Do positive emotions predict symptomatic change in bipolar disorder?
Do positive emotions predict symptomatic change in bipolar disorder?
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DOI：
10.1111/j.1399-5618.2009.00679.x
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发表时间：
2009-05-01
影响因子：
5.4
通讯作者：
Ketter, Terence A.
中科院分区：
文献类型：
--
作者：
Gruber, June;Culver, Jenifer L.;Ketter, Terence A.
双相情感障碍与积极情绪障碍有关，但目前尚不清楚哪些特定的积极情绪会受到影响。本研究考察了恢复期双相情感障碍(BD)患者(n=55)和非临床对照(NC)(n=32)不同的积极情绪之间的差异，以及它们是否前瞻性地预测了BD患者的症状严重程度。在基线上，参与者完成了对几种不同特征的积极情绪的自我报告测量。对BD参与者的诊断和当前情绪症状进行结构化评估。在6个月的随访中，BD参与者(n=39)的症状被重新评估。与NC参与者相比，BD参与者报告的喜悦、同情心、爱心、敬畏和满足感更低。BD和NC参与者在自豪感或娱乐性方面没有区别。对于BD患者，在控制了基线症状严重程度后，喜悦和娱乐预测了躁狂严重程度的增加，同情心预测了在六个月的随访中躁狂严重程度的降低。此外，娱乐预示着抑郁严重程度的增加，而自豪感则预示着抑郁严重程度的降低。敬畏、爱和满足不能预测症状的严重程度。这些结果与越来越多的文献一致，这些文献强调了积极情绪在双相情感障碍过程中的重要性。
Bipolar disorder is associated with positive emotion disturbance, though it is less clear which specific positive emotions are affected.The present study examined differences among distinct positive emotions in recovered bipolar disorder (BD) patients (n = 55) and nonclinical controls (NC) (n = 32) and whether they prospectively predicted symptom severity in patients with BD. At baseline, participants completed self-report measures of several distinct trait positive emotions. Structured assessments of diagnosis and current mood symptoms were obtained for BD participants. At a six-month follow-up, a subset of BD participants' (n = 39) symptoms were reassessed.BD participants reported lower joy, compassion, love, awe, and contentment compared to NC participants. BD and NC participants did not differ in pride or amusement. For BD participants, after controlling for baseline symptom severity, joy and amusement predicted increased mania severity, and compassion predicted decreased mania severity at the six-month follow-up. Furthermore, amusement predicted increased depression severity and pride predicted decreased severity of depression. Awe, love, and contentment did not predict symptom severity.These results are consistent with a growing literature highlighting the importance of positive emotion in the course of bipolar disorder.