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Dysfunctional Cognitions among Offspring of Individuals with Bipolar Disorder

Published online by Cambridge University Press:  13 December 2013

Camilo J. Ruggero*
Affiliation:
University of North Texas, Denton, USA
Kathleen M. Bain
Affiliation:
University of North Texas, Denton, USA
Patrick M. Smith
Affiliation:
University of North Texas, Denton, USA
Jared N. Kilmer
Affiliation:
University of North Texas, Denton, USA
*
Reprint requests to Camilo J. Ruggero, University of North Texas, 1155 Union Circle #311280, Denton, TX 76203, USA. E-mail: [email protected]

Abstract

Background: Individuals with bipolar disorder often endorse dysfunctional beliefs consistent with cognitive models of bipolar disorder (Beck, 1976; Mansell, 2007). Aims: The present study sought to assess whether young adult offspring of those with bipolar disorder would also endorse these beliefs, independent of their own mood episode history. Method: Participants (N = 89) were young adult college students with a parent with bipolar disorder (n = 27), major depressive disorder (MDD; n = 30), or no mood disorder (n = 32). Semi-structured interviews of the offspring were used to assess diagnoses. Dysfunctional beliefs related to Beck and colleagues’ (2006) and Mansell's (2007) cognitive models were assessed. Results: Unlike offspring of parents with MDD or no mood disorder, those with a parent with bipolar disorder endorsed significantly more dysfunctional cognitions associated with extreme appraisal of mood states, even after controlling for their own mood diagnosis. Once affected by a bipolar or depressive disorder, offspring endorsed dysfunctional cognitions across measures. Conclusions: Dysfunctional cognitions, particularly those related to appraisals of mood states and their potential consequences, are evident in young adults with a parent who has bipolar disorder and may represent targets for psychotherapeutic intervention.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Akiskal, H. S., Bourgeois, M. L., Angst, J., Post, R., Möller, H. and Hirschfeld, R. (2000). Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders. Journal of Affective Disorders, 59, 530. doi:10.1016/S0165-0327(00)00203–2CrossRefGoogle ScholarPubMed
Alatiq, Y., Crane, C., Williams, J. M. G. and Goodwin, G. M. (2010). Dysfunctional beliefs in bipolar disorder: hypomanic vs. depressive attitudes. Journal of Affective Disorders, 122, 294300. doi:10.1016/j.jad.2009.08.021Google Scholar
Alloy, L. B., Reilly-Harrington, N. A., Fresco, D. M. and Flannery-Schroeder, E. (2005). Cognitive styles and life events as vulnerability factors for bipolar spectrum disorders. In Alloy, L.B. and Riskind, J.H. (Eds.), Cognitive Vulnerability to Emotional Disorders (pp.93124). New Jersey: Erlbaum.Google Scholar
Andreasen, N. C., Endicott, J., Spitzer, R. L. and Winokur, J. (1977). The family history method using diagnostic criteria: reliability and validity. Archives of General Psychiatry, 34, 12291235. doi:10.1001/archpsyc.1977.01770220111013Google Scholar
Basco, M. R. and Rush, A. J. (2005). Cognitive-Behavioral Therapy for Bipolar Disorder (2nd ed). New York: The Guilford Press.Google Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: New American Library.Google Scholar
Beck, A. T., Colis, M. J., Steer, R. A., Madrak, L. and Goldberg, J. F. (2006). Cognition Checklist for Mania–Revised. Psychiatry Research, 145 (2–3), 233240. doi:10.1016/j.psychres.2006.01.016Google Scholar
Birmaher, B., Axelson, D., Monk, K., Kalas, C., Goldstein, B., Hickey, M. B., et al. (2009). Lifetime psychiatric disorders in school-aged offspring of parents with bipolar disorder: the Pittsburgh Bipolar Offspring study. Archives of General Psychiatry, 66, 287296. doi:10.1001/archgenpsychiatry.2008.546CrossRefGoogle ScholarPubMed
Chang, K., Steiner, H. and Ketter, T. (2003). Studies of offspring of parents with bipolar disorder. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 123c. 1, 2635. doi:10.1002/ajmg.c.20011Google Scholar
Coryell, W., Scheftner, W., Keller, M., Endicott, J., Maser, J. and Klerman, G. L. (1993). The enduring psychosocial consequences of mania and depression. American Journal of Psychiatry, 150, 720727.Google Scholar
Deltito, J., Martin, L., Riefkohl, J., Austria, B., Kissilenko, A., Corless, C., et al. (2001). Do patients with borderline personality disorder belong to the bipolar spectrum? Journal of Affective Disorders, 67, 221288. doi:10.1016/S0165-0327(01)00436-0Google Scholar
Dodd, A. L., Mansell, W., Bentall, R. P. and Tai, S. (2011). Do extreme beliefs about internal states predict mood swings in an analogue sample? Cognitive Therapy and Research, 35, 497504. doi: 10.1007/s10608–010–9342-yGoogle Scholar
Dodd, A., Mansell, W., Morrison, A. P. and Tai, S. (2011). Extreme appraisals of internal states and bipolar symptoms: the Hypomanic Attitudes and Positive Predictions Inventory. Psychological Assessment, 23, 635645. doi:10.1037/a0022972Google Scholar
Dodd, A., Mansell, W., Sadhnani, V., Morrison, A. P. and Tai, S. (2010). Principal components analysis of the Hypomanic Attitudes and Positive Predictions Inventory and associations with measures of personality, cognitive style and analogue symptoms in a student sample. Behavioural and Cognitive Psychotherapy, 38, 1533. doi:10.1017/S1352465809990476CrossRefGoogle Scholar
Driessen, E. and Hollon, S. D. (2010). Cognitive behavioral therapy for mood disorders: efficacy, moderators and mediators. Psychiatric Clinics of North America, 33, 537555. doi:10.1016/j.psc.2010.04.005CrossRefGoogle ScholarPubMed
Eisner, L. R., Johnson, S. L. and Carver, C. S. (2008). Cognitive responses to failure and success relate uniquely to bipolar depression versus mania. Journal of Abnormal Psychology,117, 154163. doi: 10.1037/0021–843X.117.1.154CrossRefGoogle ScholarPubMed
Endicott, J., Andreasen, N. and Spitzer, R. L. (1978). Family History Research Diagnostic Criteria (3rd ed.) New York: New York State Psychiatric Institute.Google Scholar
First, M. B., Spitzer, R. L., Gibbon, M. and Williams, J. B. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders SCID-I, Clinician Version. Virginia: American Psychiatric Publishing, Inc.Google Scholar
Fulford, D., Tuchman, N. and Johnson, S. L. (2009). The Cognition Checklist for Mania-Revised (CCL-M-R): factor-analytic structure and links with risk for mania, diagnoses of mania, and current symptoms. International Journal of Cognitive Therapy, 2, 313324. doi:10.1521/ijct.2009.2.4.313CrossRefGoogle ScholarPubMed
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. doi: 10.1037/a0023667Google Scholar
Grunze, H., Vieta, E., Goodwin, G. M., Bowden, C., Licht, R. W., Möller, H. J., et al. (2013). The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the biological treatment of bipolar disorders: update 2012 on the long-term treatment of bipolar disorder. World Journal of Biological Psychiatry, 14, 154219. doi:10.3109/15622975.2013.770551Google Scholar
Isometsa, E. T., Henriksson, M. M., Aro, H. M. and Lönngvist, J. K. (1994). Suicide in bipolar disorder in Finland. American Journal of Psychiatry, 151, 10201024. doi:10.1080/13811110590929442Google ScholarPubMed
Johnson, S. L. (2005). Mania and dysregulation in goal pursuit: a review. Clinical Psychology Review, 25, 241262. doi:10.1016/j.cpr.2004.11.002CrossRefGoogle ScholarPubMed
Johnson, S. L. and Carver, C. S. (2006). Extreme goal setting and vulnerability to mania among undiagnosed young adults. Cognitive Therapy and Research, 30, 377395. doi:10.1007/s10608-006-9044-7CrossRefGoogle ScholarPubMed
Johnson, S. L., Eisner, L. R. and Carver, C. S. (2009). Elevated expectancies among persons diagnosed with bipolar disorder. British Journal of Clinical Psychology, 48, 217222. doi:10.1348/014466509X414655CrossRefGoogle ScholarPubMed
Johnson, S. L. and Fingerhut, R. (2004). Negative cognitions predict the course of bipolar depression, not mania. Journal of Cognitive Psychotherapy, 18, 149162.CrossRefGoogle Scholar
Johnson, S. L. and Leahy, R. L. (2004). Psychological Treatment of Bipolar Disorder. New York: The Guilford Press.Google Scholar
Johnson, S. L, Ruggero, C. J. and Carver, C. S. (2005). Cognitive, behavioral, and affective responses to reward: links with hypomanic symptoms. Journal of Social and Clinical Psychology, 24, 894906. doi:10.1521/jscp.2005.24.6.894Google Scholar
Kelly, R., Mansell, W., Wood, A., Altiq, Y., Dodd, A. and Searson, R. (2011). Extreme positive and negative appraisals of activated states interact to discriminate bipolar disorder from unipolar depression and non-clinical controls. Journal of Affective Disorders, 134, 438443. doi:10.1016/j.jad.2011.05.042Google Scholar
Lam, D. H. (2006). What can we conclude from studies on psychotherapy in bipolar disorder? Invited commentary on cognitive-behavioural therapy for severe and recurrent bipolar disorders. The British Journal of Psychiatry, 188, 321322. doi:10.1192/bjp.188.4.321Google Scholar
Lam, D. H., Jones, S. H. and Hayward, P. (1999). Cognitive Therapy for Bipolar Disorder: a therapist's guide to concepts, methods, and practice. Chichester: Wiley.Google Scholar
Lam, D. H., Jones, S. H. and Hayward, P. (2012). Cognitive Therapy for Bipolar Disorder: a therapist's guide to concepts, methods, and practice (2nd ed). Chichester: Wiley.Google Scholar
Mansell, W. (2006). The Hypomanic Attitudes and Positive Predictions Inventory HAPPI: a pilot study to select cognitions that are elevated in individuals with bipolar disorder compared to non-clinical controls. Behavioural and Cognitive Psychotherapy, 34, 467476. doi:10.1017/S1352465806003109Google Scholar
Mansell, W. (2007). An integrative formulation-based cognitive treatment of bipolar disorders: application and illustration. Journal of Clinical Psychology, 63, 447461. doi:10.1002/jclp.20369Google Scholar
Mansell, W. and Jones, S. H. (2006). The Brief-HAPPI: a questionnaire to assess cognitions that distinguish between individuals with a diagnosis of bipolar disorder and non-clinical controls. Journal of Affective Disorders, 93, 2934. doi:10.1016/j.jad.2006.04.004Google Scholar
Mansell, W., Morrison, A. P., Reid, G., Lowens, I. and Tai, S. (2007). The interpretation of, and responses to, changes in internal states: an integrative cognitive model of mood swings and bipolar disorders. Behavioural and Cognitive Psychotherapy, 35, 515539. doi:10.1017/S1352465807003827Google Scholar
Mansell, W., Rigby, Z., Tai, S. and Lowe, C. (2008). Do current beliefs predict hypomanic symptoms beyond personality style? Factor analysis of the Hypomanic Attitudes and Positive Predictions Inventory (HAPPI) and its association with hypomanic symptoms in a student population. Journal of Clinical Psychology, 64, 450465. doi:10.1002/jclp.20455Google Scholar
Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M., Petukhova, M., et al. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the national comorbidity survey replication. Archives of General Psychiatry, 64, 543552. doi:10.1001/archpsyc.64.5.543Google Scholar
Miklowitz, D. J. (2008). Adjunctive psychotherapy for bipolar disorder: state of the evidence. American Journal of Psychiatry, 165, 14081419. doi:10.1176/appi.ajp.2008.08040488Google Scholar
Miklowitz, D. J., Otto, M. W., Frank, E., Reilly-Harrington, N. A., Kogan, J. N., Sachs, G. S., et al. (2007). Intensive psychosocial intervention enhances functioning in patients with bipolar depression: results from a 9-month randomized controlled trial. American Journal of Psychiatry, 164, 13401347. doi:10.1176/appi.ajp.2007.07020311Google Scholar
Murray, C. and Lopez, A. (1996) The Global Burden of Disease. Cambridge, MA: Harvard University Press.Google Scholar
Neale, J. M. (1988). Defensive functions of manic episodes. In Oltman, T. F. and Maher, B. A. (Eds), Delusional Beliefs (pp.138156). New York: Wiley.Google Scholar
Newman, C. F., Leahy, R. L., Beck, A. T., Reilly-Harrington, N. A. and Gyulai, L. (2002). Bipolar Disorder: a cognitive therapy approach. Washington DC: American Psychological Association.CrossRefGoogle Scholar
Nolen-Hoeksema, S. and Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115121. doi:10.1037//0022–3514.61.1.115Google Scholar
Paris, J., Gunderson, J. and Weinberg, I. (2007). The interface between borderline personality disorder and bipolar spectrum disorders. Comprehensive Psychiatry, 48, 145154. doi: 10.1016/j.comppsych.2006.10.001Google Scholar
Ruggero, C. J., Carlson, G., Brommet, E. J. and Kotov, R. (2010). Ten-year diagnostic consistency of bipolar disorder in a first-admission sample. Bipolar Disorders, 12, 2131. doi:10.1111/j.1399-5618.2009.00777.xGoogle Scholar
Scott, J. (2006). Psychotherapy for bipolar disorders: efficacy and effectiveness. Journal of Psychopharmacology, 20, 4650. doi:10.1177/1359786806063078CrossRefGoogle ScholarPubMed
Scott, J., Paykel, E., Morriss, R., Bentall, R., Kinderman, P., Johnson, T., et al. (2006). Cognitive-behavioural therapy for severe and recurrent bipolar disorders: randomised controlled trial. British Journal of Psychiatry, 188, 313320. doi:10.1192/bjp.188.4.313Google Scholar
Seal, K., Mansell, W. and Mannion, H. (2008). What lies between hypomania and bipolar disorder? A qualitative analysis of 12 non-treatment seeking people with a history of hypomanic experiences and no history of major depression. Psychology and Psychotherapy: Theory Research and Practice, 81, 3353. doi:10.1348/147608307X209896Google Scholar
Szentagotai, A. and David, D. (2010). The efficacy of cognitive-behavioral therapy in bipolar disorder: a quantitative meta-analysis. Journal of Clinical Psychiatry, 71, 6672. doi:10.4088/JCP.08r04559yelCrossRefGoogle ScholarPubMed
Treynor, W., Gonzalez, R. and Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27, 247259. doi:10.1023/A:1023910315561CrossRefGoogle Scholar
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