Skip to main content
Log in

Feeling Good and Taking a Chance? Associations of Hypomania Risk with Cognitive and Behavioral Risk Taking

  • Brief Report
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Although elevated impulsivity among individuals at risk for or with a clinical history of mania has been identified in prior work, questions remain regarding ways in which impulsivity may manifest as risky decision-making and behavior. The present investigation examined how hypomania risk, measured using the Hypomanic Personality Scale, was associated with two facets of risk-taking: cognitive appraisals of risks and benefits that will result from risk-taking, and behavioral risk-taking on a validated task and self-report measures. Hypomania risk was associated with appraising future risk-taking as having less costs, but was unrelated to appraising future risk-taking as having more benefits. On behavioral risk measures, it was associated with increased expectations of engagement in risky behavior over the next 6 months, yet also with markers of lower risk-taking on the BART. The present findings have implications for understanding precise cognitive and behavioral factors that underlie the relationship between hypomania risk and risk-taking.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Notes

  1. All variables were assessed for skewness and kurtosis and outliers were identified. Kurtotic variables were log-transformed and outliers were winsorized; however, these processes did not change any results. Therefore, all variables were used in their original format.

  2. Linear regressions were run to examine if there was a significant interaction between HPS and current PA scores. It was found that this interaction did not significantly predict any of our outcome variables of interest.

References

  • Alloy, L. B., Abramson, L. Y., Walshaw, P. D., Gerstein, R. K., Keyser, J. D., et al. (2009a). Behavioral approach system (BAS)-relevant cognitive styles and bipolar spectrum disorders: Concurrent and prospective associations. Journal of Abnormal Psychology, 118, 459–471. doi:10.1037/a0016604.

    Article  PubMed Central  PubMed  Google Scholar 

  • Alloy, L. B., Bender, R. E., Wagner, C. A., Whitehouse, W. G., Abramson, L. Y., Hogan, M. E., & Harmon-Jones, E. (2009b). Bipolar spectrum-substance use co-occurrence: Behavioral approach system (BAS) sensitivity and impulsiveness as shared personality vulnerabilities. Journal of Personality and Social Psychology, 97, 549–565. doi:10.1037/a0016061.

    Article  PubMed Central  PubMed  Google Scholar 

  • Alloy, L. B., Urosevic, S., Abramson, L. Y., Jager-Hyman, S., Nusslock, R., Whitehouse, W. G., & Hogan, M. (2012). Progression along the bipolar spectrum: A longitudinal study of predictors of conversion from bipolar spectrum conditions to bipolar I and II disorders. Journal of Abnormal Psychology, 121(12), 16–27. doi:10.1037/a0023973.

    Article  PubMed Central  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC.

  • Barratt, E. S., & Patton, J. H. (1983). Impulsivity: Cognitive, behavioral and psychophysiological correlates. In M. Zuckerman (Ed.), Biological bases of sensation seeking, impulsivity, and anxiety (pp. 77–122). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Bizzarri, J. V., Sbrana, A., Rucci, P., Ravani, L., Massei, G. J., Gonnelli, C., & Cassano, G. B. (2007). The spectrum of substance abuse in bipolar disorder: reasons for use, sensation seeking and substance sensitivity. Bipolar Disorders, 9(3), 213–220. doi:10.1111/j.1399-5618.2007.00383.x.

    Article  PubMed  Google Scholar 

  • Bornovalova, M. A., Cashman-Rolls, A., O’Donnell, J. M., Ettinger, K., Richards, J. B., Dewit, H., & Lejuez, C. W. (2009). Risk taking differences on a behavioral task as a function of potential reward/loss magnitude and individual differences in impulsivity and sensation seeking. Pharmacology Biochemistry and Behavior, 93(3), 258–262. doi:10.1016/j.pbb.2008.10.023.

    Article  CAS  Google Scholar 

  • Buhrmester, M., Kwang, T., & Gosling, S. (2011). Amazon’s mechanical turk: A new source of inexpensive, yet high quality data? Perspectives on Psychological Science, 6, 3–5. doi:10.1177/1745691610393980.

    Article  Google Scholar 

  • Cole, S. (2009). Risk taking in bipolar disorder (Doctoral dissertation, University of Hull).

  • Cronin, C., & Zuckerman, M. (1992). Sensation seeking and bipolar affective disorder. Personality and Individual Differences, 13(3), 385–387. doi:10.1016/0191-8869(92)90121-5.

    Article  Google Scholar 

  • Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action: Positive and negative urgency. Psychological Bulletin, 134, 807–828. doi:10.1037/e603372010-001.

    Article  PubMed Central  PubMed  Google Scholar 

  • Eckblad, M., & Chapman, L. J. (1986). Development and validation of a scale for hypomanic personality. Journal of Abnormal Psychology, 95, 214–222. doi:10.1037//0021-843x.95.3.214.

    Article  CAS  PubMed  Google Scholar 

  • Edge, M. D., Johnson, S. L., Ng, T., & Carver, C. S. (2013). Iowa gambling task performance in euthymic bipolar I disorder: A meta-analysis and empirical study. Journal of Affective Disorders, 150, 115–122. doi:10.1016/j.jad.2012.11.027.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fromme, K., Katz, E. C., & Rivet, K. (1997). Outcomes expectancies and risk-taking behavior. Cognitive Therapy and Research, 21, 421–442. doi:10.1023/a:1021932326716.

    Article  Google Scholar 

  • Giovanelli, A., Hoerger, M., Johnson, S. L., & Gruber, J. (2013). Impulsive responses to positive mood and reward are related to mania risk. Cognition and Emotion, 27(6), 1091–1104. doi:10.1080/02699931.2013.772048.

    Article  PubMed  Google Scholar 

  • Gruber, J. (2011). When feeling good can be bad: Positive emotion persistence (PEP) in bipolar disorder. Current Directions in Psychological Science, 20(4), 217–221. doi:10.1177/0963721411414632.

    Article  Google Scholar 

  • Gruber, J., & Johnson, S. L. (2009). Positive emotional traits and ambitious goals among people at risk for mania: The need for specificity. International Journal of Cognitive Therapy, 2(2), 176.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gruber, J., Johnson, S. L., Oveis, C., & Keltner, D. (2008). Risk for mania and positive emotional responding: Too much of a good thing? Emotion, 8, 23–33. doi:10.1037/1528-3542.8.1.23.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gruber, J., Mauss, I. B., & Tamir, M. (2011). A dark side of happiness? How, when, and why happiness is not always good. Perspectives on Psychological Science, 6, 222–233. doi:10.1177/1745691611406927.

    Article  Google Scholar 

  • Henry, C., Bellivier, F., Sorbara, F., Tangwongchai, S., Lacoste, J., Faure-Chaigneau, M., & Leboyer, M. (2001). Bipolar sensation seeking is associated with a propensity to abuse rather than to temperamental characteristics. European psychiatry, 16(5), 289–292. doi:10.1016/S0924-9338(01)00580-6.

    Article  CAS  PubMed  Google Scholar 

  • Holmes, K. M., Bearden, C. E., Barguil, M., Fonseca, M., Serap, M. E., Nery, F. G., & Glahn, D. C. (2009). Conceptualizing impulsivity and risk taking in bipolar disorder: Importance of history of alcohol abuse. Bipolar Disorders, 11(1), 33–40. doi:10.1111/j.1399-5618.2008.00657.x.

    Article  PubMed Central  Google Scholar 

  • Johnson, S. L., Carver, C. S., Mule, S., & Joormann, J. (2013). Impulsivity and risk for mania: Towards greater specificity. Psychology and Psychotherapy: Theory, Research and Practice, 86, 401–412. doi:10.1111/j.2044-8341.2012.02078.x.

    Article  Google Scholar 

  • Johnson, S. L., Edge, M. D., Holmes, M. K., & Carver, C. S. (2012). The behavioral activation system and mania. Annual Review of Clinical Psychology, 8, 243–267. doi:10.1146/annurev-clinpsy-032511-143148.

    Article  PubMed Central  PubMed  Google Scholar 

  • Jones, S., Shams, M., & Liversidge, T. (2007). Approach goals, behavioural activation and risk of hypomania. Personality and Individual Differences, 43(6), 1366–1375. doi:10.1016/j.paid.2007.04.005.

    Article  Google Scholar 

  • Klein, D. N., Lewinsohn, P. M., & Seeley, J. R. (1996). Hypomanic personality traits in a community sample of adolescents. Journal of Affective Disorders, 38, 135–143. doi:10.1016/0165-0327(96)00005-5.

    Article  CAS  PubMed  Google Scholar 

  • Kwapil, T. R., Miller, M. B., Zinser, M. C., Chapman, L. J., Chapman, J., & Eckblad, M. (2000). A longitudinal study of high scorers on the Hypomanic Personality Scale. Journal of Abnormal Psychology, 109(2), 222–226. doi:10.1037/0021-843X.109.2.222.

    Article  CAS  PubMed  Google Scholar 

  • Lejuez, C. W., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., et al. (2002). Evaluation of a behavioral measure of risk taking: The balloon analogue risk task (BART). Journal of Experimental Psychology: Applied, 8, 75–84. doi:10.1037//1076-898x.8.2.75.

    CAS  PubMed  Google Scholar 

  • Meyer, B., Johnson, S. L., & Winters, R. (2001). Responsiveness to threat and incentive in bipolar disorder: Relations of the BIS/BAS scales with symptoms. Journal of Psychopathology and Behavioral Assessment, 23, 133–143. doi:10.1023/a:1010929402770.

    Article  PubMed Central  PubMed  Google Scholar 

  • Muhtadie, L., Johnson, S. L., Carver, C. S., Gotlib, I. H., & Ketter, T. A. (2014). A profile approach to impulsivity in bipolar disorder: The key role of strong emotions. Acta Psychiatria Scandinavica, 192, 100–108. doi:10.1111/acps.12136.

    Article  Google Scholar 

  • Murphy, F. C., Rubinsztein, J. S., Michael, A., Rogers, R. D., Robbins, T. W., Paykel, E. S., & Sahakian, B. J. (2001). Decision-making cognition in mania and depression. Psychological Medicine, 31(4), 679–693.

    Article  CAS  PubMed  Google Scholar 

  • Reddy, L. F., Lee, J., Davis, M. C., Altshuler, L., Glahn, D. C., Miklowitz, D. J., & Green, M. F. (2014). Impulsivity and risk taking in bipolar disorder and schizophrenia. Neuropsychopharmacology, 39, 456–463. doi:10.1038/npp.2013.218.

    Article  PubMed Central  PubMed  Google Scholar 

  • Shapiro, D. N., Chandler, J., & Mueller, P. A. (2013). Using mechanical turk to study clinical populations. Clinical Psychological Science, 1(2), 213–220. doi:10.1177/2167702612469015.

    Article  Google Scholar 

  • Sharma, L., Markon, K. E., & Clark, L. A. (2014). Toward a theory of distinct types of “impulsive” behaviors: A meta-analysis of self-report and behavioral measures. Psychological Bulletin, 140(2), 374–408. doi:10.1037/a0034418.  

    Article  PubMed  Google Scholar 

  • Strakowski, S. M., Fleck, D. E., DelBello, M. P., Adler, C. M., Shear, P. K., Kotwal, M. D., & Arndt, S. (2010). Impulsivity across the course of bipolar disorder. Bipolar Disorders, 12(3), 285–297. doi:10.1111/j.1399-5618.2010.00806.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Swann, A. C., Anderson, J. C., Dougherty, D. M., Moeller, F. G., & Steinberg, J. L. (2001). Measurement of inter-episode impulsivity in bipolar disorder. Psychiatry Research, 101, 195–197. doi:10.1016/s0165-1781(00)00249-3.

    Article  CAS  PubMed  Google Scholar 

  • Swann, A. C., Pazzaglia, P., Nicholls, A., Dougherty, D. M., & Moeller, F. G. (2003). Impulsivity and phase of illness in bipolar disorder. Journal of Affective Disorders, 73, 105–111. doi:10.1016/s0165-0327(02)00328-2.

    Article  PubMed  Google Scholar 

  • Victor, S. E., Johnson, S. L., & Gotlib, I. H. (2011). Quality of life and impulsivity in bipolar disorder. Bipolar Disorders, 13(3), 303–309. doi:10.1111/j.1399-5618.2011.00919.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Zuckerman, M. (1985). Sensation seeking, mania, and monoamines. Neuropsychobiology, 13(3), 121–128. doi:10.1159/000118174.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

June Gruber is supported by a NARSAD Young Investigator Grant from the Brain & Behavior Research Foundation. Data from this manuscript was presented as a poster at the 2013 Society for Research in Psychopathology (SRP) conference.

Conflict of Interest

Hillary Devlin, Sheri Johnson, and June Gruber declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (national and by the Yale University institutional review board). Informed consent was obtained from all participants prior to the study.

Animal Rights

No animal studies were carried out by the authors for this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to June Gruber.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Devlin, H.C., Johnson, S.L. & Gruber, J. Feeling Good and Taking a Chance? Associations of Hypomania Risk with Cognitive and Behavioral Risk Taking. Cogn Ther Res 39, 473–479 (2015). https://doi.org/10.1007/s10608-015-9679-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-015-9679-3

Keywords

Navigation