Trial reportThe Journal of clinical psychiatry2013
Extreme attributions predict the course of bipolar depression: results from the STEP-BD randomized controlled trial of psychosocial treatment.
Trial report in The Journal of clinical psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00012558 (Systematic Treatment Enhancement Program for Bipolar Disorder), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD)
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Social cognition in bipolar I and II disorders: an updated systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024Pooled it
- Affective instability and the course of bipolar depression: results from the STEP-BD randomised controlled trial of psychosocial treatment.The British journal of psychiatry : the journal of mental science · 2016Trial
- Extreme attributions predict transition from depression to mania or hypomania in bipolar disorder.Journal of psychiatric research · 2013Trial
- Does perfectionism in bipolar disorder pedigrees mediate associations between anxiety/stress and mood symptoms?International journal of bipolar disorders · 2017Article
- Inflexibility as a Vulnerability to Depression: A Systematic Qualitative Review.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2017Article
- Understanding the paranoid psychosis of James: Use of the repertory grid technique for case conceptualization.World journal of psychiatry · 2016Article
- Impact of Cannabis Use on Long-Term Remission in Bipolar I and Schizoaffective Disorder.Psychiatry investigation · 2015Article
- Negative cognitive styles synergistically predict suicidal ideation in bipolar spectrum disorders: a 3-year prospective study.Psychiatry research · 2015Article
- Extreme cognitions in bipolar spectrum disorders: associations with personality disorder characteristics and risk for episode recurrence.Behavior therapy · 2015Article
- Extreme attributions predict suicidal ideation and suicide attempts in bipolar disorder: prospective data from STEP-BD.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2014Article
- Individual differences in attributional style but not in interoceptive sensitivity, predict subjective estimates of action intention.Frontiers in human neuroscience · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectiveLittle is known about predictors of recovery from bipolar depression or moderators of treatment response. In the present study, we investigated attributional style (a cognitive pattern of explaining the causes of life events) as a predictor of recovery from episodes of bipolar depression and as a moderator of response to psychotherapy for bipolar depression.
method106 depressed outpatients with DSM-IV bipolar I or II disorder who were enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder were randomly assigned to intensive psychotherapy for depression (n = 62) or to collaborative care (n = 44), a minimal psychoeducational intervention. The primary outcome was recovery status at each study visit as measured by the Clinical Monitoring Form. Attributional style was measured at baseline using the Attributional Style Questionnaire. Data were collected between 1998 and 2005.
resultsAll analyses were by intention to treat. Extreme attributions predicted a lower likelihood of recovery (P < .01; OR = 0.93; 95% CI, 0.88-0.98) and longer time until recovery (P < .01; OR = 0.96; 95% CI, 0.93-0.99), independent of the effects of initial depression severity. Among individuals with more pessimistic attributional styles, higher initial depression severity predicted a lower likelihood of recovery (P = .01; OR = 0.64; 95% CI, 0.45-0.91) and longer time until recovery (P < .001; OR = 0.76; 95% CI, 0.66-0.88). There was no difference in recovery rates between intensive psychotherapy and collaborative care (OR = 0.90; 95% CI, 0.40-2.01) in the full sample.
conclusionsThese results suggest that extreme, rigid attributions may be associated with a more severe course of depression and that evaluating attributional style may help clinicians to identify patients who are at risk for experiencing a more severe course of depression.
trial registrationClinicalTrials.gov identifier: NCT00012558.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.