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Cognitive style in bipolar disorder

Published online by Cambridge University Press:  02 January 2018

Lisa Jones*
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital, Birmingham
Jan Scott
Affiliation:
Division of Psychological Medicine, Institute of Psychiatry, London
Sayeed Haque
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital
Katherine Gordon-Smith
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital, and Department of Psychological Medicine, University of Wales College of Medicine, Cardiff
Jessica Heron
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital
Sian Caesar
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital
Caroline Cooper
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital
Liz Forty
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital, and Department of Psychological Medicine, University of Wales College of Medicine, Cardiff
Sally Hyde
Affiliation:
Department of Psychiatry University of Birmingham, Queen Elizabeth Psychiatric Hospital
Louisa Lyon
Affiliation:
Department of Psychiatry University of Birmingham, Queen Elizabeth Psychiatric Hospital
Jayne Greening
Affiliation:
Department of Psychiatry University of Birmingham, Queen Elizabeth Psychiatric Hospital
Pak Sham
Affiliation:
SGDP Research Centre, Institute of Psychiatry, London
Anne Farmer
Affiliation:
SGDP Research Centre, Institute of Psychiatry, London
Peter McGuffin
Affiliation:
SGDP Research Centre, Institute of Psychiatry, London
Ian Jones
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital, and Department of Psychological Medicine, University of Wales College of Medicine, Cardiff
Nick Craddock
Affiliation:
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital, and Department of Psychological Medicine, University of Wales College of Medicine, Cardiff, UK
*
Dr Lisa Jones, Department of Psychiatry, Division of Neuroscience, University of Birmingham, Queen Elizabeth Psychiatric Hospital, Birmingham B15 2QZ, UK. Tel: +44 121 678 2362; fax: +44 121 678 2351; e-mail: l.a.jones@bham.ac.uk
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Abstract

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Background

Abnormalities of cognitive style in bipolar disorder are of both clinical and theoretical importance.

Aims

To compare cognitive style in people with affective disorders and in healthy controls.

Method

Self-rated questionnaires were administered to 118 individuals with bipolar I disorder, 265 with unipolar major recurrent depression and 268 healthy controls. Those with affective disorder were also interviewed using the Schedules for Clinical Assessment in Neuropsychiatry and case notes were reviewed.

Results

Those with bipolar disorder and those with unipolar depression demonstrated different patterns of cognitive style from controls; negative self-esteem best discriminated between those with affective disorders and controls; measures of cognitive style were substantially affected by current levels of depressive symptomatology; patterns of cognitive style were similar in bipolar and unipolar disorder when current mental state was taken into account.

Conclusions

Those with affective disorder significantly differed from controls on measures of cognitive style but there were no differences between unipolar and bipolar disorders when current mental state was taken into account.

Type
Papers
Copyright
Copyright © 2005 The Royal College of Psychiatrists 

Footnotes

Declaration of interest

None.

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