Affective lability and affect intensity as core dimensions of bipolar disorders during euthymic period

Henry, Chantal; Bulke, Donatienne Van den; Bellivier, Frank; Roy, Isabelle; Swendsen, Joël; M’Baïlara, Katia; Siever, Larry J.; Leboyer, Marion

doi:10.1016/j.psychres.2005.11.016

Cited by 189 publications

(136 citation statements)

References 25 publications

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“…With the use of GLMMs, we showed that there were two specific effects in the BD group compared with HC: for positive musical excerpts that had been classified beforehand as inducing joy and wonder, the patients experienced more negative emotions, notably more tension and sadness, in comparison with HC. Patients with BD have been shown to suffer from emotional hyperreactivity, not only during their mood episodes (Henry et al, 2003), but also during their euthymic periods (Henry et al, 2008b). M'Bailara and colleagues (M'bailara et al, 2009) found that patients in remission felt quite intense emotions towards neutral stimuli (neutral facial expressions drawn from the IAPS database), and similar results were reported by Dubois et al (2012) using film clips taken from the battery developed by the group of Philippot (Schaefer et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…One of them-emotional reactivity-already seems to have been validated as an abnormal clinical feature in BD even between episodes. Self-report questionnaires indicate that patients experience higher levels of emotional lability and intensity than controls (Henry et al, 2008b). Researchers have also used emotion induction methods to test emotional reactivity in patients, such as showing them positive, neutral or negative pictures and asking them to assess the subjectively felt emotions triggered by the pictures (Dubois et al, 2012;M'bailara et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

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a b s t r a c tBackground: Research has shown bipolar disorder to be characterized by dysregulation of emotion processing, including biases in facial expression recognition that is most prevalent during depressive and manic states. Very few studies have examined induced emotions when patients are in a euthymic phase, and there has been no research on complex emotions. We therefore set out to test emotional hyperreactivity in response to musical excerpts inducing complex emotions in bipolar disorder during euthymia. Methods: We recruited 21 patients with bipolar disorder (BD) in a euthymic phase and 21 matched healthy controls. Participants first rated their emotional reactivity on two validated self-report scales (ERS and MAThyS). They then rated their music-induced emotions on nine continuous scales. The targeted emotions were wonder, power, melancholy and tension. We used a specific generalized linear mixed model to analyze the behavioral data. Results: We found that participants in the euthymic bipolar group experienced more intense complex negative emotions than controls when the musical excerpts induced wonder. Moreover, patients exhibited greater emotional reactivity in daily life (ERS). Finally, a greater experience of tension while listening to positive music seemed to be mediated by greater emotional reactivity and a deficit in executive functions. Limitations: The heterogeneity of the BD group in terms of clinical characteristics may have influenced the results. Conclusions: Euthymic patients with bipolar disorder exhibit more complex negative emotions than controls in response to positive music.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

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“…Emotional dysregulation has been extensively studied among patients suffering from BD and is marked essentially by emotional hyper-responsiveness (Henry et al, 2012;Henry et al, 2008), poor recognition and acceptance of emotions and difficulties in adapting behaviours to experienced emotions (Van Rheenen et al, 2015). During manic or mixed episodes, patients show a very high degree emotional hyper-responsiveness.…”

Section: Introductionmentioning

confidence: 99%

Similarities between emotional dysregulation in adults suffering from ADHD and bipolar patients

Richard-Lepouriel

Étain²,

Hasler

et al. 2016

Journal of Affective Disorders

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a b s t r a c tBackground: Emotional dysregulation in subjects with attention deficit and hyperactivity disorder (ADHD) is a topic of growing interest among clinicians and researchers. The present study aims at investigating components of emotional dysregulation in adults ADHD compared to subjects suffering from bipolar disorder (BD). Methods: A total of 150 adults ADHD, 335 adults BD subjects and 48 controls were assessed using the Affective Lability Scale (ALS) and the Affect Intensity Measure (AIM), measuring respectively emotion lability and emotion responsiveness. Results: ADHD and BD subjects scored significantly higher on the ALS compared to controls (p¼0.0001). BD subjects scored above ADHD ones (3.07 (SD¼0.66) vs. 2.30 (SD¼ 0.68); po0.0001). The average total scores achieved on the AIM were significantly different for the three groups (p¼0.0001) with significantly higher scores for ADHD subjects compared to BD ones (3.74 (SD¼ 0.59) vs. 3.56 (SD¼0.69); po0.0001). Limitations: Suspected cases of ADHD in the BD and control groups were derived from the Wender Utah Rating Scale (WURS). This study is a retrospective one. Conclusion: Our study thus highlights the importance of emotional dysregulation in adults suffering from ADHD, showing that they display higher emotional intensity than bipolar disorder subjects and controls. Although the current diagnostic criteria of ADHD do not contain an emotional dimension, a better recognition of the significance of emotional responsiveness in ADHD patients can improve the care afforded to these patients, beyond the inattentive and hyperactive/impulsive components.

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“…Mood instability is a core feature of bipolar disorder (MacQueen et al 2003;Henry et al 2008;Bonsall et al 2012;Strejilevich et al 2013). A substantial proportion of patients with bipolar disorder remains symptomatic during inter-episode periods and mood instability is associated with a high risk of relapse, hospitalization and impaired functioning Bopp et al 2010;Joffe et al 2004;Kupka et al 2007;MacQueen et al 2003;Strejilevich et al 2013).…”

Section: Introductionmentioning

confidence: 99%

“…A substantial proportion of patients with bipolar disorder remains symptomatic during inter-episode periods and mood instability is associated with a high risk of relapse, hospitalization and impaired functioning Bopp et al 2010;Joffe et al 2004;Kupka et al 2007;MacQueen et al 2003;Strejilevich et al 2013). Many patients with bipolar disorder experience day-to-day or week-to-week mood swings below the criteria for a full blown affective episode but above those experienced by healthy individuals, and studies have suggested that the course of bipolar disorder is non-linear over time (Bonsall et al 2012;Glenn et al 2006;Henry et al 2008). Due to the importance of mood instability it has been suggested as a target for treatment in its own right and also to be a more sensitive measure of outcome in randomized controlled trials (RCT) than for example relapse or recurrence of affective episodes (Bopp et al 2010;Bonsall et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Mood instability in bipolar disorder type I versus type II-continuous daily electronic self-monitoring of illness activity using smartphones

Faurholt‐Jepsen

Ritz

Frost

et al. 2015

Journal of Affective Disorders

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Affective lability and affect intensity as core dimensions of bipolar disorders during euthymic period

Cited by 189 publications

References 25 publications

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Similarities between emotional dysregulation in adults suffering from ADHD and bipolar patients

Mood instability in bipolar disorder type I versus type II-continuous daily electronic self-monitoring of illness activity using smartphones

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