OBJECTIVE: Bipolar disorder has been associated with elevated impulsivity - a complex construct subsuming multiple facets. We aimed to compare specific facets of impulsivity in bipolar disorder, including those related to key psychological correlates of the illness: reward sensitivity and strong emotion. METHOD: Ninety-one individuals diagnosed with bipolar I disorder (inter-episode period) and 80 controls completed several well-validated impulsivity measures, including those relevant to reward (Fun-seeking subscale of the Behavioral Activation System scale) and emotion (Positive Urgency and Negative Urgency scales). RESULTS: Bipolar participants reported higher impulsivity scores than did controls on all of the impulsivity measures, except the Fun-seeking subscale of the Behavioral Activation System scale. Positive Urgency - a measure assessing the tendency to act impulsively when experiencing strong positive emotion - yielded the largest group differences: F(1,170) = 78.69, P < 0.001, partial η(2) = 0.316. Positive Urgency was also associated with poorer psychosocial functioning in the bipolar group: ΔR(2) = 0.24, b = -0.45, P < 0.001. CONCLUSION: Individuals with bipolar I disorder appear to be at particular risk of behaving impulsively when experiencing strong positive emotions. Findings provide an important first step toward developing a more refined understanding of impulsivity in bipolar disorder with the potential to inform targeted interventions.
OBJECTIVE:Bipolar disorder has been associated with elevated impulsivity - a complex construct subsuming multiple facets. We aimed to compare specific facets of impulsivity in bipolar disorder, including those related to key psychological correlates of the illness: reward sensitivity and strong emotion. METHOD: Ninety-one individuals diagnosed with bipolar I disorder (inter-episode period) and 80 controls completed several well-validated impulsivity measures, including those relevant to reward (Fun-seeking subscale of the Behavioral Activation System scale) and emotion (Positive Urgency and Negative Urgency scales). RESULTS: Bipolar participants reported higher impulsivity scores than did controls on all of the impulsivity measures, except the Fun-seeking subscale of the Behavioral Activation System scale. Positive Urgency - a measure assessing the tendency to act impulsively when experiencing strong positive emotion - yielded the largest group differences: F(1,170) = 78.69, P < 0.001, partial η(2) = 0.316. Positive Urgency was also associated with poorer psychosocial functioning in the bipolar group: ΔR(2) = 0.24, b = -0.45, P < 0.001. CONCLUSION: Individuals with bipolar I disorder appear to be at particular risk of behaving impulsively when experiencing strong positive emotions. Findings provide an important first step toward developing a more refined understanding of impulsivity in bipolar disorder with the potential to inform targeted interventions.
Authors: Lauren B Alloy; Lyn Y Abramson; Patricia D Walshaw; Alex Cogswell; Louisa D Grandin; Megan E Hughes; Brian M Iacoviello; Wayne G Whitehouse; Snezana Urosevic; Robin Nusslock; Michael E Hogan Journal: Bipolar Disord Date: 2008-03 Impact factor: 6.744
Authors: Lewis L Judd; Pamela J Schettler; Hagop S Akiskal; William Coryell; Andrew C Leon; Jack D Maser; David A Solomon Journal: Arch Gen Psychiatry Date: 2008-04
Authors: Kristen K Ellard; Aishwarya K Gosai; Julia M Felicione; Amy T Peters; Conor V Shea; Louisa G Sylvia; Andrew A Nierenberg; Alik S Widge; Darin D Dougherty; Thilo Deckersbach Journal: Bipolar Disord Date: 2018-11-22 Impact factor: 6.744
Authors: Andrew D Peckham; Haley Jordan; Alexandra Silverman; Stephanie Jarvi Steele; Thröstur Björgvinsson; Courtney Beard Journal: Arch Suicide Res Date: 2019-07-01
Authors: Tommy H Ng; Taylor A Burke; Jonathan P Stange; Patricia D Walshaw; Rachel B Weiss; Snezana Urosevic; Lyn Y Abramson; Lauren B Alloy Journal: J Abnorm Psychol Date: 2017-04
Authors: Kristen K Ellard; Aishwarya G Gosai; Emily E Bernstein; Navneet Kaur; Lousia G Sylvia; Joan A Camprodon; Darin D Dougherty; Andrew A Nierenberg; Thilo Deckersbach Journal: J Affect Disord Date: 2018-06-02 Impact factor: 4.839
Authors: Colin A Depp; Raeanne C Moore; Sheena I Dev; Brent T Mausbach; Lisa T Eyler; Eric L Granholm Journal: J Affect Disord Date: 2015-12-15 Impact factor: 4.839