Cited by 60Bipolar Disorder and TreatmentMental Health Research TopicsPersonality Disorders and Psychopathology

Mood reactivity to daily events in patients with remitted bipolar disorder

Havermans, Rob, Nicolson, Nancy A., Berkhof, Johannes, deVries, Marten W.·2010·Psychiatry Research

Abstract

Information about mood reactions to naturally occurring stress in remitted bipolar patients may help elucidate the mechanism by which stressors influence the propensity to manic or depressive relapse in these patients. Using the experience sampling method (ESM), we therefore investigated negative and positive mood states and their reactivity to daily hassles and uplifts in 38 outpatients with remitted bipolar disorder and 38 healthy volunteers. Multilevel regression analyses confirmed that mean levels of negative affect (NA) were higher and positive affect (PA) lower in bipolar patients. Reactivity of NA and PA to hassles and uplifts in bipolar patients was similar to controls and was unrelated to the number of previous episodes. Bipolar patients with subsyndromal depressive symptoms, however, showed particularly large NA responses to daily hassles, which they also rated as more stressful. Subsyndromal depressive symptoms in patients with remitted bipolar disorder thus appear to increase sensitivity to everyday stressors.

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Crossref · 10.1016/j.psychres.2009.10.020

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Authors
Havermans, R., Nicolson, N. A., Berkhof, J., & deVries, M. W.
Affiliations
  • Maastricht University (NL)
  • Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Corresponding author
Havermans, Rob
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2010-08
Volume
179
Issue
1
Pages
47-52
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2162407619
Cited by
60
References
70
Citations by year
2026: 1 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 1 · 2015: 7 · 2014: 4 · 2013: 4 · 2012: 4
FWCI
2.40
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
bipolar disorder, remission, mood reactivity, daily hassles, uplift, negative affect, positive affect, subsyndromal depressive symptoms, stress sensitivity, relapse risk, ecological momentary assessment
MeSH terms
Adult, Affect, Aged, Bipolar Disorder, Female, Humans, Life Change Events, Male, Middle Aged, Psychiatric Status Rating Scales, Regression Analysis, Case-Control Studies

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