Behavioral approach system (BAS)–relevant cognitive styles and bipolar spectrum disorders: Concurrent and prospective associations.
Authors:
- Lauren B. AlloyLALauren B. Alloy
- Lyn Y. AbramsonLALyn Y. Abramson
- Patricia D. WalshawPWPatricia D. Walshaw
- Rachel K. GersteinRGRachel K. Gerstein
- Jessica D. KeyserJKJessica D. Keyser
- Wayne G. WhitehouseWWWayne G. Whitehouse
- Snezana UrosevicSUSnezana Urosevic
- Robin NusslockRNRobin Nusslock
- Michael E. HoganMHMichael E. Hogan
- Eddie Harmon-JonesEHEddie Harmon-Jones
- 1 August 2009
- journal article
- Published by American Psychological Association (APA) in Journal of Abnormal Psychology
- Vol. 118 (3) , 459-471
Abstract
The authors examined concurrent and prospective associations of behavioral approach system (BAS)-relevant and non-BAS-relevant cognitive styles with bipolar spectrum disorders. Controlling for depressive and hypomanic/manic symptoms, 195 individuals with bipolar spectrum disorders scored higher than 194 demographically similar normal controls on BAS sensitivity and BAS-relevant cognitive dimensions of performance concerns, autonomy, and self-criticism, but not on behavioral inhibition system sensitivity and non-BAS-relevant dimensions of approval seeking, sociotropy, and dependency. Moreover, group differences on autonomy fully mediated the association between higher BAS sensitivity and bipolar status. In addition, only BAS-related cognitive dimensions predicted the likelihood of onset of depressive and hypomanic/manic episodes among the bipolar individuals over a 3.2-year follow-up, controlling for initial symptoms and past history of mood episodes. Higher autonomy and self-criticism predicted a greater likelihood of hypomanic/manic episodes, and higher autonomy predicted a lower likelihood of major depressive episodes. In addition, autonomy mediated the associations between BAS sensitivity and prospective hypomanic/manic episodes. These findings suggest that individuals with bipolar spectrum disorders may exhibit a unique profile of BAS-relevant cognitive styles that influence the course of their mood episodes.Keywords
Funding Information
- National Institute of Mental Health (MH52617, MH52662)
This publication has 40 references indexed in Scilit:
- Longitudinal predictors of bipolar spectrum disorders: A behavioral approach system perspective.Clinical Psychology: Science and Practice, 2009
- Dysregulation of the behavioral approach system (BAS) in bipolar spectrum disorders: Review of theory and evidenceClinical Psychology Review, 2008
- Behavioral Approach System and Behavioral Inhibition System sensitivities and bipolar spectrum disorders: prospective prediction of bipolar mood episodesBipolar Disorders, 2008
- Lifetime and 12-Month Prevalence of Bipolar Spectrum Disorder in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2007
- A cognitive vulnerability–stress perspective on bipolar spectrum disorders in a normative adolescent brain, cognitive, and emotional development contextDevelopment and Psychopathology, 2006
- Depressive personality styles and bipolar spectrum disorders: prospective tests of the event congruency hypothesisBipolar Disorders, 2006
- Lifetime Comorbidity of DSM-IV Mood and Anxiety Disorders and Specific Drug Use DisordersThe Journal of Clinical Psychiatry, 2006
- Conceptualizing and Measuring Personality Vulnerability to Depression: Comment on Coyne and Whiffen (1995).Psychological Bulletin, 2004
- Sociotropy/autonomy and vulnerability to specific life events in patients with unipolar depression and bipolar disorders.Journal of Abnormal Psychology, 1989
- Experiences of depression in normal young adults.Journal of Abnormal Psychology, 1976