“…It is possible that PBMI could reflect or inspire ambivalence about addressing mood symptoms (in particular, hypomanic symptoms), given past experiences and the possibility that individuals may find some degree of reward or benefit from their symptoms (e.g., perceived increase in productivity or euphoric feeling), in spite of associated problems. Previous research suggests that individuals with bipolar disorder assign more positive meanings to hypomanic symptoms than others (Alatiq et al, 2010;Jones et al, 2006;Kelly et al, 2011;Mansell and Jones, 2006), and that specific negative beliefs about mood swings predict odds of relapse (Lobban et al, 2013). However, our study is the first to examine the relationship between treatment outcomes and general PBMI (as opposed to beliefs about specific symptoms) across diagnostic categories in a clinical sample characterized by acute symptom severity.…”