The temporal course and clinical correlates of subjective impulsivity in bipolar disorder as revealed through ecological momentary assessment

Journal of Affective Disorders
Colin A DeppEric Granholm

Abstract

Impulsivity is frequently linked with bipolar disorder and is associated with mania and negative outcomes. The temporal dynamics of subjective impulsivity are unclear, in particular whether impulsivity precedes or follows changes in positive or negative affect. A total of 41 outpatients with bipolar disorder (I or II) were provided with mobile devices for 11 weeks and completed twice-daily surveys about affective states and subjective impulsivity. We examined the association between aggregate subjective impulsivity with baseline global cognitive function, suicide risk ratings, and medication adherence, as well as concurrent and lagged associations with momentary positive and negative affect ratings. A total of 2902 ratings were available across study subjects. Higher aggregate mean ratings of impulsivity were associated with worse baseline global cognitive function, prior suicide attempts, and self-reported problems with medication adherence, as well as more severe manic (but not depressive) symptoms. Time-lagged models indicated that greater negative affect, but not positive affect, predicted subsequent increases in subjective impulsivity, which, in turn, predicted diminished positive affect. Other measures of impulsivity with...Continue Reading

References

Apr 1, 1979·The British Journal of Psychiatry : the Journal of Mental Science·S A Montgomery, M Asberg
Nov 1, 1978·The British Journal of Psychiatry : the Journal of Mental Science·R C YoungD A Meyer
Dec 9, 1998·Journal of Clinical and Experimental Neuropsychology·C RandolphT N Chase
Nov 3, 2001·The American Journal of Psychiatry·F G MoellerA C Swann
Mar 3, 2007·Journal of Affective Disorders·Melissa J GreenGin S Malhi
Sep 8, 2007·Journal of Affective Disorders·Alan C SwannF Gerard Moeller
May 30, 2008·Annual Review of Clinical Psychology·Saul ShiffmanMichael R Hufford
Feb 13, 2010·Addiction Biology·Danielle M DickKenneth Sher
Dec 14, 2011·Trends in Cognitive Sciences·Trevor W RobbinsKaren D Ersche
Feb 14, 2012·Journal of Psychiatric Research·Marcella BellaniJair C Soares
Nov 10, 2012·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·John O RoaldsetStål Bjørkly
Apr 23, 2013·Acta Psychiatrica Scandinavica·L MuhtadieT A Ketter
Nov 28, 2013·Psychological Assessment·Rachel L TomkoTimothy J Trull
Apr 1, 2014·Psychiatry Research·Maria Faurholt-JepsenLars Vedel Kessing
Jun 28, 2014·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Michael D AnestisThomas E Joiner
Dec 6, 2014·Journal of Affective Disorders·Colin A DeppEric L Granholm
Feb 11, 2015·Neuroscience and Biobehavioral Reviews·Matthew R BroomeSteven Marwaha
Mar 10, 2015·Journal of Psychopathology and Behavioral Assessment·Katherine L Dixon-GordonM Zachary Rosenthal
Jun 13, 2015·Journal of Affective Disorders·Raoul BelzeauxUNKNOWN French Advanced Centers of Expertise for Bipolar Disorders Collaborators

❮ Previous
Next ❯

Citations

Apr 4, 2017·International Journal of Methods in Psychiatric Research·Raeanne C MooreColin A Depp
Nov 11, 2017·Journal of Personality·Sarah H SperryThomas R Kwapil
Jan 25, 2018·Psychological Medicine·Katherine Frost VisserGregory P Strauss
Feb 28, 2018·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·William Sulis
Sep 23, 2020·JMIR Mental Health·Kelly Ann RyanAmy M Kilbourne
Mar 27, 2021·Journal of Affective Disorders·Alejandro Porras-SegoviaEnrique Baca-García
Aug 24, 2021·The Journal of Pain : Official Journal of the American Pain Society·Jennifer N BaumgartnerLaura K Case

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.