bipolar disorder exhibit more complex negative emotions than controls in response to positive music.

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“…In BD, current research has had a heavy focus on emotion regulation as either a component of implicit emotion processing (see Phillips et al, 2008), volitional cognitive control over goal directed action (i.e., impulse/ inhibitory control: Kerr et al, 2005;Peluso et al, 2007), or explicit antecedent-focused (i.e., attentional deployment or appraisal based) cognitive strategies including rumination or reappraisal (see Green et al, 2011;Rowland et al, 2013b). Evidence in this regard suggests that in comparison to healthy individuals, patients with BD have poor suppression of emotion related neural hyperactivity, heightened impulsivity in emotionally arousing situations, poor reappraisal capacity and a tendency to rely more heavily on negative attentional strategies, including rumination and catastrophizing, to regulate mood (see also Van der Gucht et al, 2009;Gruber et al, 2011;Ghaznavi and Deckersbach, 2012;Wolkenstein et al, 2014). Paradoxically, although these latter strategies are intended to reduce emotional distress, there is evidence that they increase distress instead (Gratz and Roemer, 2004;Gratz and Tull, 2010).…”

Section: Introductionmentioning

confidence: 99%