Induced Mood Change and Dysfunctional Attitudes in Remitted Bipolar I Affective Disorder.

This study investigated the possibility that, in remitted bipolar I affective disorder, dysfunctional attitudes are mood-state dependent. Participants were 120 individuals with remitted bipolar I disorder, remitted unipolar depression, or no history of affective disorder. The Dysfunctional Attitudes Scale (DAS; Weissman, 1979) was completed before and after positive or negative mood challenge. Following mood increase, the bipolar group changed significantly less in DAS total score than did the other 2 groups, and in goal-striving and achievement attitudes relative to the unipolar group. These findings did not provide clear support for the mood-state dependency theory in bipolar disorder, arguing instead for the presence in bipolar I disorder of dysfunctional cognitions that show characteristic resilience in the face of minor positive mood increase. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relevance of aquatic biodegradation tests for predicting degradation of polymeric materials during biological solid waste treatment

L. A. Clark and D. Watson's (1991) tripartite model groups the symptoms of depression and anxiety into 3 components: nonspecific symptoms of general distress, which do not distinguish depression and anxiety; physiologic arousal, which is relatively unique to anxiety; and anhedonia (or low positive affect), which is unique to depression. Structural equation modeling was used to test this model with self-report data from 3 different samples: outpatients seeking treatment for mood disorder, anxiety disorder, or both (n = 483) outpatients seeking treatment for substance abuse (n = 453), and college students (n = 516). The tripartite model did not fit any of the sample covariance matrices, because the nonspecific symptoms of depression and anxiety could not be adequately represented by a single General Distress factor. An alternative model, in which the Anhedonia and Nonspecific Depression factors loaded on a second-order Depression factor, while the Somatic Arousal and Nonspecific Anxiety factors loaded on a second-order Anxiety factor, produced an excellent fit in all the groups. The Nonspecific Depression and Nonspecific Anxiety factors were the most valid and specific indicators of depression and anxiety, respectively. Anhedonia and Somatic Arousal were significantly less valid measures of depression and anxiety. The implications of these findings are discussed.     

Issues in dimensional structure of affect—Effects of descriptors, measurement error, and response formats: Comment on Russell and Carroll (1999).

In their article "On the Bipolarity of Positive and Negative Affect," J. A. Russell and J. M. Carroll (1999; see record 1998-03256-001) correctly noted that several factors—including the use of a strictly unipolar item response format—can obscure the underlying bipolarity of certain positive and negative affect pairs. However, some of their other conclusions require clarification. First, bipolarity is evident even in uncorrected data obtained with unipolar formats. Second, polychoric correlations and appropriate item-analytic models can circumvent problems that may be associated with unipolar scales; consequently, it is unnecessary (and undesirable) to use bipolar formats in affect assessment. Third, no evidence supports their claim that general mood ratings are less valid than other measures of long-term affect. Finally, aspects of their circumplex model are not well supported by the data; in its place, the authors suggest a more inclusive 3-level hierarchical structure. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Independence and bipolarity in the structure of current affect.

The independence of positive and negative affect has been heralded as a major and counterintuitive finding in the psychology of mood and emotion. Still, other findings support the older view that positive and negative fall at opposite ends of a single bipolar continuum. Independence versus bipolarity can be reconciled by considering (a) the activation dimension of affect, (b) random and systematic measurement error, and (c) how items are selected to achieve an appropriate test of bipolarity. In 3 studies of self-reported current affect, random and systematic error were controlled through multiformat measurement and confirmatory factor analysis. Valence was found to be independent of activation, positive affect the bipolar opposite of negative affect, and deactivation the bipolar opposite of activation. The dimensions underlying D. Watson, L. A. Clark, and A. Tellegen's (1988) Positive and Negative Affect schedule were accounted for by the valence and activation dimensions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measurement error masks bipolarity in affect ratings.

For years, affect researchers have debated about the true dimensionality of mood. Some have argued that positive and negative moods are largely independent and can be experienced simultaneously. Others claim that mood is bipolar, that joy and sorrow represent opposite ends of a single dimension. The 3 studies presented in this article suggest that the evidence that purportedly shows the independence of seemingly opposite mood states, that is, low correlations between positive and negative moods, may be the result of failures to consider biases due to random and nonrandom response error. When these sources of error are taken into account using multiple methods of mood assessment, a largely bipolar structure for affect emerges. The data herein speak to the importance of a multimethod approach to the measurement of mood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Why are depression and anxiety correlated? A test of the tripartite model.

L. A. Clark and D. Watson's (1991) tripartite model groups the symptoms of depression and anxiety into 3 components: nonspecific symptoms of general distress, which do not distinguish depression and anxiety; physiologic arousal, which is relatively unique to anxiety; and anhedonia (or low positive affect), which is unique to depression. Structural equation modeling was used to test this model with self-report data from 3 different samples: outpatients seeking treatment for mood disorder, anxiety disorder, or both (n?=?483), outpatients seeking treatment for substance abuse (n?=?453), and college students (n?=?516). The tripartite model did not fit any of the sample covariance matrices, because the nonspecific symptoms of depression and anxiety could not be adequately represented by a single General Distress factor. An alternative model, in which the Anhedonia and Nonspecific Depression factors loaded on a second-order Depression factor, while the Somatic Arousal and Nonspecific Anxiety factors loaded on a second-order Anxiety factors produced an excellent fit in all the groups. The Nonspecific Depression and Nonspecific Anxiety factors were the most valid and specific indicators of depression and anxiety, respectively. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Aging and symptoms of anxiety and depression: Structural invariance of the tripartite model.

Negative affect measures were evaluated in a cross-sectional community sample of adults aged 18-93 (N = 335) to examine the structure of neuroticism, anxiety, and depressive symptoms in young, middle, and older adult cohorts. Structural equation modeling was used to contrast 3 nested models: a 1-factor general distress model; a 2-factor high negative-low positive affect model; and a 3-factor "tripartite model" reflecting a higher order Negative Affect factor that is common to depression and anxiety problems and 2 lower order factors, Low Positive Affect (mostly specific to depression) and Arousal (specific to anxiety/panic). As expected, the tripartite model fit best for all age groups. Further, multigroup analyses indicated age invariance for the tripartite model, suggesting the model can be effectively applied with older populations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential roles of neuroticism, extraversion, and event desirability for mood in daily life: An integrative model of top-down and bottom-up influences.

Top-down and bottom-up approaches were combined to assess the relative impact of extraversion, neuroticism, and daily events on daily mood. Ninety-six community-residing men completed diaries for 8 consecutive nights. Extraversion predicted positive mood, whereas neuroticism predicted positive and negative mood. Undesirable events predicted negative mood and, more modestly, positive mood. Desirable events predicted positive mood. Negative dispositional and situational factors play a larger role in daily positive affect than positive factors do in daily negative affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On the bipolarity of positive and negative affect

Is positive affect (PA) the bipolar opposite of, or is it independent of, negative affect (NA)? Previous analyses of this vexing question have generally labored under the false assumption that bipolarity predicts an invariant latent correlation between PA and NA. The predicted correlation varies with time frame, response format, and items selected to define PA and NA. The observed correlation also varies with errors inherent in measurement. When the actual predictions of a bipolar model are considered and error is taken into account, there is little evidence for independence of what were traditionally thought opposites. Bipolarity provides a parsimonious fit to existing data.     

General Behavior Inventory identification of unipolar and bipolar affective conditions in a nonclinical university population.

Validated the General Behavior Inventory (GBI), revised to identify unipolar as well as bipolar affective conditions, in a nonclinical sample (n?=?201) against naive, interview-derived diagnoses. For bipolar and unipolar conditions, respectively, the GBI had high positive (.94, .87) and negative (.99, .93) predictive power with the effect of prevalence considered, adequate sensitivity (.78, .76), high specificity (.99, .99), and adequate selection ratios for sampling of affective and nonaffective subjects from nonclinical populations for research purposes. The utility of the GBI in several different research contexts is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The two general activation systems of affect: Structural findings, evolutionary considerations, and psychobiological evidence.

D. Watson and A. Tellegen (1985) proposed a "consensual" structure of affect based on J. A. Russell's (1980) circumplex. The authors' review of the literature indicates that this 2-factor model captures robust structural properties of self-rated mood. Nevertheless, the evidence also indicates that the circumplex does not fit the data closely and needs to be refined. Most notably, the model's dimensions are not entirely independent; moreover, with the exception of Pleasantness–Unpleasantness, they are not completely bipolar. More generally, the data suggest a model that falls somewhere between classic simple structure and a true circumplex. The authors then examine two of the dimensions imbedded in this structure, which they label Negative Activation (NA) and Positive Activation (PA). The authors argue that PA and NA represent the subjective components of broader biobehavioral systems of approach and withdrawal, respectively. The authors conclude by demonstrating how this framework helps to clarify various affect-related phenomena, including circadian rhythms, sleep, and the mood disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Postdisaster stress in the United States and Mexico: A cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder.

Data on symptoms of posttraumatic stress disorder (PTSD) were collected 6 months after Hurricanes Paulina (N/&=/&200; Mexico) and Andrew (non-Hispanic n/&=/&270; United States) using the Revised Civilian Mississippi Scale. A 4-factor measurement model that represented the accepted multicriterion conceptualization of PTSD fit the data of the U.S. and Mexican samples equally well. The 4 factors of Intrusion, Avoidance, Numbing, and Arousal correlated significantly and equivalently with severity of trauma in each sample. A single construct explained much of the covariance of the symptom factors in each sample. However, modeling PTSD as a unidimensional construct masked differences between samples in symptom severity. With severity of trauma controlled, the Mexican sample was higher in Intrusion and Avoidance, whereas the U.S. sample was higher in Arousal. The results suggest that PTSD is a meaningful construct to study in Latin American societies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dimensions of affect relationships: Models and their integrative implications.

This article presents data from a number of areas of psychology that have dealt with the issue of whether positive and negative affects are independent--the bivariate view--or whether they operate inversely from each other--the unidimensional, bipolar view. Both models have extensive empirical support. A more integrative view, the Dynamic Model of Affect (DMA), specifies conditions under which both bivariate and bipolar models are valid. It is tailored to analyzing both affect systems functioning concurrently. The DMA is reviewed and then extended to show how 3 major areas of research can begin to incorporate the more integrative framework of analyzing co-occurring types of affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive responses to failure and success relate uniquely to bipolar depression versus mania.

This project examined cognitive responses to failure and success and their association with depression and mania within bipolar disorder. Many cognitive variables that are associated with unipolar depression have been found to be involved in bipolar disorder, more specifically bipolar depression. This research was the first to examine tendencies to hold high standards, engage in self-criticism, and generalize from failure to an overall sense of self-worth. In Study 1, undergraduates were screened for risk of mood disorders and completed structured diagnostic interviews. History of bipolar spectrum disorders and history of depression had separate associations with negative generalization. The association of generalization with bipolar spectrum disorders was accounted for by current depressive symptoms. For Study 2, the authors developed a measure of the tendency to engage in positive generalization following success experiences. In a sample of 276 undergraduates, this measure related uniquely to risk for mania. Results of these 2 studies suggest that responses to failure are associated with a history of depression, whereas responses to success are associated with a risk for mania. Implications for future research and clinical work are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the special section on the structure of emotion.

This section is devoted to articles about the structure of affect, the patterned interrelations of moods and emotions. Structural features of affect, such as a bipolar pleasantness–unpleasantness dimension, a circumplex ordering, prototypical discrete emotions, and separable positive and negative emotion clusters, are discussed. It is proposed that positive and negative affect systems create the conditions for the co-occurrence of discrete positive emotions with each other and of discrete negative emotions with each other. The experience of affect tends to be felt along a bipolar pleasantness–unpleasantness dimension because pleasant emotions and unpleasant emotions tend not to be experienced together at intense levels. To move beyond current knowledge, future research in the area must more often use non-self-report measures, more sophisticated statistical and measurement methods, dynamic as well as static data, systematically varied response formats, and experimental manipulations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Polarity and sex effect in genetic transmission of affective disorders. The single major locus hypothesis

A single major locus model of inheritance that incorporates polarity (bipolar-unipolar distinction) and sex effect was applied to family study data on bipolar and unipolar affective disorders. In the model tested, clinical polarity and sex-related thresholds determined a differential liability to major affective illness, whereby unipolar females and bipolar males represented two extremes on a genetic-environmental continuum. Bipolar males were more deviant, and unipolar females were less deviant genetically than bipolar females and unipolar males. The major locus hypothesis did not provide an acceptable fit to the data. The implications of these findings for genetic and biological research in affective disorders are discussed.     

Alcoholism and drug abuse in three groups--bipolar I, unipolars and their acquaintances

OBJECTIVE: Previous work has shown that manic-depressive illness and alcohol abuse are linked. This study further explores the relationship of alcohol and drug abuse in bipolar I patients and unipolar depressives and a comparison group obtained through the acquaintance method. METHOD: Diagnosis was accomplished according to Research Diagnostic Criteria (RDC): controls = 469; bipolars = 277; unipolar depressives = 678. Systematic data were gathered using the SADS on lifetime and current drug abuse and alcoholism. Both patients and comparison subjects were then followed prospectively for 10 years. First degree family members were interviewed using the RDC family history method. RESULTS: The group of bipolar patients and the group of unipolar patients had higher rates of drug and alcohol abuse than the comparison group when primary and secondary affective disorder patients were combined. However, primary unipolar patients did not have higher rates of alcohol or drug abuse than the comparison group. In contrast, primary bipolar patients had higher rates of alcoholism, stimulant abuse, and ever having abused a drug than the primary unipolar group and the control group. In an evaluation of the bipolar patients, drug abusers were significantly younger at intake and had a significantly younger age of onset of bipolar disorder. There was a significant increase in family history of mania or schizoaffective mania in the drug-abusing bipolar patients as compared to the non-abusing bipolar patients. LIMITATION: As in all adult samples of patients with affective illness, the chronology of alcohol and substance problems vis-à-vis the onset of illness was determined retrospectively. CONCLUSIONS: (1) Alcoholism and drug abuse are more frequent in bipolar than unipolar patients. (2) The drug abuse of bipolar patients tends toward the abuse of stimulant drugs. (3) In a bipolar patient, familial diathesis for mania is significantly associated with the abuse of alcohol and drugs. (4) More provocatively, these findings suggest the hypothesis of a common familial-genetic diathesis for a subtype of bipolar I, alcohol and stimulant abuse. CLINICAL IMPLICATIONS: The present analyses, coupled with two previous ones from the CDS, suggest that drug abuse may precipitate an earlier onset of bipolar I disorder in those who already have a familial predisposition for mania. Furthermore, in dually diagnosed patients with manic-depressive and alcohol/stimulant abuse history, mood stabilization of the bipolar disorder represents a rational approach to control concurrent alcohol and drug problems, and should be studied in systematic controlled trials.     

On feeling good and being rude: Affective influences on language use and request formulations.

How does mood influence verbal communication, such as the use of requests? On the basis of the Affect Infusion Model (J. P. Forgas, 1995a), 3 experiments predicted and found that (a) negative moods increase and positive moods decrease request politeness and (b) they do so most in difficult situations that require more substantive processing. In Experiment 1, sad mood enhanced and happy mood reduced request politeness, especially in difficult situations. In Experiment 2, similar mood effects on the politeness and elaboration of self-generated requests were found. In Experiment 3, these findings were replicated in a variety of request situations by use of a different mood induction. Recall data confirmed that more substantive processing enhanced mood effects on requesting. The cognitive mechanisms mediating mood effects on requesting are discussed, and the implications of the results for interpersonal communication and for recent affect–cognition theories are considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Brief Version of the Geriatric Depression Scale for the Chinese.

Elderly persons (N=310) attending outpatient psychiatric clinics were given an interview on the 30-item Geriatric Depression Scale (T. L. Brink et al., 1982; J. A. Yesavage et al., 1983) and received an independent psychiatric evaluation. A 3-step binary logistic regression showed that 2 items measuring positive affect and 2 others measuring negative affect combined to produce diagnostic performance comparable with the full scale. This result was cross-validated on a different sample (N=134). A hierarchical measurement model in which the 4 items tapped 2 first-order factors (positive and negative affect), which in turn tapped a higher order construct of depression, provided excellent fit to the data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A review of functional neuroimaging in mood disorders: positron emission tomography and depression

OBJECTIVE: To examine the progress of positron emission tomography (PET) as a tool for understanding the psychobiology of mood disorders, particularly major depression and bipolar disorder. METHOD: Review of the literature on functional imaging of mood disorders. RESULTS: Functional imaging techniques have been used in psychiatric research as a noninvasive method to study the behaviour and function of the brain. Techniques used so far have involved the manipulation of emotion in healthy volunteers, the evaluation of depressed (unipolar and bipolar as well as secondary depression), manic, and normal subjects under resting and various activation conditions, such as cognitive activation, acute pharmacological challenge, and chronic thymoleptic treatments. As a result, functional imaging studies tend to support abnormalities in specific frontal and limbic regions. CONCLUSION: Different PET methods demonstrate consistent abnormalities in the prefrontal, cingulate, and amygdala regions. These findings are in agreement with past animal and clinical anatomical correlates of mood and emotions.