Kelly Rebecca E, Smith Patrick, Leigh Eleanor, Mansell Warren
South London and Maudsley NHS Foundation Trust, andInstitute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
Behav Cogn Psychother. 2016 Mar;44(2):214-24. doi: 10.1017/S1352465815000132. Epub 2015 Apr 1.
Extreme appraisals of internal states correlate with and prospectively predict mood symptoms in adults, and discriminate individuals with bipolar disorder from individuals with unipolar depression and non-clinical controls.
These findings required replication in adolescents. This study sought to investigate the relationships between appraisals of internal states, mood symptoms and risk for bipolar disorder in an adolescent sample.
A non-clinical sample (n = 98) of adolescents completed measures of mood symptoms, appraisals, and mania risk, alongside covariates.
Appraisals of internal states were associated with analogue bipolar symptoms, independently of impulsivity and responses to positive affect. Positive appraisals of activated mood states were uniquely associated with hypomania, whilst negative appraisals were uniquely associated with depression and irritability symptoms. Individuals who appraised activated states as both extremely positive and extremely negative were more likely to score at high or moderate risk for future mania.
This study is the first to demonstrate associations between appraisals of internal states, analogue mood symptoms and mania risk in adolescents. Clinical implications are discussed.
对内在状态的极端评价与成年人的情绪症状相关，并能前瞻性地预测情绪症状，还能区分双相情感障碍患者与单相抑郁症患者及非临床对照个体。
这些研究结果需要在青少年中进行重复验证。本研究旨在调查青少年样本中内在状态评价、情绪症状与双相情感障碍风险之间的关系。
一个由98名青少年组成的非临床样本完成了情绪症状、评价和躁狂风险的测量，同时还测量了协变量。
对内在状态的评价与类似双相情感障碍的症状相关，独立于冲动性和对积极情绪的反应。对激活情绪状态的积极评价与轻躁狂独特相关，而消极评价与抑郁和易怒症状独特相关。将激活状态评价为既极其积极又极其消极的个体更有可能在未来躁狂风险中得高分或中等分数。
本研究首次证明了青少年内在状态评价、类似情绪症状与躁狂风险之间的关联。并讨论了其临床意义。
