Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder

Perugi, Giulio; Hantouche, Elie G.; Vannucchi, Giulia; Pinto, Olavo

doi:10.1016/j.jad.2015.05.004

Cited by 46 publications

(31 citation statements)

References 189 publications

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“…These individuals may engage in intense and unstable relationships. Furthermore, the cyclothymic temperament is also characterized by extreme mood reactivity to interpersonal and separation sensitivity (Perugi et al, 2015). Hence, the cyclothymic temperament was more closely related to the 'fear of being abandoned' jealousy.…”

Section: Associations Of Jealousy Dimensions and Affective Temperamentsmentioning

confidence: 99%

An exploratory study of the heterogeneity of the jealousy phenomenon and its associations with affective temperaments and psychopathological dimensions in a large Brazilian sample

Lima

Köhler

Stubbs

et al. 2017

Journal of Affective Disorders

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exploratory study of the heterogeneity of the jealousy phenomenon and its associations with affective temperaments and psychopathological dimensions in a large Brazilian sample, Journal of Affective Disorders, http://dx.doi.org/10.1016Disorders, http://dx.doi.org/10. /j.jad.2017 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. METHODS: A Brazilian Portuguese version of the "Questionario della Gelosia" (QUEGE) was developed. We obtained data from an anonymous web-based research platform. Socio-demographic data was obtained and participants answered the QUEGE, the TEMPS-Rio de Janeiro, and the Symptom Checklist-90-Revised (SCL-90-R).RESULTS: 2042 participants (29 % men, 71% female, mean age + SD: 28.9 ± 8.8years), took part in this survey. Confirmatory factor analysis provided a five-factor model for the QUEGE with self-esteem, paranoia, interpersonal sensitivity, fear of being abandoned, and obsessive dimensions. The anxious, irritable, cyclothymic, and depressive temperaments were independently associated with jealousy dimensions, whereas the hyperthymic temperament was associated with lower scores on the selfesteem jealousy dimension (N= 2042, P < 0.001). Jealousy subtypes were dissimilarly associated with SCL-90R psychopathological dimensions, whereas the 'obsessive' jealousy dimension was not significantly associated with SCL-90R dimension scores.We found no independent influence of gender across any jealousy dimension.LIMITATIONS: A convenience web-based sample was employed. Cross-sectional design precludes the establishment of causal inferences.CONCLUSIONS: Our data indicate that a five-factor solution may provide the best-fit model for the QUEGE. Different jealousy subtypes were independently associated with affective temperaments and psychopathological dimensions. These associations reported herein should be confirmed in prospective studies.

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Section: Associations Of Jealousy Dimensions and Affective Temperamentsmentioning

confidence: 99%

An exploratory study of the heterogeneity of the jealousy phenomenon and its associations with affective temperaments and psychopathological dimensions in a large Brazilian sample

Lima

Köhler

Stubbs

et al. 2017

Journal of Affective Disorders

View full text Add to dashboard Cite

show abstract

“…Diagnostic difficulties concern the differentiation from mood disorders which exhibit similar irritability, and from personality disorders which also have emotional instability as their hallmark feature [1]. …”

Section: Figmentioning

confidence: 99%

“…Not enough attention is paid to the key psychological aspects of cyclothymia such as environmental reactivity and interpersonal sensitivity that may aid not only in identifying cases, but also in guiding treatment [1]. …”

Section: Figmentioning

confidence: 99%

“…Frank's [4] original clinical hypothesis argues that demoralized patients more frequently and actively seek psychotherapy and respond readily to help and encouragement, that is to nonspecific psychotherapeutic factors. Considering that cyclothymic patients are often highly reactive to external stimuli [1], and that demoralization represents a heightened suggestibility to encouragement [4], comorbid demoralization in such patients may prove to be a predictor of increased treatment response. Additionally, as demoralization appears to affect such a large proportion of cyclothymic patients and the role of psychological factors in treatment response in cyclothymia is seldom studied, the aim of this secondary analysis is to test whether demoralization is associated with psychological treatment response in this population.…”

Section: Figmentioning

confidence: 99%

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Demoralization and Response to Psychotherapy: A Pilot Study Comparing the Sequential Combination of Cognitive-Behavioral Therapy and Well-Being Therapy with Clinical Management in Cyclothymic Disorder

Tomba

Tecuta²,

Guidi³

et al. 2015

Psychother Psychosom

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“…Currently, there is no established pharmacological strategy for IMI; moreover, relatively few pharmacological treatment trials focus upon it as a feature of bipolar disorders (BDs) [7][8][9]. Existing recommended psychological therapies for bipolar disorder typically address depression or relapse risk rather than IMI, which is rarely measured in trials of these therapies.…”

mentioning

confidence: 99%

Psychological therapy for mood instability within bipolar spectrum disorder: a single-arm feasibility study of a dialectical behaviour therapy-informed approach

Wright

Palmer

Javaid

et al. 2020

Pilot Feasibility Stud

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Background: We sought to evaluate the acceptability of a psychological therapy programme (Therapy for Interepisode Mood Variability in Bipolar Disorder (ThrIVe-B)) for individuals with ongoing bipolar mood instability and the feasibility and acceptability of potential trial procedures. We also evaluated the performance of clinical and process outcome measures and the extent to which the programme potentially represents a safe and effective intervention. Method:We conducted an open (uncontrolled) trial in which 12 individuals with a bipolar spectrum diagnosis commenced the ThrIVe-B programme after completing baseline assessments. The programme comprised 16 group skills training sessions plus individual sessions and a supporting smartphone application. Follow-up assessments were at therapy end-point and 6 months post-treatment.Results: Nine participants completed treatment. Ten provided end-of-treatment data; of these, nine were satisfied with treatment. Interviews with participants and clinicians indicated that the treatment was broadly feasible and acceptable, with suggestions for improvements to content, delivery and study procedures. Exploration of change in symptoms was consistent with the potential for the intervention to represent a safe and effective intervention. Conclusions: Conducting further evaluation of this approach in similar settings is likely to be feasible, whilst patient reports and the pattern of clinical change observed suggest this approach holds promise for this patient group. Future research should include more than one study site and a comparison arm to address additional uncertainties prior to a definitive trial.Trial registration: Trial Registration: ClinicalTrials.gov NCT02637401; registered 22.12.15 (retrospectively registered).

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Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder

Cited by 46 publications

References 189 publications

An exploratory study of the heterogeneity of the jealousy phenomenon and its associations with affective temperaments and psychopathological dimensions in a large Brazilian sample

An exploratory study of the heterogeneity of the jealousy phenomenon and its associations with affective temperaments and psychopathological dimensions in a large Brazilian sample

Demoralization and Response to Psychotherapy: A Pilot Study Comparing the Sequential Combination of Cognitive-Behavioral Therapy and Well-Being Therapy with Clinical Management in Cyclothymic Disorder

Psychological therapy for mood instability within bipolar spectrum disorder: a single-arm feasibility study of a dialectical behaviour therapy-informed approach

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