scholarly journals Affective reactivity in response to criticism in remitted bipolar disorder: a laboratory analog of expressed emotion

2009 ◽  
Vol 65 (9) ◽  
pp. 925-941 ◽  
Author(s):  
Amy K. Cuellar ◽  
Sheri L. Johnson ◽  
Camilo J. Ruggero
2007 ◽  
Vol 16 (4) ◽  
pp. 192-196 ◽  
Author(s):  
David J. Miklowitz

Bipolar disorder is a highly recurrent and debilitating illness. Research has implicated the role of psychosocial stressors, including high expressed-emotion (EE) attitudes among family members, in the relapse–remission course of the disorder. This article explores the developmental pathways by which EE attitudes originate and predict relapses of bipolar disorder. Levels of EE are correlated with the illness attributions of caregivers and bidirectional patterns of interaction between caregivers and patients during the postepisode period. Although the primary treatments for bipolar disorder are pharmacological, adjunctive psychosocial interventions have additive effects in relapse prevention. Randomized controlled trials demonstrate that the combination of family-focused therapy (FFT) and pharmacotherapy delays relapses and reduces symptom severity among patients followed over the course of 1 to 2 years. The effectiveness of FFT in delaying recurrences among adolescents with bipolar disorder and in delaying the initial onset of the illness among at-risk children is currently being investigated.


2014 ◽  
Vol 24 ◽  
pp. S574-S575
Author(s):  
S. Ben Nasr ◽  
A. Ben Romdhane ◽  
J. Nakhli ◽  
A. Braham ◽  
Y. El Kissi ◽  
...  

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pratima

Family caregivers of persons with bipolar disorder and schizophrenia experience high level of burden and compromised quality of life. A considerable amount of burden on the caregivers often leads to display of certain attitudes towards persons with severe mental illness called expressed emotion, which then leads to poor quality of patients as well. Although numerous studies dealing with these issues separately are present, but studies dealing with relationship, using mixed methodology, among these issues are scarce. The aim of the present study was to understand how actually the construct of quality of life in different demographic conditions affect life conditions of schizophrenic and bipolar patients and determining relapse. The present study was designed mainly to assess the quality of life on patients and the families of a particular group of patients namely those with schizophrenia and bipolar disorder. The objectives if the present research were to study: (i) the quality of life of patients with Schizophrenia and Bipolar Affective disorder. (ii) the quality of life of caregivers of patients with Schizophrenia and Bipolar Affective disorder. Patients with disorders such as schizophrenia and bipolar affective disorder are more likely to relapse when there is high expressed emotion present in their living environment. The stress from the remarks and attitudes of the family is overwhelming because they feel like the cause of the problems. The patient then falls into the cycle of relapse. The only way to escape this vortex for the family is to go through therapy together to prevent the relapse. But before that it becomes necessary to understand that what is the reason behind such attitude towards a family member who is mentally ill, what is the cause of burden and what all changes the caregivers’ and the patients’ quality of life come across.


2015 ◽  
Vol 30 (7) ◽  
pp. 852-860 ◽  
Author(s):  
M. Lemaire ◽  
W. El-Hage ◽  
S. Frangou

AbstractBackground:Affective dysregulation is a core feature of bipolar disorder (BD) and a significant predictor of clinical and functional outcome. Affective dysregulation can arise from abnormalities in multiple processes. This study addresses the knowledge gap regarding the precise nature of the processes that may be dysregulated in BD and their relationship to the clinical expression of the disorder.Methods:Patients with BD (n = 45) who were either in remission or in a depressive or manic state and healthy individuals (n = 101) were compared in terms of the intensity, duration and physiological response (measured using inter-beat intervals and skin conductance) to affective and neutral pictures during passive viewing and during experiential suppression.Results:Compared to healthy individuals, patients with BD evidenced increased affective reactivity to neutral pictures and reduced maintenance of subjective affective responses to all pictures. This pattern was present irrespective of clinical state but was more pronounced in symptomatic patients, regardless of polarity. Patients, regardless of symptomatic status, were comparable to healthy individuals in terms of physiological arousal and voluntary control of affective responses.Conclusion:Our study demonstrates that increased affective reactivity to neutral stimuli and decreased maintenance of affective responses are key dimensions of affective dysregulation in BD.


2013 ◽  
Vol 148 (2-3) ◽  
pp. 418-423 ◽  
Author(s):  
Edmir G. Nader ◽  
Ana Kleinman ◽  
Bernardo Carramão Gomes ◽  
Claudia Bruscagin ◽  
Bernardo dos Santos ◽  
...  

1995 ◽  
Vol 56 (3) ◽  
pp. 299-301 ◽  
Author(s):  
Adriaan Honig ◽  
Annet Hofman ◽  
Marcel Hilwig ◽  
Eric Noorthoorn ◽  
Rudolf Ponds

2019 ◽  
Vol 7 (16) ◽  
pp. 2671-2674
Author(s):  
Indah V. Putri ◽  
Elmeida Effendy

BACKGROUND: Aretaeus of Cappadocia first described the bipolar disorder in 30 Masehi. Falret separated this disorder and called it folie circulaire in 1854. A bipolar patient had a change in mood from depression to mania and vice versa while having normal (euthymic) mood period in between. She experienced mood fluctuations that were typical of bipolar disorder. This case report was aimed to understand the personal experience of a bipolar patient confronting her mood changes and expressing their emotions. CASE REPORT: We presented a case of a 25year-old bipolar woman, makeup artist, unmarried, from Batak tribe. She came alone to seek treatment from a psychiatrist for her mood changes that she could not comprehend. CONCLUSION: We provided psychoeducation to help her recognise her bipolar disorder and direct her emotional expression to more positive things, in her case, makeup and writing.


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