Evidence map›Paper›PMID 39335997›Full record

ArticleBehavioral sciences (Basel, Switzerland)2024

Affective Instability: Impact of Fluctuating Emotions on Regulation and Psychological Well-Being.

Jennifer Dork, Erin Mangan, Lawrence Burns, Eugene Dimenstein

Registry-linked trialAbstract read
In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07239778 (The PEDAL Intervention - Reducing Affective Lability in Bipolar Disorder - a Randomised Controlled Trial), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07239778 phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

The PEDAL Intervention - Reducing Affective Lability in Bipolar Disorder - a Randomised Controlled Trial

TypeinterventionalSponsorOslo University HospitalRan2025 to 2026Enrolled120ConditionsBipolar Disorder (BD)ArmsTraditional group psychoeducation for bipolar disorder, Group psychoeducation with digital elements and focus on affective lability
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Depressive symptom instability predicts incident mild cognitive impairment and dementia in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Overvalued Ideas: Conceptual Analysis and Literature Review.Behavioral sciences (Basel, Switzerland) · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jennifer DorkPsychology Department, Grand Valley State University, Allendale, MI 49417, USA.
Erin ManganPsychology Department, Grand Valley State University, Allendale, MI 49417, USA.
Lawrence BurnsPsychology Department, Grand Valley State University, Allendale, MI 49417, USA.ORCID 0000-0003-0081-9350
Eugene DimensteinPsychology Department, Grand Valley State University, Allendale, MI 49417, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous research has focused on understanding the occurrence of intense and fluctuating emotions and the ability to manage these emotions and affective states. These phenomena have been, respectively, labeled as affective instability and emotion regulation and have been studied among individuals diagnosed with borderline personality disorder (BPD), attention-deficit/hyperactivity disorder (ADHD), bipolar disorder (BD), and post-traumatic stress disorder (PTSD). Previous findings suggest that affective instability may be associated with poorer psychological well-being. The present study aims to investigate the general tendency of affective instability and capacity for emotional regulation among college students, regardless of a previous psychological diagnosis, and to understand the relationship between these processes and psychological well-being. Three questionnaires were administered to measure levels of affective instability, the ability to manage fluctuating affective states, and overall psychological well-being. The findings suggest that (1) individuals with diagnoses experience affective lability and difficulty regulating emotions at a greater rate than those without, (2) higher affective lability scores are consistent with more significant emotion dysregulation and lower overall psychological well-being, and (3) scores on the Affective lability Scale (ALS) and the Difficulties in Emotional Regulation Scale (DERS) are reliable predictors of one's estimated Global Assessment of Functioning (GAF) scores. Although causation has not been established, the evidence suggests that individuals with diagnoses experience greater difficulty in regulating their emotions, have greater affective lability, and experience diminished psychological well-being and day-to-day functionality. Certain anecdotal evidence suggests that emotional lability can be endogenous and affect multiple aspects of an individual's social, occupational, and personal life. By revising the existing literature and the present findings, the authors provide insights into the significance of endogenous factors in the context of affective lability and offer suggestions for future research.

Indexed as

affective instabilityaffective labilityemotion regulationwell-being

Identifiers

PMID39335997
PMCPMC11429290

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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.