Alyson Dodd1, Elizabeth Lockwood2, Warren Mansell3, Jasper Palmier-Claus4. 1. Department of Psychology, Faculty of Health & Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK. Electronic address: alyson.dodd@northumbria.ac.uk. 2. Psychosis Research Unit, Greater Manchester West NHS Foundation Trust, Manchester, UK. 3. Faculty of Biology, Medicine & Health, The University of Manchester, Manchester, UK. 4. Psychosis Research Unit, Greater Manchester West NHS Foundation Trust, Manchester, UK; Faculty of Biology, Medicine & Health, The University of Manchester, Manchester, UK.
Abstract
BACKGROUND: Theoretical frameworks emphasise associations between interpretations and responses to affect and bipolar disorder (BD). This review (PROSPERO CRD42016043801) investigated which emotion regulation (ER) strategies have been applied to BD, are elevated in BD compared to clinical and non-clinical controls, and are associated with clinical and functional outcomes in BD METHODS: Search terms relating to emotion regulation, coping and bipolar disorder were entered into Embase, MedLine and PsycInfo. Quantitative studies investigating relationships between ER strategies and BD were eligible for this narrative synthesis RESULTS: A large volume of research (n = 47) investigated specific ER strategies in BD. Maladaptive strategies such as rumination and dampening were elevated in BD compared to controls and these particular strategies had a detrimental impact on outcomes such as mood symptoms. BD had a similar profile of ER strategies to unipolar depression, but there was limited comparison to other clinical groups. People with BD did not generally have deficits in using adaptive strategies, as evidenced by comparisons with controls and experimental studies LIMITATIONS: Methodological heterogeneity and a lack of ecologically valid ER assessments CONCLUSIONS: Empirical literature is critiqued in line with contemporary theories of BD and of emotion regulation more generally, in order to inform future research recommendations. This includes investigation of the importance of context in the impact of ER strategies, and discrepancies between trait and state use of ER strategies, particularly through experience sampling.
BACKGROUND: Theoretical frameworks emphasise associations between interpretations and responses to affect and bipolar disorder (BD). This review (PROSPERO CRD42016043801) investigated which emotion regulation (ER) strategies have been applied to BD, are elevated in BD compared to clinical and non-clinical controls, and are associated with clinical and functional outcomes in BD METHODS: Search terms relating to emotion regulation, coping and bipolar disorder were entered into Embase, MedLine and PsycInfo. Quantitative studies investigating relationships between ER strategies and BD were eligible for this narrative synthesis RESULTS: A large volume of research (n = 47) investigated specific ER strategies in BD. Maladaptive strategies such as rumination and dampening were elevated in BD compared to controls and these particular strategies had a detrimental impact on outcomes such as mood symptoms. BD had a similar profile of ER strategies to unipolar depression, but there was limited comparison to other clinical groups. People with BD did not generally have deficits in using adaptive strategies, as evidenced by comparisons with controls and experimental studies LIMITATIONS: Methodological heterogeneity and a lack of ecologically valid ER assessments CONCLUSIONS: Empirical literature is critiqued in line with contemporary theories of BD and of emotion regulation more generally, in order to inform future research recommendations. This includes investigation of the importance of context in the impact of ER strategies, and discrepancies between trait and state use of ER strategies, particularly through experience sampling.
Authors: Janelle M Painter; Jasmine Mote; Andrew D Peckham; Erica H Lee; Timothy R Campellone; Jennifer G Pearlstein; Stefana Morgan; Ann M Kring; Sheri L Johnson; Judith T Moskowitz Journal: Gen Hosp Psychiatry Date: 2019-07-23 Impact factor: 3.238
Authors: Paul Gilbert; Jaskaran K Basran; Joanne Raven; Hannah Gilbert; Nicola Petrocchi; Simone Cheli; Andrew Rayner; Alison Hayes; Kate Lucre; Paschalina Minou; David Giles; Frances Byrne; Elizabeth Newton; Kirsten McEwan Journal: Front Psychol Date: 2022-07-20