Mood stability versus mood instability in bipolar disorder: A possible role for emotional mental imagery
2011

Mood Stability and Instability in Bipolar Disorder

Sample size: 23 publication 10 minutes Evidence: moderate

Author Information

Author(s): Emily A. Holmes, Catherine Deeprose, Christopher G. Fairburn, Sophie M.A. Wallace-Hadrill, Michael B. Bonsall, John R. Geddes, Guy M. Goodwin

Primary Institution: Department of Psychiatry, Warneford Hospital, University of Oxford

Hypothesis

Patients with bipolar disorder will score higher on mental imagery measures than a matched healthy control group.

Conclusion

Patients with bipolar disorder showed higher levels of mental imagery use, particularly those with unstable moods, which correlated with their anxiety and depression levels.

Supporting Evidence

  • Patients with bipolar disorder had significantly higher scores for general mental imagery use compared to healthy controls.
  • Patients with unstable mood had higher levels of intrusive prospective imagery.
  • Intrusive imagery correlated highly with current levels of anxiety and depression.

Takeaway

People with bipolar disorder often imagine things more vividly than others, especially when their mood is unstable, which can make them feel more anxious or depressed.

Methodology

Participants included 23 patients with bipolar disorder and matched healthy controls, assessed using various mental imagery measures and mood stability ratings over 6 months.

Potential Biases

The sample was opportunistic, which may limit generalizability.

Limitations

The sample was small and may not represent all individuals with bipolar disorder, and the control group had low levels of depressive symptoms.

Participant Demographics

23 patients with bipolar disorder, divided into stable (11) and unstable (12) mood groups.

Statistical Information

P-Value

p<0.001

Confidence Interval

[6.88, 19.70]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.brat.2011.06.008

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