"When my moods drive upwards there is nothing I can do about it": A review of extreme appraisals of internal states and the bipolar spectrum

Kelly, Rebecca, Dodd, Alyson and Mansell, Warren (2017) "When my moods drive upwards there is nothing I can do about it": A review of extreme appraisals of internal states and the bipolar spectrum. Frontiers in Psychology, 8. p. 1235. ISSN 1664-1078

Preview

Text (Full text) Kelly et al - A review of extreme appraisals of internal states and the bipolar spectrum.pdf - Published Version Available under License Creative Commons Attribution 4.0. Download (1MB) | Preview

Abstract

The integrative cognitive model provides a comprehensive account of bipolar disorder (BD) that, if empirically supported, has important potential implications for psychological therapies. This article is the first to review the evidence for this model. We evaluate the evidence (up to 2017) for four hypotheses derived uniquely from the model: extreme positive and negative appraisals of internal states are associated with (1) risk of developing BD; (2) BD diagnosis; (3) relevant clinical and functional outcomes including hypomanic and depressive mood symptoms; and (4) outcomes over time. Research involving individuals with diagnosed mood disorders as well as non-clinical populations is reviewed. The hypotheses were broadly supported and several consistent findings were not accounted for by alternative psychological models of BD. The evidence base is limited by a relative paucity of prospective studies; only 6 of the 31 studies identified. Implications for theory, research and clinical practice are discussed.

Actions (login required)

View Item

Downloads