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Cognitive Emotion Regulation as a Mediator between Posttraumatic Stress Symptoms and Hypomanic Personality within a Non-Clinical Population

Published online by Cambridge University Press:  14 September 2015

Craig Steel*
Affiliation:
University of Reading, UK
*
Reprints requests to Craig Steel, School of Psychology and CLS, University of Reading, Whiteknights, Reading RG6 6AL, UK. E-mail: c.steel@reading.ac.uk

Abstract

Background: There is a high prevalence of traumatic life events within individuals diagnosed with bipolar disorder. However, currently there is limited theoretical understanding of this relationship. Aims: To explore whether non-clinical symptoms of posttraumatic stress have a direct effect on the non-clinical symptoms of bipolar disorder, or whether this relationship is mediated by cognitive emotion regulation strategies. Method: A cross-sectional design within non-clinical participants completing an online survey including the Impact of Events Scale, Cognitive Emotion Regulation Questionnaire and the Hypomanic Personality Scale. Results: Posttraumatic stress symptoms were associated with hypomanic personality. Intrusive memories contributed a small but significant proportion of the variance between these two measures. Rumination of negative emotions mediated the relationship between posttraumatic stress and hypomanic personality. Conclusions: The relationship between traumatic events and an increased prevalence of bipolar disorder remains poorly understood. Further research should explore rumination as a potential target for treatment within those suffering from both posttraumatic stress and bipolar disorder.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Brewin, C. R. (2001). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 38, 373393.CrossRefGoogle Scholar
Claridge, G. (1997). Schizotypy: implications for illness and health. Oxford: Oxford University Press.Google Scholar
Daruy-Filho, L., Brietzke, E., Lafer, B. and Grassi-Oliveira, R. (2011). Childhood maltreatment and clinical outcomes of bipolar disorder. Acta Psychiatrica Scandinavia, 124, 427434.CrossRefGoogle ScholarPubMed
Eckblad, M. and Chapman, L. J. (1986). Development and validation of a scale for hypomanic personality. Journal of Abnormal Psychology, 95, 214222.Google Scholar
Ehlers, A. and Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319345.CrossRefGoogle ScholarPubMed
Garnefski, N. and Kraaij, V. (2006). Cognitive emotion regulation questionnaire: development of a short 18-item version (CERQ-short). Personality and Individual Differences, 41, 10451053.CrossRefGoogle Scholar
Garno, J. L., Goldberg, J. F., Ramirez, P. M. and Ritzler, B. A. (2005). Impact of childhood abuse on the clinical course of bipolar disorder. British Journal of Psychiatry, 186, 121125.Google Scholar
Gregory, J. D., Mansell, W. and Donaldson, C. (2010). Intrusive memories and images in bipolar disorder. Behaviour Research and Therapy, 48, 698703.Google Scholar
Grubaugh, A. L., Zinzow, H. M., Paul, l., Egede, L. and Freuh, B. C. (2011). Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: a critical review. Clinical Psychology Review, 31, 883899.Google Scholar
Gruber, J., Eidelman, P., Johnson, S. L., Smith, B. and Harvey, A. G. (2011). Hooked on a feeling: rumination about positive and negative emotion in inter-episode bipolar disorder. Journal of Abnormal Psychology, 120, 956961.CrossRefGoogle ScholarPubMed
Holmes, E. A., Deeprose, C., Fairburn, C. G., Wallace-Hadrill, S. M., Bonsall, M. B., Geddes, J. R., et al. (2011). Mood stability versus mood instability in bipolar disorder: a possible role for emotional mental imagery. Behaviour Research and Therapy, 49, 707713.Google Scholar
Holmes, E. A. and Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30, 349362.CrossRefGoogle ScholarPubMed
Johnson, S. L., Edge, M. D., Holmes, M. K. and Carver, C. S. (2012). The behavioral activation system and mania. Annual Review of Clinical Psychology, 8, 243267.Google Scholar
Johnson, S. L., McKenzie, G. and McMurrich, S. (2008). Ruminative responses to negative and positive affect among students diagnosed with bipolar disorder and major depressive disorder. Cognitive Therapy and Research, 32, 702713.Google Scholar
Jones, S., McGrath, E., Hampshire, K., Owen, R., Riste, L., Roberts, C., et al. (2013). A randomised controlled trial of time limited CBT informed psychological therapy for anxiety in bipolar disorder. BMC Psychiatry, 13, 54.CrossRefGoogle ScholarPubMed
Klein, D. N., Lewinsohn, P. M. and Seeley, J. R. (1996). Hypomanic personality traits in a community sample of adolescents. Journal of Affective Disorders, 38, 135143.CrossRefGoogle Scholar
Kwapil, T. R., Miller, M. B., Zinser, M. C., Chapman, L. J., Chapman, J. and Eckblad, M. (2000). A longitudinal study of high scorers on the Hypomanic Personality Scale. Journal of Abnormal Psychology, 109, 222226.CrossRefGoogle ScholarPubMed
Larsson, S., Aas, M., Klungsøyr, O., Agartz, I., Mork, E., Steen, N. E., et al. (2013). Patterns of childhood adverse events are associated with clinical characteristics of bipolar disorder. BMC Psychiatry, 13, 97.Google Scholar
Leverich, G. S., McElroy, S. L., Suppes, T., Keck, P. E. Jr., Denicoff, K. D., Nolen, W. A., et al. (2002). Early physical and sexual abuse associated with an adverse course of bipolar illness. Biological Psychiatry, 51, 288297.CrossRefGoogle ScholarPubMed
Lovibond, S. H. and Lovibond, P. F. (1995) Manual for the Depression Anxiety Stress Scales, 2nd edn. Sydney: Psychology Foundation of Australia.Google Scholar
Lyon, H. M., Startup, M. and Bentall, R. P. (1999). Social cognition and the manic defense: attributions, selective attention, and self-schema in bipolar affective disorder. Journal of Abnormal Psychology, 108, 273282.CrossRefGoogle ScholarPubMed
Mansell, W., Morrison, A., Reid, G., Lowens, I. and Tai, S. J. (2007). The interpretation of and responses to changes in internal states in bipolar disorder: an integrative cognitive model. Behavioural and Cognitive Psychotherapy, 35, 515539.Google Scholar
Mansell, W. and Lam, D. (2004). A preliminary study of autobiographical memory in remitted bipolar disorder and the role of imagery in memory specificity. Memory, 12, 437446.CrossRefGoogle Scholar
Mason, O. and Beaven-Pearson, J. (2005). Understanding the genesis of psychotic disorder: issues in the prediction and prophylaxis of those at “ultra-high risk”. British Journal of Clinical Psychology, 44, 383404.CrossRefGoogle ScholarPubMed
McIntyre, R. S., Soczynska, J. K., Bottas, A., Bordbar, K., Konarski, J. Z. and Kennedy, S. H. (2006). Anxiety disorders and bipolar disorder: a review. Bipolar Disorders, 8, 665676.Google Scholar
Patel, T., Brewin, C. R., Wheatley, J., Wells, A., Fisher, P. and Myers, S. (2007). Intrusive images and memories in major depression. Behaviour Research and Therapy, 45, 25732580.Google Scholar
Preacher, I. J. and Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879891.Google Scholar
Reid, G. S. (2005). A Cognitive Approach to Understanding Bipolar Symptoms. Conference presentation at the British Association of Behavioural and Cognitive Psychotherapies Annual Conference, Canterbury, UK, July.Google Scholar
Rowland, J., Hamilton, M. K., Lino, B. J., Ly, P., Denny, K., Hwang, E.-J., et al. (2013). Cognitive regulation of emotion in schizophrenia and bipolar disorder. Psychiatry Research, 208, 2128.CrossRefGoogle ScholarPubMed
Steel, C., Fowler, D. and Holmes, E. A. (2005). Trauma-related intrusions and psychosis: an information processing account. Behavioural and Cognitive Psychotherapy, 33, 139152.CrossRefGoogle Scholar
Tull, M. T., Barrett, H. M., McMillan, E. S. and Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38, 303313.CrossRefGoogle ScholarPubMed
Tzemou, E. and Birchwood, M. (2007). A prospective study of dysfunctional thinking and the regulation of negative intrusive memories in bipolar 1 disorder: implications for affect regulation theory. Psychological Medicine, 37, 689698.Google Scholar
Ullman, S. E., Filipas, H. H., Townsend, S. M. and Starzynski, L. (2007). Psychosocial correlates of PTSD symptom severity in sexual assault survivors. Journal of Traumatic Stress, 20, 821831.CrossRefGoogle ScholarPubMed
Weiss, D. S. and Marmar, C. R. (1997). The Impact of Event Scale-Revised. In Wilson, J. P. and Keane, T. M. (Eds.), Assessing Psychological Trauma and PTSD (pp.399411). New York: Guilford.Google Scholar
Wild, J. and Clark, D. M. (2011). Imagery rescripting of early traumatic memories in social phobia. Cognitive and Behavioral Practice, 18, 433443.Google Scholar
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