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Cognitive Therapy and Research

, Volume 37, Issue 1, pp 51–60 | Cite as

The Role of Beliefs About Mood Swings in Determining Outcome in Bipolar Disorder

  • Fiona Lobban
  • Ivonne Solis-Trapala
  • Elizabeth Tyler
  • Claire Chandler
  • Richard Keith Morriss
  • ERP Group
Original Article

Abstract

This study explored the impact of beliefs about mood swings on symptomatic outcome in bipolar disorder (BD). Ninety-one people with BD completed a Brief Illness Perception Questionnaire at baseline. Outcome was measured using weekly measures of mood and time to relapse over the following 24 weeks. Beliefs about the consequences of mood swings [Hazard ratio (HR) = 1.38, 95 % CI = (1.07,1.77)], perceived symptoms associated with mood swings [HR = 0.75, 95 % CI = (0.59,0.95)], and emotional concern about mood swings [HR = 1.30, 95 % CI = (1.04,1.61)] had statistically significant effects on hazard of relapse, while beliefs about the consequences of mood swings [Odds ratio (OR) = 1.24, 95 % CI = (1.01,1.52)] and the amount of personal effort individuals believed they were making to get well [OR = 0.82, 95 % CI = (0.67,1.02)] had important effects on weekly LIFE scores of depressive symptoms controlling for baseline depression, mood stabilizer medication and number of previous bipolar episodes. In conclusion, beliefs about mood swings had important effects on weekly fluctuations in depression severity and time to relapse.

Keywords

Beliefs Outcome Bipolar Mood swings 

Notes

Acknowledgments

This work was funded by the Medical Research Council and Mersey Care NHS Trust, UK. The findings do not necessarily represent the views of the funders. Ivonne Solis-Trapala acknowledges additional support from the Medical Research Council [grant number G0701642].

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Fiona Lobban
    • 1
  • Ivonne Solis-Trapala
    • 2
  • Elizabeth Tyler
    • 3
  • Claire Chandler
    • 4
  • Richard Keith Morriss
    • 5
  • ERP Group
  1. 1.Spectrum Centre for Mental Health Research, School of Health and MedicineLancaster UniversityLancasterUK
  2. 2.School of Health and MedicineLancaster UniversityLancasterUK
  3. 3.Division of Clinical PsychologyUniversity of ManchesterManchesterUK
  4. 4.Clinical Psychology DepartmentLiverpool UniversityLiverpoolUK
  5. 5.Institute of Mental HealthThe University of NottinghamNottinghamUK

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