ArticleJournal of affective disorders2016
The temporal course and clinical correlates of subjective impulsivity in bipolar disorder as revealed through ecological momentary assessment.
Article in Journal of affective disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Understanding irritability through the lens of self-regulatory control processes in children and adolescents: a systematic review.European child & adolescent psychiatry · 2025Pooled it
- The added value of a micro-level ecological approach when mapping self-regulatory control processes and externalizing symptoms during adolescence: a systematic review.European child & adolescent psychiatry · 2023Pooled it
- Applications for self-administered mobile cognitive assessments in clinical research: A systematic review.International journal of methods in psychiatric research · 2017Pooled it
- Chronic pain patients low in social connectedness report higher pain and need deeper pressure for pain relief.Emotion (Washington, D.C.) · 2023Trial
- Widespread Pressure Delivered by a Weighted Blanket Reduces Chronic Pain: A Randomized Controlled Trial.The journal of pain · 2022Trial
- Article
- Digital tools for assessing bipolar disorder: A scoping review of the current landscape.Neuroscience applied · 2026Article
- Article
- Intraindividual Variability in Adolescent Impulsivity: The Predictive Role of Family and Peer Relationships.Research on child and adolescent psychopathology · 2025Article
- Article
- The relationships between impulsivity and mood in bipolar disorder: An ecological momentary assessment study.PloS one · 2025Article
- The Types of Psychosocial Factors Associated with Suicidality Outcomes for People Living with Bipolar Disorder: A Scoping Review.International journal of environmental research and public health · 2024Article
- Self-regulatory control processes in youths: A temporal network analysis approach.JCPP advances · 2024Article
- Exploring the relationship between suicide vulnerability, impulsivity and executive functioning during COVID-19: A longitudinal analysis.Psychiatry research communications · 2022Article
- The interplay of daily affect and impulsivity measured by mobile surveys in bipolar disorder.International journal of bipolar disorders · 2022Article
- Initial Psychometric Properties of 7 NeuroUX Remote Ecological Momentary Cognitive Tests Among People With Bipolar Disorder: Validation Study.Journal of medical Internet research · 2022Article
- Pilot Testing in the Wild: Feasibility, Acceptability, Usage Patterns, and Efficacy of an Integrated Web and Smartphone Platform for Bipolar II Disorder.JMIR formative research · 2022Article
- The role of self-regulatory control processes in understanding aggressive ideations and behaviors: An experience sampling method study.Frontiers in psychiatry · 2022Article
- Precision clinical trials: a framework for getting to precision medicine for neurobehavioural disorders.Journal of psychiatry & neuroscience : JPN · 2021Review
- Factors of Negative Affect in Elderly Patients With Substance Use Disorders During COVID-19 Pandemic.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundImpulsivity is frequently linked with bipolar disorder and is associated with mania and negative outcomes. The temporal dynamics of subjective impulsivity are unclear, in particular whether impulsivity precedes or follows changes in positive or negative affect.
methodsA total of 41 outpatients with bipolar disorder (I or II) were provided with mobile devices for 11 weeks and completed twice-daily surveys about affective states and subjective impulsivity. We examined the association between aggregate subjective impulsivity with baseline global cognitive function, suicide risk ratings, and medication adherence, as well as concurrent and lagged associations with momentary positive and negative affect ratings.
resultsA total of 2902 ratings were available across study subjects. Higher aggregate mean ratings of impulsivity were associated with worse baseline global cognitive function, prior suicide attempts, and self-reported problems with medication adherence, as well as more severe manic (but not depressive) symptoms. Time-lagged models indicated that greater negative affect, but not positive affect, predicted subsequent increases in subjective impulsivity, which, in turn, predicted diminished positive affect. LIMITATIONS: Other measures of impulsivity with which to validate subjective ratings were unavailable and the sample was restricted to generally clinically stable outpatients.
conclusionsSubjective impulsivity as measured by daily monitoring was associated with worse cognitive function and self-rated medication adherence, and higher suicide risk ratings. Impulsivity may be a maladaptive strategy to regulate negative affect in bipolar disorder.
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