Cognitive Therapy and Research

, Volume 35, Issue 1, pp 87–97 | Cite as

Extreme Appraisals of Internal States in Bipolar I Disorder: A Multiple Control Group Study

  • Warren Mansell
  • Gemma Paszek
  • Karen Seal
  • Rebecca Pedley
  • Sarah Jones
  • Nia Thomas
  • Helena Mannion
  • Sari Saatsi
  • Alyson Dodd
Original Article


Thirty individuals with Bipolar I Disorder (16 individuals had relapsed within the last 2 years; 14 individuals had remained well over this period) were hypothesized to score higher on extreme positive and negative appraisals of internal state (HAPPI; Hypomanic Attitudes and Positive Predictions Inventory) than three control groups: remitted unipolar depression group (n = 22), and non-clinical controls with (n = 16) or without (n = 22) a history of hypomanic episodes. In partial support of the primary hypothesis, the relapsed bipolar group and the combined bipolar group scored significantly higher on the HAPPI than the unipolar group and non-clinical group when controlling for age, level of education and bipolar symptoms. It is concluded that self-reported cognitions characterize individuals with bipolar disorder, consistent with a cognitive behavioral approach to its treatment.


Cognitive therapy Information processing Beliefs Mania 



The lead author is supported by the ESRC Programme Grant: RES-060-25-0044.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Warren Mansell
    • 1
  • Gemma Paszek
    • 1
  • Karen Seal
    • 1
  • Rebecca Pedley
    • 1
  • Sarah Jones
    • 2
  • Nia Thomas
    • 1
  • Helena Mannion
    • 3
  • Sari Saatsi
    • 1
  • Alyson Dodd
    • 1
  1. 1.School of Psychological SciencesUniversity of ManchesterManchesterUK
  2. 2.Department of Clinical PsychologyUniversity of LeedsLeedsUK
  3. 3.Department of Clinical PsychologyUniversity of LiverpoolLiverpoolUK

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