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Psychosocial predictors of mood symptoms 1 year after acute phase treatment of bipolar I disorder

Published on Sep 1, 2010in Comprehensive Psychiatry2.59
· DOI :10.1016/j.comppsych.2010.02.001
Lauren M. Weinstock17
Estimated H-index: 17
(Brown University),
Ivan W. Miller62
Estimated H-index: 62
(Brown University)
Cite
Abstract
Objective: The aim of the current study was to evaluate family functioning, social support, and functional impairment as predictors of mood symptoms 1 year after acute phase treatment of bipolar I disorder. This study builds upon the extant literature by evaluating these putative psychosocial risk factors simultaneously to determine whether they account for unique variance in clinical outcomes. Method: Patients (N = 92) were recruited from hospital settings during an acute mood episode to participate in pharmacologic or combined family and pharmacologic interventions. The Modified Hamilton Rating Scale for Depression, Bech-Rafaelson Mania Scale, Family Assessment Device, Interpersonal Support Evaluation List, and UCLA Social Attainment Survey were administered at acute phase treatment completion and again at 1-year follow-up. Controlling for mood symptom severity at acute phase treatment completion, multiple regression analyses were used to examine longitudinal associations between the psychosocial variables and subsequent depressive and manic symptoms. Results: None of the aforementioned psychosocial variables predicted manic symptomatology, and social support alone emerged as a unique predictor of depression at the 1-year follow-up. Effects of social support were moderated by recovery status, such that the strength of association between social support and subsequent depression was stronger for those who had not fully recovered during the acute phase of treatment than for those who had. Conclusions: Low levels of social support at acute phase treatment completion, especially in concert with residual symptomatology, may place individuals with bipolar I disorder at risk for subsequent depressive symptoms. These data suggest that maintenance therapies focused on improving level of social support might be especially important to consider in the management of bipolar depression, and add to a growing literature focused on unique vs shared effects of psychosocial risk factors for poor illness course in bipolar disorder.
  • References (49)
  • Citations (29)
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References49
Newest
Published on Feb 4, 2014
Thomas E. Joiner90
Estimated H-index: 90
(UM: University of Miami),
Jessica S. Brown10
Estimated H-index: 10
,
Janet A. Kistner25
Estimated H-index: 25
(University of Roehampton)
Contents: T.E. Joiner, J. Kistner, J.S. Brown, Preface. J. Kistner, Children's Peer Acceptance, Perceived Acceptance, and Risk for Depression. J. Davila, S.J. Steinberg, Depression and Romantic Dysfunction During Adolescence. P.M. Lewinsohn, P. Rohde, J.R. Seeley, D.N. Kline, I.H. Gotlib, The Psychosocial Consequences of Adolescent Major Depressive Disorder on Young Adults. C. Hammen, Interpersonal Vulnerability and Depression in Young Women. L.Y. Abramson, L.B. Alloy, Cognitive Vulnerability to...
Published on Nov 1, 2008in The International Journal of Neuropsychopharmacology4.21
Konstantinos N. Fountoulakis39
Estimated H-index: 39
(A.U.Th.: Aristotle University of Thessaloniki),
Eduard Vieta92
Estimated H-index: 92
(University of Barcelona)
This paper is a systematic review of the available data concerning the treatment of bipolar disorder: a systematic Medline search concerning treatment guidelines and clinical trials. The search for treatment guidelines returned 583 articles and 913 papers for RCTs. The search was last performed on 1 March 2008. An additional search included repositories of clinical trials and previous systematic reviews in order to trace especially older trials. The literature suggests that lithium is useful dur...
Published on Jun 1, 1990in Technometrics2.09
G. Geoffrey Vining24
Estimated H-index: 24
(UF: University of Florida)
1. Introduction to Data Analysis. 2. Simple Models: Definitions of Error and Parameter Estimates. 3. Simple Models: Models of Error and Sampling Distributions. 4. Simple Models: Statistical Inferences about Parameter Values. 5. Simple Regression: Estimating Models with a Single Continuous Predictor. 6. Multiple Regression: Models with Multiple Continuous Predictors. 7. Moderated and Nonlinear Regression Models. 8. One-Way ANOVA: Models with a Single Categorical Predictor. 9. Factorial ANOVA: Mod...
Published on May 1, 2008in Bipolar Disorders4.94
Lauren M. Weinstock17
Estimated H-index: 17
(Brown University),
Ivan W. Miller62
Estimated H-index: 62
(Brown University)
Objectives: Most prior research has focused on functional impairment as a consequence, rather than a predictor, of mood symptoms in bipolar disorder (BD). Yet the majority of this research has been cross-sectional, thus limiting conclusions regarding directionality of effects. Indeed, just as functional impairment may represent an important outcome of BD, it may also serve as a risk factor for future affective symptoms or episodes. Thus, the primary aim of this study was to evaluate functional i...
Published on Apr 16, 2008
Holly A. Swartz30
Estimated H-index: 30
,
Ellen Frank96
Estimated H-index: 96
+ 1 AuthorsDavid J. Kupfer125
Estimated H-index: 125
Janet L. Thomas24
Estimated H-index: 24
(UMN: University of Minnesota),
Glenn N. Jones21
Estimated H-index: 21
(LSU: Louisiana State University)
+ 1 AuthorsPhillip J. Brantley39
Estimated H-index: 39
(LSU: Louisiana State University)
This study examined the association of social support (SS) and affective disturbance among low-income primary care patients with no chronic illnesses vs. those with type 2 diabetes vs. those with other chronic illnesses. The sample was predominantly middle aged (47.2 years old), African American (74%) and female (80%), with an average individual monthly income of approximately $500. Participants (N = 326) were administered the Diagnostic Interview Schedule, IV and the Interpersonal Support Evalu...
Published on Nov 1, 2006in International Journal of Social Psychiatry1.37
Evangelia Delistamati1
Estimated H-index: 1
,
Maria Samakouri10
Estimated H-index: 10
(DUTH: Democritus University of Thrace)
+ 3 AuthorsMiltos Livaditis13
Estimated H-index: 13
(DUTH: Democritus University of Thrace)
Objectives: a) To validate the Interpersonal Support Evaluation List (ISEL) - college version in a Greek population sample and b) To test the hypothesis that students scoring high on the ISEL present stronger resistance to stressful experiences and fewer psychological or physical problems.Design: Rating scale assessment and analytical cross-sectional study.Method: The ISEL was translated into Greek and then back-translated into English. A random sample of 145 students of the Faculty of Medicine ...
Published on Jan 1, 2006in Journal of Family Psychology2.35
Lisa A. Uebelacker25
Estimated H-index: 25
(Brown University),
Christopher G. Beevers36
Estimated H-index: 36
(University of Texas at Austin)
+ 5 AuthorsIvan W. Miller62
Estimated H-index: 62
(Brown University)
In a sample of 62 patients with Bipolar I disorder, the authors used a repeated measures longitudinal design to examine whether global family functioning was associated with the presence of a concurrent bipolar episode as well as whether global family functioning was associated with the presence of manic and depressive episodes in the following 3 months. Participants were recruited for a randomized clinical trial examining the efficacy of family treatments combined with pharmacotherapy for bipol...
Published on Jan 18, 2005in Child Care Health and Development1.92
Anna Sarkadi17
Estimated H-index: 17
(Uppsala University),
Sven Bremberg23
Estimated H-index: 23
(KI: Karolinska Institutet)
Background The Internet is becoming increasingly recognized as a source of social support. Parents of children with cancer and autism have been shown to find social support online, and many parents of healthy infants and children seek information about parenting online. However, access and use of the Internet is greater among socio-economically advantaged groups, a phenomenon known as the ‘digital divide’. Our aim was to investigate whether users of a Swedish general parenting website perceived ...
Published on Dec 1, 2004in Journal of Affective Disorders4.08
Leslie J. Yan1
Estimated H-index: 1
(UCLA: University of California, Los Angeles),
Constance Hammen85
Estimated H-index: 85
(UCLA: University of California, Los Angeles)
+ 2 AuthorsRisha M. Henry4
Estimated H-index: 4
(UCLA: University of California, Los Angeles)
Abstract Background The expressed emotion (EE) construct has predicted clinical outcomes in schizophrenia and depression, but few studies have been conducted with bipolar patients. Moreover, there is a particular dearth of information regarding the prediction of depressive versus manic episodes in bipolar patients. Questions also remain about the utility of EE compared to other variables (perceived criticism, relationship negativity, and chronic strain in close relationships) that more directly ...
Cited By29
Newest
Published on Jul 1, 2019in Journal of Clinical Medicine
C.M. Bonnin24
Estimated H-index: 24
,
Esther Jiménez13
Estimated H-index: 13
+ 8 AuthorsAnabel Martínez-Arán57
Estimated H-index: 57
(1) Background: bipolar disorder (BD) is a chronic disease that often leads to functional impairment. The objective of this study is to elucidate which variables are associated with better functional outcomes in a sample of euthymic patients with BD. (2) Methods: patients were recruited at the Hospital Clinic of Barcelona and they underwent a clinical interview, a functional assessment, and a comprehensive neuropsychological evaluation. After that, patients were divided into two groups according...
Published on May 1, 2019in Bipolar Disorders4.94
Maxine Chen (Princeton University), Heather Fitzgerald1
Estimated H-index: 1
(Lundbeck)
+ 1 AuthorsMauricio Tohen83
Estimated H-index: 83
(UNM: University of New Mexico)
Published on Nov 1, 2018in Psychiatry Research-neuroimaging2.21
Sunny H.W. Chan1
Estimated H-index: 1
(PolyU: Hong Kong Polytechnic University),
Samson Tse21
Estimated H-index: 21
(HKU: University of Hong Kong)
Abstract Life events play a significant role in affecting mood symptoms of people with bipolar disorder (BD). However, we lack empirical data about the associations among disorder, mood state, behavioral activation system (BAS) sensitivity, and psychosocial functioning level. Thus, the present study aimed to identify the role of coping flexibility with BAS activating stimuli in relation to mood states among a sample of individuals with BD ( n = 90) and a healthy control group ( n = 90). Through ...
Published on Oct 1, 2018in Journal of Affective Disorders4.08
Sunny H.W. Chan1
Estimated H-index: 1
(PolyU: Hong Kong Polytechnic University),
Samson Tse21
Estimated H-index: 21
(HKU: University of Hong Kong)
Abstract Background The amplified emotionality characteristics of bipolar disorder (BD) may interfere with goal pursuit in the recovery process. This is the first study to test the coping flexibility model empirically among people with BD. Finding ways to cope with goal-striving life events should shed light on managing elevated mood states. Methods Using a 12-month longitudinal follow-up design, this study examined the stability in coping flexibility with experimentally-devised Behavioral Appro...
Published on Oct 1, 2018in Social Psychiatry and Psychiatric Epidemiology3.15
Ella Baruch1
Estimated H-index: 1
(UCL: University College London),
Nancy Pistrang27
Estimated H-index: 27
(UCL: University College London),
Chris Barker2
Estimated H-index: 2
(UCL: University College London)
Purpose Clinical guidelines emphasise the central role of family members in supporting people with bipolar disorder. However, there has been little focus on the challenges family members face in supporting their relative. This qualitative study explored the challenges of providing support to a relative with bipolar disorder, and how family members attempted to meet these challenges. Factors that helped or hindered their efforts were also explored, including experiences of professional support.
Published on Feb 1, 2018in Journal of Affective Disorders4.08
Ivan J. Torres24
Estimated H-index: 24
,
Marina Garriga5
Estimated H-index: 5
+ 8 AuthorsJ.M. Goikolea38
Estimated H-index: 38
Abstract Background It is well established that patients with either bipolar disorder (BD) or attention-deficit/hyperactivity disorder (ADHD) present functional impairment even when in remission. Nevertheless, research on functional impairment with adult patients with bipolar disorder comorbid to ADHD (BD+ADHD) is very scarce. The main objective of the current report was to evaluate the overall and specific domains of functioning, in patients with BD+ADHD compared to patients with pure bipolar d...
Julia Veeh3
Estimated H-index: 3
(Goethe University Frankfurt),
Juliane Kopf9
Estimated H-index: 9
(Goethe University Frankfurt)
+ 2 AuthorsAndreas Reif50
Estimated H-index: 50
(Goethe University Frankfurt)
Many bipolar patients (BP) are affected by cognitive impairments and reduced psychosocial function even after complete remission. In the present naturalistic study, we developed a tailored cognitive remediation program (CR) to evaluate the effect on objective and subjective neuropsychological performance, psychosocial functioning and quality of life. The CR program used a cognitive training software combined with group sessions to educate cognitive skills. 102 BP were screened by a neuropsycholo...
Published on Apr 1, 2017in European Neuropsychopharmacology4.47
J. Sánchez-Moreno47
Estimated H-index: 47
(University of Barcelona),
C.M. Bonnin24
Estimated H-index: 24
(University of Barcelona)
+ 13 AuthorsM. Paz García-Portilla10
Estimated H-index: 10
(University of Oviedo)
Abstract We analyzed the efficacy of functional remediation, in a sample of patients with bipolar disorder who presented with subsyndromal symptoms. From a total sample of 239 patients with bipolar I and II disorder, according to DSM-IV-TR diagnostic criteria, entering a randomized clinical trial, those patients who presented with subsyndromal symptoms were selected based on a method already described by Berk and colleagues was applied. It consists of using the Clinical Global Impression-Bipolar...
Published on Dec 1, 2016in Psychiatry Research-neuroimaging2.21
Paula Studart3
Estimated H-index: 3
(UFBA: Federal University of Bahia),
Amanda Galvão-de Almeida4
Estimated H-index: 4
(UFBA: Federal University of Bahia)
+ 4 AuthorsÂngela Miranda-Scippa13
Estimated H-index: 13
(UFBA: Federal University of Bahia)
Abstract Bipolar disorder (BD) affects the social functioning and quality of life (QoL) of its patients. This study aimed to investigate whether there is an association between social support (SS), and suicidal behavior in BD I patients compared to healthy controls; secondarily, we evaluated the influence of QoL on those variables. A total of 119 euthymic outpatients with BD I, 46 of whom had attempted suicide (SAs) and 73 who had not (non-SAs), were compared to 63 healthy controls, through the ...
Published on Nov 1, 2016in Psychiatry Research-neuroimaging2.21
M. Reinares42
Estimated H-index: 42
(University of Barcelona),
C. Mar Bonnín13
Estimated H-index: 13
(University of Barcelona)
+ 8 AuthorsJ. Sánchez-Moreno47
Estimated H-index: 47
(University of Barcelona)
Abstract Functional improvement has become one of the aims of the treatment of bipolar disorder. However, scant attention has been given to family functioning, even though it has a role in the illness outcome and is affected by the disorder. The aims of this study were to compare family functioning reported by euthymic patients with bipolar disorder and healthy controls; explore the level of congruence in the perception of family environment between patients with bipolar disorder and their relat...
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