Department of Psychiatry, McLean Hospital and Harvard Medical School, 115 Mill Street, Mail Stop 113, Belmont, MA 02478, USA.
Department of Psychology, University of California, Berkeley, 2121 Berkeley Way, Berkeley, CA 94720, USA.
Behav Cogn Psychother. 2020 Mar;48(2):203-215. doi: 10.1017/S1352465819000559. Epub 2019 Oct 10.
Involuntary mental imagery is elevated among people with bipolar disorder, and has been shown to shape biases in interpretation of ambiguous information. However, it is not clear whether biases in interpretation of ambiguous scenarios can be observed in those at risk for bipolar disorder, or whether involuntary imagery is related to such a bias.
In the present study, we extended a prominent model of bipolar cognition to an at-risk sample. We specifically tested whether positive interpretation bias and involuntary mental imagery are linked to a greater risk of bipolar disorder.
Young adults (N = 169) completed measures of risk for bipolar disorder (the Hypomanic Personality Scale [HPS]), interpretation bias, and involuntary mental imagery.
Higher scores on the HPS were significantly correlated with more positive interpretations of ambiguous scenarios (β = 0.29, p <. 01) and more frequent involuntary mental imagery (β = 0.22, p < .01). There was no evidence of an interaction between interpretation bias and mental imagery in predicting HPS score, β = .04, p = .62.
Further research is warranted to determine if intrusive imagery or interpretation bias influence the development of bipolar disorder over time in those at risk.
双相情感障碍患者的无意识心理意象增强,并且已经表明这种心理意象会影响对模棱两可信息的解释偏向。然而,目前尚不清楚双相情感障碍风险人群是否会出现对模棱两可情况的解释偏向,或者无意识心理意象是否与这种偏向有关。
本研究将一种著名的双相认知模型扩展到风险人群样本中。我们特别测试了积极的解释偏向和无意识心理意象是否与更高的双相情感障碍风险有关。
169 名年轻成年人完成了双相情感障碍风险评估量表(躁狂人格量表)、解释偏向和无意识心理意象的测量。
HPS 评分越高,对模棱两可情况的解释越积极(β=0.29,p<.01),无意识心理意象越频繁(β=0.22,p<.01)。解释偏向和心理意象之间的交互作用对 HPS 评分没有预测作用,β=0.04,p=0.62。
有必要进一步研究,以确定在风险人群中,无意识心理意象或解释偏向是否会随着时间的推移影响双相情感障碍的发展。