The role of beliefs about mood swings in determining outcome in bipolar disorder

Lobban, Fiona; Solis-Trapala, Ivonne; Tyler, Elizabeth; Chandler, Claire; Morriss, Richard Keith; Group, ERP

Abstract

This study explored the impact of beliefs about mood swings on symptomatic outcome in bipolar disorder (BD). Ninety-one people with BD completed a Brief Illness Perception Questionnaire at baseline. Outcome was measured using weekly measures of mood and time to relapse over the following 24 weeks. Beliefs about the consequences of mood swings [Hazard ratio (HR) = 1.38, 95 % CI = (1.07,1.77)], perceived symptoms associated with mood swings [HR = 0.75, 95 % CI = (0.59,0.95)], and emotional concern about mood swings [HR = 1.30, 95 % CI = (1.04,1.61)] had statistically significant effects on hazard of relapse, while beliefs about the consequences of mood swings [Odds ratio (OR) = 1.24, 95 % CI = (1.01,1.52)] and the amount of personal effort individuals believed they were making to get well [OR = 0.82, 95 % CI = (0.67,1.02)] had important effects on weekly LIFE scores of depressive symptoms controlling for baseline depression, mood stabilizer medication and number of previous bipolar episodes. In conclusion, beliefs about mood swings had important effects on weekly fluctuations in depression severity and time to relapse.

Citation

Lobban, F., Solis-Trapala, I., Tyler, E., Chandler, C., Morriss, R. K., & Group, E. (2013). The role of beliefs about mood swings in determining outcome in bipolar disorder. Cognitive Therapy and Research, 37, 51-60. https://doi.org/10.1007/s10608-012-9452-9

• Journal Article Type: Article
• Online Publication Date: Mar 29, 2012
• Publication Date: 2013
• Deposit Date: Jul 30, 2023
• Journal: Cognitive Therapy and Research
• Print ISSN: 0147-5916
• Electronic ISSN: 1573-2819
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 37
• Pages: 51-60
• DOI: https://doi.org/10.1007/s10608-012-9452-9