Exploring aspects of self-reported emotional mental imagery in patients with bipolar disorder

被引:2
作者
van den Berg, K. C. [1 ,2 ,7 ]
Voncken, M. [2 ]
Hendrickson, A. T. [3 ]
Di Simplicio, M. [4 ]
Regeer, E. J. [5 ]
Rops, L. [1 ]
Keijsers, G. P. J. [2 ,6 ]
机构
[1] Med Psychiat Res Grp, Geestelijke Gezondheidszorg Eindhoven GGzE, Eindhoven, Netherlands
[2] Maastricht Univ, Fac Psychol & Neurosci, Dept Clin Psychol Sci, Maastricht, Netherlands
[3] Tilburg Univ, Dept Cognit Sci & Artificial Intelligence, Tilburg, Netherlands
[4] Imperial Coll London, Dept Brain Sci, Div Psychiat, London, England
[5] Altrecht Inst Mental Hlth Care, Utrecht, Netherlands
[6] Radboud Univ Nijmegen, Behav Sci Inst, Nijmegen, Netherlands
[7] Med Psychiat Res Grp, GGzE, Postbus 909, NL-5600AX Eindhoven, Netherlands
关键词
Bipolar disorder; Mental imagery; Unipolar depression; Imagery prone healthy; COGNITIVE-BEHAVIORAL THERAPY; POSTTRAUMATIC-STRESS-DISORDER; DEPRESSION; PSYCHOTHERAPY; PERSPECTIVE; EXPERIENCES; MECHANISMS; AMPLIFIER; MEMORIES; ANXIETY;
D O I
10.1016/j.jbtep.2023.101861
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background and objectives: CBT for patients with bipolar disorder has modest effects. Across disorders, mental imagery has been used to update CBT to increase effectiveness. In order to enhance CBT for bipolar disorder with imagery techniques, research is needed into emotional imagery quality and, related appraisals of imagery and their relationships with mood instability and subsequent behaviour in bipolar disorder.Methods: Patients with bipolar disorder (n = 106), unipolar depression (n = 51), creative imagery prone participants (n = 53) and participants without a history of a mood disorder (n = 135) completed the Dutch Imagery Survey (DImS), an online imagery survey, adapted from the Imagery Interview, assessing self-reported emotional imagery aspects. Imagery quality, appraisals and their self-perceived effects on emotion and behaviour were compared between groups. As unexpected differences within the bipolar group appeared, these were additionally explored.Results: Imagery appraisals but not imagery quality discriminated between the patient groups and non-patient groups Imagery was perceived as an emotional amplifier in all groups, but this was specifically apparent in bipolar manic and bipolar depressed groups. Only in the bipolar group imagery was experienced to amplify behavioural tendencies.Limitations: Results need to be replicated using a larger sample of patients with BD who are currently manic or depressed.Conclusions: Not only quality of imagery, but especially appraisals associated with imagery are differentiating between imagery prone people with and without mood disorder. Imagery amplifies emotion in all groups, but only in those patients with bipolar disorder currently manic or depressed did this influence behaviour.
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页数:11
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