Goals in bipolar I disorder: Big dreams predict more mania

Tharp, Jordan A.; Johnson, Sheri L.; Sinclair, Sungchoon; Kumar, Sant

doi:10.1007/s11031-015-9519-5

Cited by 11 publications

(10 citation statements)

References 61 publications

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“…In bipolar I samples, ambitious goal-setting for popular fame and financial success predicted increases in manic symptoms over a three-month follow-up (Johnson, Carver, & Gotlib, 2012); and both high achievement motivation (Lozano & Johnson, 2001) and personal goals rated as objectively more ambitious (Tharp, Johnson, Sinclair, & Kumar, in press) predicted increases in manic symptoms over a six-month follow-up. Moreover, Nusslock, Harmon-Jones, et al (2012) found that elevated relative left frontal EEG activity at rest prospectively predicted a greater likelihood of progression from bipolar II or cyclothymic disorder to bipolar I disorder over a 4.7 year follow-up, controlling for baseline mood symptoms and medication status.…”

Section: Reward Hypersensitivity In Bipolar Spectrum Disorders: Theormentioning

confidence: 99%

Role of Reward Sensitivity and Processing in Major Depressive and Bipolar Spectrum Disorders

et al. 2016

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Since Costello’s (1972) seminal Behavior Therapy article on loss of reinforcers or reinforcer effectiveness in depression, the role of reward sensitivity and processing in both depression and bipolar disorder has become a central area of investigation. In this article, we review the evidence for a model of reward sensitivity in mood disorders, with unipolar depression characterized by reward hyposensitivity and bipolar disorders by reward hypersensitivity. We address whether aberrant reward sensitivity and processing are correlates of, mood-independent traits of, vulnerabilities for, and/or predictors of the course of depression and bipolar spectrum disorders, covering evidence from self-report, behavioral, neurophysiological, and neural levels of analysis. We conclude that substantial evidence documents that blunted reward sensitivity and processing are involved in unipolar depression and heightened reward sensitivity and processing are characteristic of hypomania/mania. We further conclude that aberrant reward sensitivity has a trait component, but more research is needed to clearly demonstrate that reward hyposensitivity and hypersensitivity are vulnerabilities for depression and bipolar disorder, respectively. Moreover, additional research is needed to determine whether bipolar depression is similar to unipolar depression and characterized by reward hyposensitivity, or whether like bipolar hypomania/mania, it involves reward hypersensitivity.

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Section: Reward Hypersensitivity In Bipolar Spectrum Disorders: Theormentioning

confidence: 99%

Role of Reward Sensitivity and Processing in Major Depressive and Bipolar Spectrum Disorders

et al. 2016

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“…Goal pursuit could elicit emotional responses in people with BD. Specifically, ambitious or excessive striving to meet goals elicit a manic mood [9]. This, of course, is quite challenging for individuals with BD, especially when they have significant deficits in emotion regulation [10].…”

Section: Introductionmentioning

confidence: 99%

The effect of a brief mindfulness-based intervention on personal recovery in people with bipolar disorder: a randomized controlled trial (study protocol)

et al. 2019

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Background With the advent of the recovery movement in mental health, a humanistic paradigm shift has occurred, placing the focus on personal recovery (i.e., hope, identity, and life meaning) instead of functional or clinical recovery only (i.e., symptom reduction or increases in physical function). Along the journey of recovery, people with bipolar disorder (BD) struggle to cope with recurring mood fluctuations between depression and mania. Mindfulness-based interventions (MBIs) have the potential to result in improvements in personal recovery outcomes. Thus, this protocol will evaluate the efficacy and mechanisms of a brief MBI for helping individuals with BD with their personal recovery. It is hypothesized that adults with BD randomly assigned to a brief MBI intervention will report greater improvements in personal recovery than those in a waiting list control condition. In addition, it is hypothesized that such benefits will be mediated by improvements in emotion awareness, emotion regulation, and illness acceptance. Moreover, the specific stage of BD is hypothesized to moderate the beneficial effects of the brief MBI, such that those in the early stage of BD will report more benefits regarding emotion awareness and emotion regulation, whereas those in the late stage of BD will report more advantages concerning illness acceptance. Method One hundred and fifty-four adults with BD will be recruited from hospitals and community settings for this research project. This study will use a mixed methods design. A randomized-controlled trial will be conducted to compare a brief MBI (four sessions in total) group and a waiting list control group. Assessments will be made at baseline, after intervention, and at six-month follow-up. In addition, a qualitative and participatory research method called Photovoice will be employed to further understand the experiences of the participants who receive the brief MBI along their personal recovery journey. Discussion If the study hypotheses are supported, the findings from this research project will provide empirical support for an alternative treatment. Moreover, by identifying the mechanisms of the beneficial effects of the brief MBI, the findings will highlight process variables that could be specifically targeted to make MBI treatment even more effective in this population. Trial registration This study is registered with the Chinese Clinical Trial Registry ( ChiCTR- 1900024658 ). Registered 20th July 2019.

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“…However, goal pursuit could intertwine with emotional response for people with BD (Gilbert and Gruber, 2014). Specifically, ambitious or excessive goal striving may easily elicit a manic mood in people with BD (Alloy et al, 2012;Stange et al, 2013;Tharp et al, 2016). This dilemma is quite challenging, especially when people with BD have difficulties in regulating their positive emotions.…”

Section: Introductionmentioning

confidence: 99%

Coping with amplified emotionality among people with bipolar disorder: A longitudinal study

Chan¹,

Tse²

2018

Journal of Affective Disorders

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Goals in bipolar I disorder: Big dreams predict more mania

Cited by 11 publications

References 61 publications

Role of Reward Sensitivity and Processing in Major Depressive and Bipolar Spectrum Disorders

Role of Reward Sensitivity and Processing in Major Depressive and Bipolar Spectrum Disorders

The effect of a brief mindfulness-based intervention on personal recovery in people with bipolar disorder: a randomized controlled trial (study protocol)

Coping with amplified emotionality among people with bipolar disorder: A longitudinal study

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