Dodd Alyson L, Mezes Barbara, Lobban Fiona, Jones Steven H
Department of Psychology, Faculty of Health & Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK.
Spectrum Centre for Mental Health Research, Division of Health Research, Faculty of Health & Medicine, Lancaster University, UK.
Br J Clin Psychol. 2017 Sep;56(3):310-328. doi: 10.1111/bjc.12140. Epub 2017 May 22.
Personal recovery is recognized as an important outcome for individuals with bipolar disorder (BD) and is distinct from symptomatic and functional recovery. Recovery-focused psychological therapies show promise. As with therapies aiming to delay relapse and improve symptoms, research on the psychological mechanisms underlying recovery is crucial to inform effective recovery-focused therapy. However, empirical work is limited. This study investigated whether negative beliefs about mood swings and self-referent appraisals of mood-related experiences were negatively associated with personal recovery.
Cross-sectional online survey.
People with a verified research diagnosis of BD (n = 87), recruited via relevant voluntary sector organizations and social media, completed online measures. Pearson's correlations and multiple regression analysed associations between appraisals, beliefs, and recovery.
Normalizing appraisals of mood changes were positively associated with personal recovery. Depression, negative self-appraisals of depression-relevant experiences, extreme positive and negative appraisals of activated states, and negative beliefs about mood swings had negative relationships with recovery. After controlling for current mood symptoms, negative illness models (relating to how controllable, long-term, concerning, and treatable mood swings are; β = -.38), being employed (β = .39), and both current (β = -.53) and recent experience of depression (β = .30) predicted recovery.
Due to the cross-sectional design, causality cannot be determined. Participants were a convenience sample primarily recruited online. Power was limited by the sample size.
Interventions aiming to empower people to feel able to manage mood and catastrophize less about mood swings could facilitate personal recovery in people with BD, which might be achieved in recovery-focused therapy.
Personal recovery is an important outcome for people living with bipolar disorder More positive illness models are associated with better personal recovery in bipolar disorder, over and above mood symptoms Recovery-focused therapy should focus on developing positive illness models Recovery-focused therapy should address personally meaningful goals such as gaining employment.
个人康复被认为是双相情感障碍（BD）患者的一项重要成果，且有别于症状缓解和功能恢复。以康复为重点的心理治疗显示出前景。与旨在延迟复发和改善症状的治疗一样，对康复背后心理机制的研究对于指导有效的以康复为重点的治疗至关重要。然而，实证研究工作有限。本研究调查了对情绪波动的消极信念以及对情绪相关经历的自我参照评估是否与个人康复呈负相关。
横断面在线调查。
通过相关志愿部门组织和社交媒体招募的经研究确诊为双相情感障碍的患者（n = 87）完成在线测评。采用Pearson相关性分析和多元回归分析评估评估、信念与康复之间的关联。
对情绪变化的正常化评估与个人康复呈正相关。抑郁、对与抑郁相关经历的消极自我评估、对激活状态的极端积极和消极评估以及对情绪波动的消极信念与康复呈负相关。在控制当前情绪症状后，消极疾病模型（涉及情绪波动的可控性、长期性、严重性和可治疗性；β = -0.38）、就业情况（β = 0.39）以及当前（β = -0.53）和近期的抑郁经历（β = 0.30）可预测康复情况。
由于采用横断面设计，无法确定因果关系。参与者主要是通过在线方式招募的便利样本。样本量限制了统计效能。
旨在使人们有能力管理情绪并减少对情绪波动过度担忧的干预措施可能会促进双相情感障碍患者的个人康复，这或许可在以康复为重点的治疗中实现。
个人康复是双相情感障碍患者的一项重要成果 除情绪症状外，更积极的疾病模型与双相情感障碍患者更好的个人康复相关 以康复为重点
