Early detection of bipolar disorder: a pilot familial high‐risk study of parents with bipolar disorder and their adolescent children

Jones, Steven H.; Tai, Sara; Evershed, Kate; Knowles, Rebecca; Bentall, Richard P.

doi:10.1111/j.1399-5618.2006.00329.x

Cited by 130 publications

(130 citation statements)

References 73 publications

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“…That is, two studies using experience sampling methodology suggest heightened positive affect (PA) regardless of context among participants at high risk for mania (Hofmann & Meyer, 2006) and those exhibiting bipolar spectrum disorders (Lovejoy & Steuerwald, 1995). Other experience sampling studies, however, failed to find such differences among atrisk bipolar offspring (Jones et al, 2006) and participants with a history of mania (MyinGermeys et al, 2003).…”

Section: Mania Risk and Abnormalities In Positive Emotionmentioning

confidence: 99%

Risk for mania and positive emotional responding: Too much of a good thing?

Gruber

Johnson

Oveis

et al. 2008

Emotion

189

173

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Although positive emotion research has begun to flourish, the extremes of positive emotion remain understudied. The present research used a multimethod approach to examine positive emotional disturbance by comparing participants at high and low risk for episodes of mania, which involves elevations in positive emotionality. Ninety participants were recruited into a high or low mania risk group according to responses on the Hypomanic Personality Scale. Participants' subjective, expressive, and physiological emotional responses were gathered while they watched two positive, two negative, and one neutral film clip. Results suggested that participants at high risk for mania reported elevated positive emotion and irritability and also exhibited elevated cardiac vagal tone across positive, negative, and neutral films. Discussion focuses on the implications these findings have for the diagnosis and prevention of bipolar disorder, as well as for the general study of positive emotion.

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Section: Mania Risk and Abnormalities In Positive Emotionmentioning

confidence: 99%

Risk for mania and positive emotional responding: Too much of a good thing?

Gruber

Johnson

Oveis

et al. 2008

Emotion

189

173

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“…Support for parents with BD is particularly important as their children are at high‐risk for psychiatric conditions, including attention deficit hyperactive disorder (ADHD), depression, anxiety, substance abuse, sleep disorders and BD (Axelson et al., 2015; Duffy, Jones, Goodday, & Bentall, 2016; Mesman, Nolen, Reichart, Wals, & Hillegers, 2013). Despite this, few of these children receive clinical support (Calam, Jones, Sanders, Dempsey, & Sadhnani, 2012; Jones, Tai, Evershed, Knowles, & Bentall, 2006) which risks more severe psychological disorders in later life (Duffy et al., 2016). Parenting programmes offer a means to support parents in encouraging desirable behaviours in their children: consequent reductions in parenting stress might have secondary clinical benefits for parents.…”

Section: Introductionmentioning

confidence: 99%

Web‐based integrated bipolar parenting intervention for parents with bipolar disorder: a randomised controlled pilot trial

Jones

Jovanoska

Calam

et al. 2017

Child Psychology Psychiatry

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BackgroundPeople with bipolar disorder (BD) experience additional parenting challenges associated with mood driven fluctuations in communication, impulse control and motivation. This paper describes a novel web‐based self‐management approach (Integrated Bipolar Parenting Intervention; IBPI) to support parents with BD.MethodParents with BD with children aged 3–10 years randomised to IBPI plus treatment as usual (TAU) or waitlist control (WL). IBPI offered 16 weeks access to interactive self‐management information concerning BD and parenting issues. Feasibility was through recruitment, retention and web usage. Clinical outcomes were assessed at baseline, 16, 24, 36 and 48 weeks. Trial Registration Number: ISRCTN75279027.ResultsNinety seven participants were recruited with 98% retention to end of intervention and 90% to final follow‐up (56%–94% data analysed of retained participants; higher rates for observer measures). 77% of IBPI participants accessed the website (53% accessed parenting modules). Child behaviour, parenting sense of competence and parenting stress improved significantly in IBPI compared to WL to end of intervention, sustained to 48 weeks. Impacts of IBPI on family functioning, parent mood and time to mood relapse were not significant.ConclusionsOnline self‐management support for parents with BD is feasible, with promising improvements in parenting and child behaviour outcomes. A definitive clinical and cost‐effectiveness trial is required to confirm and extend these findings.

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“…These findings have come from studies of bipolar I disorder (Lam, Wright, & Smith, 2004;Salavert et al, 2007;Van der Gucht, Morriss, Lancaster, Kinderman, & Bentall, 2009; but see Jones, Tai, Evershed, Knowles, & Bentall, 2006 for a nonreplication), bipolar spectrum disorders (Alloy & Abramson, 2010;Alloy et al, 2006Alloy et al, , 2008Alloy et al, , 2009, and samples at risk for disorder by virtue of a history of subsyndromal manic symptoms Fulford, Johnson, & Carver, 2008;Gruber & Johnson, 2009;Johnson & Carver, 2006;Meyer, Beevers, Jonson, & Simmons, 2007;Meyer & Hofmann, 2005;Meyer, Johnson, & Carver, 1999). Most of these studies relied on the self-report Behavioral Approach System scales (Carver & White, 1994) to assess reward sensitivity, but elevations on behavioral and psychophysiological measures of reward sensitivity have also been found among students at risk for mania (Harmon-Jones et al, 2008;Hayden et al, 2008;Sutton & Johnson, 2002).…”

mentioning

confidence: 99%

Elevated ambitions for fame among persons diagnosed with bipolar I disorder.

Johnson¹,

Carver²,

Gotlib³

2012

Journal of Abnormal Psychology

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A growing body of evidence suggests that people with bipolar disorder are highly goal-oriented. Compared to other persons, they expend more effort to attain rewards and view goal pursuit as more important to their self-worth. Persons at risk for mania and those diagnosed with bipolar spectrum disorders have been shown to endorse highly ambitious life goals, such as becoming a multimillionaire or achieving fame. This study is the first examination of whether such elevated goals characterize persons diagnosed with bipolar I disorder. We also examined whether elevated ambitions predicted symptom change over time. Ninety-two persons with bipolar I disorder and 81 age-and sex-matched controls completed the Willingly Approached Set of Statistically Unlikely Pursuits, a measure of extremely high life ambitions. A subset of the bipolar participants completed a 3-month follow-up interview. Participants with bipolar disorder endorsed higher ambitions for popular fame than did controls; moreover, heightened ambitions for popular fame and financial success predicted increases in manic symptoms in those with bipolar disorder over the next three months. Discussion focuses on goal regulation in bipolar disorder.

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Early detection of bipolar disorder: a pilot familial high‐risk study of parents with bipolar disorder and their adolescent children

Cited by 130 publications

References 73 publications

Risk for mania and positive emotional responding: Too much of a good thing?

Risk for mania and positive emotional responding: Too much of a good thing?

Web‐based integrated bipolar parenting intervention for parents with bipolar disorder: a randomised controlled pilot trial

Elevated ambitions for fame among persons diagnosed with bipolar I disorder.

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