Sense of hyper-positive self and response to cognitive therapy in bipolar disorder

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Sense of hyper-positive self and response to cognitive therapy in bipolar disorder

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dc.contributor.author Lam, D.H en_GB
dc.contributor.author Wright, K en_GB
dc.contributor.author Sham, P en_GB
dc.contributor.department University of Exeter (K Wright - at the time of publication, the author was at the Institute of Psychiatry, London) en_GB
dc.date.accessioned 2008-08-27T08:46:21Z en_GB
dc.date.accessioned 2011-01-25T12:00:30Z en_US
dc.date.accessioned 2013-03-20T14:56:04Z
dc.date.issued 2005-01 en_GB
dc.description.abstract Introduction. Cognitive therapy (CT) for bipolar disorder emphasizes the monitoring and regulation of mood, thoughts and behaviour. The Sense of Hyper-Positive Self Scale (SHPSS) measures the extent to which bipolar patients value themselves and perceive themselves to possess personal attributes (e.g. dynamism, persuasiveness and productiveness) associated with a state of being 'mildly high', which does not reach the severity of clinical hypomania. It is hypothesized that patients who score highly on the SHPSS do not respond well to cognitive therapy. Method. One hundred and three bipolar-I patients were randomized into CT and control groups. The SHPSS was administered at baseline and at a 6-month follow-up. Result. The SHPSS had good test-retest reliability after 6 months. At baseline, the Goal-Attainment Dysfunctional Attitudes contributed significantly to the SHPSS scores after the mood measures were controlled for in a regression analysis. There was a significant interaction between baseline SHPSS scores and group allocation in predicting relapse during therapy. Patients who scored highly on the SHPSS had a significantly increased chance of relapse after controlling for mood scores, levels of social functioning at recruitment, and the previous number of bipolar episodes. Conclusion. Not all patients benefited from CT. For patients with high SHPSS scores, CT was less efficacious. The results also indicate that future studies could evaluate targeting these attributes and dysfunctional beliefs with intensive cognitive behavioural techniques. en_GB
dc.identifier.citation Psychological Medicine, 35 (1), 69-77, January 2005 en_GB
dc.identifier.doi 10.1017/S0033291704002910 en_GB
dc.identifier.uri http://hdl.handle.net/10036/36493 en_GB
dc.language.iso en en_GB
dc.publisher Cambridge University Press en_GB
dc.relation.url http://journals.cambridge.org/action/displayJournal?jid=PSM en_GB
dc.subject cognitive therapy en_GB
dc.subject bipolar disorder en_GB
dc.subject therapy response en_GB
dc.subject sense of hyper-positive self en_GB
dc.subject Goal-Attainment Dysfunctional Attitudes en_GB
dc.title Sense of hyper-positive self and response to cognitive therapy in bipolar disorder en_GB
dc.type Article en_GB
dc.date.available 2008-08-27T08:46:21Z en_GB
dc.date.available 2011-01-25T12:00:30Z en_US
dc.date.available 2013-03-20T14:56:04Z
dc.identifier.issn 0033-2917 en_GB
dc.identifier.issn 1469-8978 en_GB
dc.description © Cambridge University Press 2005. Published version reproduced with the permission of the publisher. en_GB
dc.identifier.journal Psychological Medicine en_GB


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