University of North Carolina at Greensboro, 296 Eberhart Building, PO Box 26170, Greensboro, NC 27402-6170, USA.
Psychiatry Res. 2017 Jun;252:51-56. doi: 10.1016/j.psychres.2017.02.045. Epub 2017 Feb 20.
Evidence suggests that bipolar psychopathology is better characterized as a spectrum than by categorical diagnoses. The examination of symptoms and impairment associated with bipolar spectrum psychopathology is important and can be enhanced by methods that examine affect, thoughts, and behavior in daily life. The present study extended findings that provide validation of a continuum of bipolar psychopathology in daily life. Young adults (n=294) completed the Hypomanic Personality Scale (HPS) and experience sampling using smartphones. Participants were signaled eight times daily for one week to complete surveys in their normal daily environment. Bipolar spectrum psychopathology was characterized by increased positive and negative affect, confidence, racing thoughts, energy, and impulsivity in daily life. The HPS moderated the association of stress with trouble concentrating, irritability with dysphoria and impulsivity, and confidence with feeling like one's emotions were out of control. This study demonstrated that bipolar spectrum psychopathology is associated with disruptions in affect, thoughts, and behaviors and provided further evidence for a continuum of bipolar psychopathology. ESM is a promising method for examining dynamic constructs such as bipolar spectrum psychopathology and has the potential to be a strong research and clinical tool.
有证据表明，双相情感病理学最好被描述为一个连续体，而不是通过分类诊断。检查与双相谱精神病理学相关的症状和损伤很重要，可以通过检查日常生活中的情感、思维和行为的方法来增强。本研究扩展了在日常生活中验证双相情感病理学连续性的发现。年轻成年人（n=294）完成了《轻躁狂人格量表》（HPS）和使用智能手机进行的体验抽样。参与者在一周内每天被提示八次，在正常的日常环境中完成调查。双相谱精神病理学的特征是日常生活中积极和消极情绪、自信、思维奔逸、精力充沛和冲动增加。HPS 调节了压力与注意力不集中、易怒与抑郁和冲动、自信与感觉情绪失控之间的关联。这项研究表明，双相谱精神病理学与情感、思维和行为的紊乱有关，并为双相情感病理学的连续体提供了进一步的证据。ESM 是一种很有前途的方法，可以用来检查双相谱精神病理学等动态结构，并且有可能成为一种强大的研究和临床工具。
