Trial reportJournal of psychiatric research2013
Extreme attributions predict transition from depression to mania or hypomania in bipolar disorder.
Trial report in Journal of psychiatric research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 23 citations in OpenAlex.
- Enhancing quality of life among adolescents with bipolar disorder: A randomized trial of two psychosocial interventions.Journal of affective disorders · 2017Trial
- Relationship between social cognition and premorbid adjustment in psychosis: a systematic review.Schizophrenia (Heidelberg, Germany) · 2024Review
- Social cognition and bipolar disorder: pending questions and unexplored topics.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2022Article
- Applying a Transdiagnostic Cognitive-Behavioral Treatment to Adolescents at High Risk for Serious Mental Illness: Rationale and Preliminary Findings.Cognitive and behavioral practice · 2020Article
- 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
- Extreme cognitions in bipolar spectrum disorders: associations with personality disorder characteristics and risk for episode recurrence.Behavior therapy · 2015Article
- Oxytocin and social cognition in affective and psychotic disorders.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2015Review
- 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
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 3 countries.
Funding
Abstract
backgroundRelatively little is known about psychological predictors of the onset of mania among individuals with bipolar disorder, particularly during episodes of depression. In the present study we investigated attributional style as a predictor of onset of hypomanic, manic or mixed episodes among bipolar adults receiving psychosocial treatment for depression. We hypothesized that "extreme" (i.e., excessively pessimistic or optimistic) attributions would predict a greater likelihood of developing an episode of mood elevation.
methodOutpatients with DSM-IV bipolar I or II disorder (N = 105) enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were randomly allocated to one of three types of intensive psychotherapy for depression or a brief psychoeducational intervention. Patients completed a measure of attributional style at baseline and were followed prospectively for up to one year. All analyses were by intent to treat.
resultsLogistic regressions and Cox proportional hazards models indicated that extreme (both positively- and negatively-valenced) attributions predicted a higher likelihood of (and shorter time until) transition from depression to a (hypo)manic or mixed episode (ps < .04), independent of the effects of manic or depressive symptom severity at baseline. Extreme attributions were also retrospectively associated with more lifetime episodes of (hypo)mania and depression (ps < .05).
conclusionsEvaluating extreme attributions may help clinicians to identify patients who are at risk for experiencing a more severe course of bipolar illness, and who may benefit from treatments that introduce greater cognitive flexibility.
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