Longitudinal Predictors of Bipolar Spectrum Disorders: A Behavioral Approach System (BAS) Perspective
- PMID: 20161008
- PMCID: PMC2758649
- DOI: 10.1111/j.1468-2850.2009.01160.x
Longitudinal Predictors of Bipolar Spectrum Disorders: A Behavioral Approach System (BAS) Perspective
Abstract
We review longitudinal predictors, primarily psychosocial, of the onset, course, and expression of bipolar spectrum disorders. We organize our review along a proximal - distal continuum, discussing the most proximal (i.e., prodromes) predictors of bipolar episodes first, then recent environmental (i.e., life events) predictors of bipolar symptoms and episodes next, followed by more distal psychological (i.e., cognitive styles) predictors, and ending with the most distal temperament (i.e., Behavioral Approach System sensitivity) predictors. We then present a theoretical model, the Behavioral Approach System (BAS) dysregulation model, for understanding and integrating the role of these predictors of bipolar spectrum disorders. Finally, we consider the implications of the reviewed longitudinal predictors for future research and psychosocial treatments of bipolar disorders.
References
-
- Abramson LY, Metalsky GI, Alloy LB. Hopelessness depression: A theory-based subtype of depression. Psychological Review. 1989;96:358–372.
-
- Akiskal HS. The clinical significance of the “soft” bipolar spectrum. Psychiatric Annals. 1986;16:667–671.
-
- Akiskal HS, Djenderedjian AH, Rosenthal RH, Khani MK. Cyclothymic disorder: Validating criteria for inclusion in the bipolar affective group. American Journal of Psychiatry. 1977;134:1227–1233. - PubMed
-
- Akiskal HS, Khani MK, Scott-Strauss A. Cyclothymic temperamental disorders. Psychiatric Clinics of North America. 1979;2:527–554.
-
- Alloy LB, Abramson LY, Neeren AM, Walshaw PD, Urosevic S, Nusslock R. Psychosocial risk factors for bipolar disorder: Current and early environment and cognitive styles. In: Jones S, Bentall R, editors. The psychology of bipolar disorder - New developments and research strategies. Oxford University Press; Oxford, UK: 2006a. pp. 11–46.
Grants and funding
LinkOut - more resources
Full Text Sources