Emotion regulation strategies in bipolar disorder: A systematic and critical review

Dodd, Alyson, Lockwood, Elizabeth, Mansell, Warren and Palmier-Claus, Jasper (2019) Emotion regulation strategies in bipolar disorder: A systematic and critical review. Journal of Affective Disorders, 246. pp. 262-284. ISSN 0165-0327

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Official URL: http://dx.doi.org/10.1016/j.jad.2018.12.026


Theoretical frameworks emphasise associations between interpretations and responses to affect and bipolar disorder (BD). This review (PROSPERO CRD42016043801) investigated which emotion regulation (ER) strategies have been applied to BD, are elevated in BD compared to clinical and non-clinical controls, and are associated with clinical and functional outcomes in BD

Search terms relating to emotion regulation, coping and bipolar disorder were entered into Embase, MedLine and PsycInfo. Quantitative studies investigating relationships between ER strategies and BD were eligible for this narrative synthesis

A large volume of research (n = 47) investigated specific ER strategies in BD. Maladaptive strategies such as rumination and dampening were elevated in BD compared to controls and these particular strategies had a detrimental impact on outcomes such as mood symptoms. BD had a similar profile of ER strategies to unipolar depression, but there was limited comparison to other clinical groups. People with BD did not generally have deficits in using adaptive strategies, as evidenced by comparisons with controls and experimental studies

Methodological heterogeneity and a lack of ecologically valid ER assessments

Empirical literature is critiqued in line with contemporary theories of BD and of emotion regulation more generally, in order to inform future research recommendations. This includes investigation of the importance of context in the impact of ER strategies, and discrepancies between trait and state use of ER strategies, particularly through experience sampling.

Item Type: Article
Uncontrolled Keywords: Bipolar disorder, Emotion regulation, Response styles, Mania, Depression, Rumination
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Becky Skoyles
Date Deposited: 03 Jan 2019 13:12
Last Modified: 31 Jul 2021 20:19
URI: http://nrl.northumbria.ac.uk/id/eprint/37448

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