“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

Research output: Contribution to journalArticle

Abstract

The evidence for the integrative cognitive model of bipolar disorder is yet to be reviewed. We evaluate the evidence for four hypotheses derived uniquely from the model: extreme positive and negative appraisals of internal states are associated with (1) risk of developing bipolar disorder; (2) bipolar disorder 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 bipolar disorder. The evidence base is limited by a relative paucity of prospective studies. Implications for theory, research and clinical practice are discussed.

Bibliographical metadata

Original languageEnglish
JournalFrontiers in Psychology
StateAccepted/In press - 6 Jul 2017