Mood reactivity to daily events in patients with remitted bipolar disorder
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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A subgroup of BD patients with mild depressive symptoms shows large increases in NA following exposure to negative events, which they experience as relatively stressful.
“a subgroup with mild depressive symptoms shows large increases in NA following exposure to negative events (Havermans et al., 2010), which they experience as relatively stressful (Havermans et al., 2007).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Havermans et al., 2010
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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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