Sense of hyper-positive self, goal-attainment beliefs and coping strategies in bipolar I disorder
| Autor: | Dominic Lam, Anne E. Farmer, R. Lee, Warren Mansell |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Bipolar Disorder Bipolar I disorder Psychometrics Reality Testing medicine.medical_treatment Culture Dysfunctional family Adaptation Psychological medicine Humans Bipolar disorder Internal-External Control Applied Psychology Psychiatric Status Rating Scales Cognitive Behavioral Therapy Cognitive restructuring Middle Aged medicine.disease Self Concept Cognitive behavioral therapy Affect Psychiatry and Mental health Hypomania Cognitive therapy Female medicine.symptom Psychology Goals Mania Clinical psychology |
| Zdroj: | Psychological Medicine. 40:967-975 |
| ISSN: | 1469-8978 0033-2917 |
| DOI: | 10.1017/s0033291709991206 |
| Popis: | BackgroundThere is some evidence that cognitive therapy (CT) is beneficial in reducing relapses in bipolar disorder. However, not all bipolar patients benefit from it. A previous study found that a group of non-responders to CT shared common characteristics: they value some of the high goal-attainment beliefs and characteristics associated with being in a state of mild hypomania – a high ‘sense of hyper-positive self’ (SHPS). To promote of our understanding of this group of patients, the present study investigated the relationship between SHPS, preferred internal state, dysfunctional attitudes and coping with hypothetical manic prodromal scenarios.MethodFifty-four bipolar I patients filled in self-report questionnaires that assess preferred mood state, coping with scenarios, dysfunctional attitudes and SHPS.ResultsThe Sense of Hyper-positive Self Scale Ideal score (SHPSS-Ideal) predicted patients' preferred internal state of mania. Coping with hypothetical scenarios was predicted by Dysfunctional Attitude Scale (DAS) goal-attainment scores: the higher the goal-attainment score, the higher the participant's tendency to identify with self-descriptors linked to hypomania and to engage in stimulating behaviours that may escalate the prodromal stage to mania.ConclusionsClinicians should check and modify goal-attainment beliefs, particularly of those who exhibit features of SHPS. These patients' tendency to identify with hypomanic traits as self-descriptors should be dealt with by psychological techniques such as cognitive restructuring. |
| Databáze: | OpenAIRE |
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