University of California, Berkeley, Department of Psychology, United States of America.
University of California, San Francisco, Department of Psychiatry, United States of America.
Gen Hosp Psychiatry. 2019 Nov-Dec;61:96-103. doi: 10.1016/j.genhosppsych.2019.07.013. Epub 2019 Jul 23.
Dysfunction in positive affect is a defining symptom of bipolar I disorder (BD), both during and between mood episodes. We hypothesize that helping people with BD learn skills to create balance in their affective experiences by engaging in strategies that increase low activation positive emotion (LAP; e.g., relaxation) could help to improve well-being during periods of symptom remission. We discuss the development and preliminary outcomes of a positive emotion regulation (PER) group treatment for people with BD, designed as a supplement to pharmacological treatment.
The Learning Affective Understanding for a Rich Emotional Life (LAUREL) intervention is a group-based intervention covering 10 empirically supported skills designed to increase LAP. Sixteen people with BD enrolled in the LAUREL intervention and twelve completed baseline and post-intervention assessments.
Participants who completed the study (n = 12) attended the majority of groups (87.96%) and reported practicing skills, on average, 16 times a week. We were unable to detect significant differences in mania symptoms following engagement in this PER intervention. Finally, participants reported increases in several areas associated with well-being post-intervention, including mindfulness, reappraisal, and self-compassion.
This study provides a theoretical framework and preliminary support for a PER intervention for BD.
积极情绪障碍是双相情感障碍（BD）的一个明确症状，无论是在情绪发作期间还是在情绪发作之间。我们假设，通过采用增加低激活积极情绪（LAP；例如，放松）的策略来帮助 BD 患者学习平衡情感体验的技能，可能有助于在症状缓解期间改善幸福感。我们讨论了一种针对 BD 患者的积极情绪调节（PER）团体治疗的开发和初步结果，该治疗旨在作为药物治疗的补充。
学习情感理解以丰富情感生活（LAUREL）干预是一种基于群体的干预措施，涵盖了 10 种经过实证支持的技能，旨在增加 LAP。16 名 BD 患者参加了 LAUREL 干预，其中 12 名完成了基线和干预后评估。
完成研究的参与者（n=12）参加了大部分小组（87.96%），并报告平均每周练习技能 16 次。我们未能发现参与这种 PER 干预后躁狂症状有显著差异。最后，参与者报告说，干预后与幸福感相关的几个方面都有所增加，包括正念、重新评价和自我同情。
本研究为 BD 的 PER 干预提供了理论框架和初步支持。
