Increases in manic symptoms after life events involving goal attainment

J Abnorm Psychol. 2000 Nov;109(4):721-7. doi: 10.1037//0021-843x.109.4.721.

Abstract

Bipolar disorder has been conceptualized as an outcome of dysregulation in the behavioral activation system (BAS), a brain system that regulates goal-directed activity. On the basis of the BAS model, the authors hypothesized that life events involving goal attainment would promote manic symptoms in bipolar individuals. The authors followed 43 bipolar I individuals monthly with standardized symptom severity assessments (the Modified Hamilton Rating Scale for Depression and the Bech-Rafaelsen Mania Rating Scale). Life events were assessed using the Goal Attainment and Positivity scales of the Life Events and Difficulties Schedule. As hypothesized, manic symptoms increased in the 2 months following goal-attainment events, but depressed symptoms were not changed following goal-attainment events. These results are congruent with a series of recent polarity-specific findings.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Achievement*
  • Adult
  • Arousal
  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / psychology*
  • Female
  • Goals*
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Reward