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 selfcriticism, 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.Keywords bipolar disorder; mania; cognition; success; failure Bipolar disorder is one of the most severe of psychiatric disorders. Although it is well established that mood-stabilizing medications are helpful, rates of relapse (Judd et al., 2002) and suicide (Angst, Stassen, Clayton, & Angst, 2002;Mitchell, Slade, & Andrews, 2004) remain quite high even with best available medications (Keller et al., 1992). Given this, substantial effort has been directed toward developing psychosocial treatments that can be offered as adjuncts to medication treatment (Johnson & Leahy, 2003).At least three books have been published detailing cognitive therapy as intervention to supplement medications for bipolar disorder (Basco & Rush, 1996, 2005Lam, Jones, Bright, & Hayward, 1999;Newman, Leahy, Beck, & Reilly-Harrington, 2002). The results of cognitive therapy outcome trials in bipolar disorder have been mixed (Lam, Hayward, Watkins, Wright, & Sham, 2005;Scott et al., 2006), perhaps in part due to differences across samples. Regardless, as cognitive therapy becomes increasingly popular, it becomes important to document aspects of cognition that are disturbed among people with bipolar disorder. A better understanding of the cognitive variables involved in this disorder should help refine treatment approaches.
Copyright 2008 by the American Psychological AssociationCorrespondence concerning this article should be addressed to Lori R. Eisner, Department of Psychology, University of Miami, Coral Gables, FL 33124-0751. E-mail: leisner@psy.miami.edu.
NIH Public AccessAuthor Manuscript J Abnorm Psychol. Author manuscript; available in PMC 2010 January 29.
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NIH-PA Author ManuscriptMuch of the literature on cognition in bipolar disorder focus...