A profile approach to impulsivity in bipolar disorder: The key role of strong emotions

L. Muhtadie, S. L. Johnson, C. S. Carver, I. H. Gotlib, T. A. Ketter

Research output: Contribution to journalArticle

63 Scopus citations

Abstract

Objective: Bipolar disorder has been associated with elevated impulsivity - a complex construct subsuming multiple facets. We aimed to compare specific facets of impulsivity in bipolar disorder, including those related to key psychological correlates of the illness: reward sensitivity and strong emotion. Method: Ninety-one individuals diagnosed with bipolar I disorder (inter-episode period) and 80 controls completed several well-validated impulsivity measures, including those relevant to reward (Fun-seeking subscale of the Behavioral Activation System scale) and emotion (Positive Urgency and Negative Urgency scales). Results: Bipolar participants reported higher impulsivity scores than did controls on all of the impulsivity measures, except the Fun-seeking subscale of the Behavioral Activation System scale. Positive Urgency - a measure assessing the tendency to act impulsively when experiencing strong positive emotion - yielded the largest group differences: F(1,170) = 78.69, P < 0.001, partial η2 = 0.316. Positive Urgency was also associated with poorer psychosocial functioning in the bipolar group: ΔR2 = 0.24, b = -0.45, P < 0.001. Conclusion: Individuals with bipolar I disorder appear to be at particular risk of behaving impulsively when experiencing strong positive emotions. Findings provide an important first step toward developing a more refined understanding of impulsivity in bipolar disorder with the potential to inform targeted interventions.

Original languageEnglish (US)
Pages (from-to)100-108
Number of pages9
JournalActa Psychiatrica Scandinavica
Volume129
Issue number2
DOIs
StatePublished - Feb 1 2014

Keywords

  • Bipolar disorder
  • Emotion
  • Impulsive behavior

ASJC Scopus subject areas

  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'A profile approach to impulsivity in bipolar disorder: The key role of strong emotions'. Together they form a unique fingerprint.

  • Cite this