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03.09.2016 | Original Article

Positive Emotion Specificity and Mood Symptoms in an Adolescent Outpatient Sample

verfasst von: June Gruber, Anna Van Meter, Kirsten E. Gilbert, Eric A. Youngstrom, Jennifer Kogos Youngstrom, Norah C. Feeny, Robert L. Findling

Erschienen in: Cognitive Therapy and Research | Ausgabe 3/2017

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Abstract

Research on positive emotion disturbance has gained increasing attention, yet it is not clear which specific positive emotions are affected by mood symptoms, particularly during the critical period of adolescence. This is especially pertinent for identifying potential endophenotypic markers associated with mood disorder onset and course. The present study examined self-reported discrete positive and negative emotions in association with clinician-rated manic and depressive mood symptoms in a clinically and demographically diverse group of 401 outpatient adolescents between 11 and 18 years of age. Results indicated that higher self reported joy and contempt were associated with increased symptoms of mania, after controlling for symptoms of depression. Low levels of joy and high sadness uniquely predicted symptoms of depression, after controlling for symptoms of mania. Results were independent of age, ethnicity, gender and bipolar diagnosis. These findings extend work on specific emotions implicated in mood pathology in adulthood, and provide insights into associations between emotions associated with goal driven behavior with manic and depressive mood symptom severity in adolescence. In particular, joy was the only emotion associated with both depressive and manic symptoms across adolescent psychopathology, highlighting the importance of understanding positive emotion disturbance during adolescent development.

Given that the individual emotion ‘interest’ may be dysregulated in mania (e.g., interest and engagement in goal-directed activities is a symptom of mania) and depression (e.g., decreased interest usually pleasurable activities is a symptom of depression) we also moved interest into Block 2 of regressions as a primary emotion of study. When doing so, Blocks and individual emotion significance remained unchanged and interest was not a significant predictor of symptoms.

Given the high rate of mixed symptom presentations among adolescents with mood disorders, and high degree of depressive features in hypo(mania) (e.g., Kraepelin 1921; Hunt et al. 2009; Kowatch et al. 2005; Van Meter et al. 2016), we chose to statistically control for symptoms in our planned analyses.

Algorta, G. P., Youngstrom, E. A., Frazier, T. W., Freeman, A. J., Youngstrom, J. K., & Findling, R. L. (2011). Suicidality in pediatric bipolar disorder: Predictor or outcome of family processes and mixed mood presentation? Bipolar Disorders, 13, 76–86. doi:10.1111/j.1399-5618.2010.00886.x.PubMedPubMedCentralCrossRef

Alloy, L. B., & Abramson, L. Y. (2010). The role of the behavioral approach system (BAS) in bipolar spectrum disorders. Current Directions in Psychological Science, 19, 189–194. doi:10.1177/0963721410370292.PubMedPubMedCentralCrossRef

Alloy, L. B., Nusslock, R., & Boland, E. M. (2015). The development and course of bipolar spectrum disorders: An integrated reward and circadian rhythm dysregulation model. Annual Review of Clinical Psychology, 11, 213–250. doi:10.1146/annurev-clinpsy-032814-112902.PubMedPubMedCentralCrossRef

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef

Axelson, D. A. (2002). KSADS mania rating scale. Pittsburgh, PH: University of Pittsburgh Medical Center.

Berridge, K., & Kringelbach, M. (2008). Affective neuroscience of pleasure: Reward in humans and animals. Psychopharmacology (Berl), 199(3), 457–480. doi:10.1007/s00213-008-1099-6.CrossRef

Blumberg, S. H., & Izard, C. E. (1985). Affective and cognitive characteristics of depression in 10- and 11-year-old children. Journal of Personality and Social Psychology, 49(1), 194–202. Retrieved from http://europepmc.org/abstract/MED/4020613.

Blumberg, S. H., & Izard, C. E. (1986). Discriminating patterns of emotions in 10-and 11-yr-old children’s anxiety and depression. Journal of Personality and Social Psychology, 51, 852.PubMedCrossRef

Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192.PubMedCrossRef

Burgdorf, J., & Panksepp, J. (2006). The neurobiology of positive emotions. Neuroscience and Biobehavioral Reviews, 30(2), 173–187. doi:10.1016/j.neubiorev.2005.06.001.PubMedCrossRef

Campos, B., & Keltner, D. (2014). Shared and differentiating features of the positive emotion domain. In J. T. Moskowitz, & J. Gruber (Eds.), Positive emotion: Integrating the light sides and dark sides (pp. 52–71).

Carver, C. S. (2004). Negative affects deriving from the behavioral approach system. Emotion, 4(1), 3–22. doi:10.1037/1528-3542.4.1.3.PubMedCrossRef

Chorpita, B. F., & Daleiden, E. L. (2002). Tripartite dimensions of emotion in a child clinical sample: Measurement strategies and implications for clinical utility. Journal of Consulting and Clinical Psychology, 70(5), 1150–1160. Retrieved from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12362965.

Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336.PubMedCrossRef

Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Hillsdale, NJ: Lawrence Erlbaum.

Cook, R. D., & Weisberg, S. (1982). Residuals and influence in regression. New York, NY: Chapman & Hall.

Coville, A. L., Miklowitz, D. J., Taylor, D. O., & Low, K. G. (2008). Correlates of high expressed emotion attitudes among parents of bipolar adolescents. Journal of Clinical Psychology, 64, 438–449. doi:10.1002/jclp.20463.PubMedCrossRef

Davidson, R. J., Lewis, D. A., Alloy, L., Armaral, D. G., Bush, G., Cohen, J. D., et al. (2002). Neural and behavioral substrates of mood and mood regulation. Biological Psychiatry, 52, 478–502. doi:10.1016/S0006-3223(02)01458-0.PubMedCrossRef

Dickstein, D. P., Finger, E. C., Brotman, M. A., Rich, B. A., Pine, D. S., Blair, J. R., et al. (2009). Impaired probabilistic reversal learning in youths with mood and anxiety disorders. Psychological Medicine, 40, 1089–1100. doi:10.1017/s0033291709991.PubMedPubMedCentralCrossRef

Diler, R. S., de Almeida, J. R. C., Ladouceur, C., Birmaher, B., Axelson, D., & Phillips, M. (2013). Neural activity to intense positive versus negative stimuli can help differentiate bipolar disorder from unipolar major depressive disorder in depressed adolescents: A pilot fMRI study. Psychiatry Research: Neuroimaging, 214(3), 277–284. doi:10.1016/j.pscychresns.2013.06.013.PubMedCrossRef

Dillon, D. G., & Pizzagalli, D. (2010). Maximizing positive emotions: A translational, transdiagnostic look at positive emotion regulation. In A. Kring & D. S. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 229–252). New York, NY: Guilford Press.

Du Rocher Schudlich, T. D., Youngstrom, E. A., Calabrese, J. R., & Findling, R. L. (2008). The role of family functioning in bipolar disorder in families. Journal of Abnormal Child Psychology, 36(6), 849–863. doi:10.1007/s10802-008-9217-9.PubMedCrossRef

Duffy, A., Jones, S. H., Goodday, S., & Bentall, R. P. (2015). Candidate risk indicators for bipolar disorder: Early intervention opportunities in high-risk youth. International Journal of Neuropsychopharmacology. doi:10.1093/ijnp/pyv071.

Dutra, S. J., Reeves, E. J., Mauss, I. B., & Gruber, J. (2014). Boiling at a different degree: An investigation of trait and state anger in remitted bipolar I disorder. Journal of Affective Disorders, 168, 37–43. doi:10.1016/j.jad.2014.06.044.PubMedCrossRef

Dutra, S. J., Siegle, G., Reeves, E. J., Mauss, I. B., & Gruber, J. (2016). Feeling without thinking? Anger provocation task predicts impaired cognitive performance in bipolar disorder but not major depression or healthy adults. Cognitive Therapy and Research, 40(2), 139–149. doi:10.1007/s10608-015-9734-0.CrossRef

Forbes, E., & Dahl, R. (2005). Neural systems of positive affect: Relevance to understanding child and adolescent depression? Development and Psychopathology, 17, 827–850. doi:10.1017/S095457940505039X.PubMedPubMedCentralCrossRef

Forbes, E., Hariri, A. R., Martin, S. L., Moyles, D. L., Fisher, P. M., Brown, S. M., et al. (2009). Altered striatal activation predicting real-world positive affect in adolescent major depressive disorder. American Journal of Psychiatry. doi:10.1176/appi.ajp.2008.07081336.PubMed

Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319.PubMedPubMedCentralCrossRef

Freeman, A. J., Youngstrom, E. A., Freeman, M. J., Youngstrom, J. K., & Findling, R. L. (2011). Is caregiveradolescent disagreement due to differences in thresholds for reporting manic symptoms? Journal of Child and Adolescent Psychopharmacology, 21, 425–432. doi:10.1089/cap.2011.0033.PubMedPubMedCentralCrossRef

Gable, P. A., & Harmon-Jones, E. (2010). The blues broaden, but the nasty narrows: Attentional consequences of negative affects low and high in motivational intensity. Psychological Science, 21, 211–215. doi:10.1177/0956797609359622.PubMedCrossRef

Geller, B., & Luby, J. (1997). Child and adolescent bipolar disorder: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36(9), 1168–1176. doi:10.1097/00004583-199709000-00008.PubMedCrossRef

Geller, B., Zimmerman, B., & Williams, M. (2001). Reliability of the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-UKSADS) mania and rapid cycling sections. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 450–455. doi:10.1097/00004583-200104000-00014.PubMedCrossRef

Gilbert, K. E. (2012). The neglected role of positive emotion in adolescent psychopathology. Clinical Psychology Review, 32(6), 467–481. doi:10.1016/j.cpr.2012.05.005.PubMedCrossRef

Goodwin, F. K., & Jamison, K. R. (2007). Manic-depressive illness. New York, NY: Oxford University Press.

Gore, F. M., Bloem, P. J., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C., et al. (2011). Global burden of disease in young people aged 10–24 years: A systematic analysis. Lancet, 377(9783), 2093–2102. doi:10.1016/S0140-6736(11)60512-6.PubMedCrossRef

Gottesman, I. I., & Gould, T. D. (2003). The endophenotype concept in psychiatry: Etymology and strategic intentions. American Journal of Psychiatry, 160(4), 636–645. doi:10.1176/appi.ajp.160.4.636.PubMedCrossRef

Gottman, J. M. (1994). What predicts divorce? The relationship between marital processes and marital outcomes. Hillsdale, NJ: Erlbaum.

Gruber, J., Culver, J. L., Johnson, S. L., Jennifer, N. Y., Keller, K. L., & Ketter, T. A. (2009). Do positive emotions predict symptomatic change in bipolar disorder? Bipolar Disorders, 11, 330–336. doi:10.1111/j.1399-5618.2009.00679.x.PubMedPubMedCentralCrossRef

Gruber, J., Dutra, S. J., Hay, A. C., & Devlin, H. C. (2014). Positive emotion disturbance across clinical disorders. In M. Tugade, M. N. Shiota, & L. D. Kirby (Eds.), Handbook of positive emotions. New York, NY: Guilford Press.CrossRef

Gruber, J., Gilbert, K. E., Youngstrom, E. A., Youngstrom, J. K., Feeny, N. C., & Findling, R. L. (2013). Reward dysregulation and mood symptoms in an adolescent outpatient sample. Journal of Abnormal Child Psychology, 41, 1053–1065. doi:10.1007/s10802-013-9746-8.PubMedPubMedCentralCrossRef

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), 179–190. doi:10.1521/ijct.2009.2.2.176.CrossRef

Gruber, J., Oveis, C., Keltner, D., & Johnson, S. L. (2011). A discrete emotions approach to positive emotion disturbance in depression. Cognition and Emotion, 25, 40–52. doi:10.1080/02699931003615984.PubMedPubMedCentralCrossRef

Guyer, A. E., McClure, E. B., Adler, A. D., Brotman, M. A., Rich, B. A., Kimes, A. S., et al. (2007). Specificity of facial expression labeling deficits in childhood psychopathology. Journal of Child Psychology and Psychiatry, 48, 863–871. doi:10.1111/j.1469-7610.2007.01758.x.PubMedCrossRef

Harmon-Jones, E. (2003). Anger and the behavioral approach system. Personality and Individual Differences, 35, 995–1005. doi:10.1016/S0191-8869(02)00313-6.CrossRef

Harmon-Jones, E., & Allen, J. B. (1998). Anger and frontal brain activity: EEG asymmetry consistent with approach motivation despite negative affective valence. Journal of Personality and Social Psychology, 74, 1310–1316. doi:10.1037/0022-3514.74.5.1310.PubMedCrossRef

Harmon-Jones, E., & Gable, P. A. (2009). Incorporating motivational intensity and direction into the study of emotions: Implications for brain mechanisms of emotion and cognition-emotion interactions. Netherlands Journal of Psychology, 64, 132–142. doi:10.1007/BF03076416.CrossRef

Hasler, G., Drevets, W. C., Gould, T. D., Gottesman, I. I., & Manji, H. K. (2006). Toward constructing an endophenotype strategy for bipolar disorders. Biological Psychiatry, 60(2), 93–105. doi:10.1016/j.biopsych.2005.11.006.PubMedCrossRef

Helzer, J. E., Kraemer, H. C., & Krueger, R. F. (2006). The feasibility and need for dimensional psychiatric diagnoses. Psychological Medicine, 36, 1671–1680. doi:10.1017/S003329170600821X.PubMedCrossRef

Henker, B., Whalen, C. K., Jamner, L. D., & Delfino, R. J. (2002). Anxiety, affect, and activity in teenagers: Monitoring daily life with electronic diaries. Journal of American Academy of Child and Adolescent Psychiatry, 41(6), 660–670. doi:10.1097/00004583-200206000-00005.CrossRef

Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29, 409–416. doi:10.1002/da.21888.PubMedCrossRef

Hunt, J., Birmaher, B., Leonard, H., Strober, M., Axelson, D., Ryan, N., et al. (2009). Irritability without elation in a large bipolar youth sample: Frequency and clinical description. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 730–739. doi:10.1097/CHI.0b013e3181a565db.PubMedPubMedCentralCrossRef

Insel, T., Cuthbert, B. N., Garvey, M., Kozak, M. J., Pine, D., Quinn, K., et al. (2010). Research domain criteria (RDoC): Toward a new classification framework for research of mental disorders. American Journal of Psychiatry, 167, 1–4. doi:10.1176/appi.ajp.2010.09091379.CrossRef

Izard, C. E. (1977). Human emotions. New York, NY: Plenum.CrossRef

Izard, C. E., Libero, D. Z., Putnam, P., & Haynes, O. M. (1993). Stability of emotion experiences and their relations to traits of personality. Journal of Personality and Social Psychology, 64(5), 847–860. doi:10.1037/0012-1649.27.3.432.PubMedCrossRef

Jamison, K. R. (2005). Exuberance: The passion for life. New York, NY: Vintage Books.

Johnson, S. L. (2005). Mania and dysregulation in goal pursuit: A review. Clinical Psychology Review, 25(2), 241–262. doi:10.1016/j.cpr.2004.11.002.PubMedCrossRef

Johnson, S. L., & McMurrich, S. (2006). Life events and juvenile bipolar disorder: Conceptual issues and early findings. Development and Psychopathology, 18(04), 1169–1179.PubMedCrossRef

Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. doi:10.1097/00004583-199707000-00021.PubMedCrossRef

Keltner, D., Ekman, P., Gonzaga, G. C., & Beer, J. (2003). Facial expression of emotion. In R. J. Davidson, K. R. Scherer, & H. H. Goldsmith (Eds.), Handbook of affective sciences (pp. 415–432). New York, NY: Oxford University Press.

Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627. doi:10.1001/archpsyc.62.6.617.PubMedPubMedCentralCrossRef

Kowatch, R. A., Youngstrom, E. A., Danielyan, A., & Findling, R. L. (2005). Review and meta-analysis of the phenomenology and clinical characteristics of mania in children and adolescents. Bipolar Disorders, 7, 483–496. doi:10.1111/j.1399-5618.2005.00261.x.PubMedCrossRef

Kraepelin, E. (1921). Manic-depressive insanity and paranoia. Edinburgh, UK: Livingstone.

Larson, R., & Lampman-Petraitis, C. (1989). Daily emotional states as reported by children and adolescents. Child Development, 60(5), 1250–1260. doi:10.2307/1130798.PubMedCrossRef

Larson, R., Moneta, G., Richards, M., & Wilson, S. (2002). Continuity, stability, and change in daily emotional experience across adolescence. Child Development, 73(4), 1151–1165.PubMedCrossRef

Leibenluft, E. (2011). Severe mood dysregulation, irritability, and the diagnostic boundaries of bipolar disorder in youths. American Journal of Psychiatry, 168(2), 129–142. doi:10.1176/appi.ajp.2010.10050766.PubMedCrossRef

Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. L. (2006). Global and regional burden of disease and risk factors, 2001: Systematic analysis of population health data. The Lancet, 367(9524), 1747–1757. doi:10.1016/s0140-6736(06)68770-9.CrossRef

Maciejewski, D. F., van Lier, P. A. C., Branje, S. J. T., Meeus, W. H. J., & Koot, H. M. (2015). A 5-year longitudinal study on mood variability across adolescence using daily diaries. Child Development, 86, 1908–1921. doi:10.1111/cdev.12420.PubMedCrossRef

McMakin, D., Siegle, G., & Shirk, S. (2011). Positive affect stimulation and sustainment (PASS) module for depressed mood: A preliminary investigation of treatment-related effects. Cognitive Therapy and Research, 35(3), 217–226. doi:10.1007/s10608-010-9311-5.PubMedPubMedCentralCrossRef

Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M. A., Petukhova, M., et al. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Archives of General Psychiatry, 64(5), 543–552. doi:10.1001/archpsyc.64.5.543.PubMedPubMedCentralCrossRef

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.PubMedPubMedCentralCrossRef

Miklowitz, D. J., & Chang, K. D. (2008). Prevention of bipolar disorder in at-risk children: Theoretical assumptions and empirical foundations. Development and Psychopathology, 20(3), 881–897. doi:10.1017/S0954579408000424.PubMedPubMedCentralCrossRef

Millgram, Y., Joormann, J., Huppert, J. D., & Tamir, M. (2015). Sad as a matter of choice? Emotion-regulation goals in depression. Psychological Science, 26(8), 1216–1228. doi:10.1177/0956797615583295.PubMedCrossRef

Myers, R. (1990). Classical and modern regression with applications (2nd ed.). Boston, MA: Duxbury.

Neumann, A., Lier, P. A. C., Frijns, T., Meeus, W., & Koot, H. M. (2011). Emotional dynamics in the development of early adolescent psychopathology: A one-year longitudinal study. Journal of Abnormal Child Psychology, 39(5), 657–669. doi:10.1007/s10802-011-9509-3.PubMedPubMedCentralCrossRef

Panksepp, J. (1998). Affective neuroscience: The foundations of human and animal emotions. New York, NY: Oxford University Press.

Prisciandaro, J. J., & Roberts, J. E. (2011). Evidence for the continuous latent structure of mania in the Epidemiologic Catchment Area from multiple latent structure and construct validation methodologies. Psychological Medicine, 41(3), 575–588. doi:10.1017/S0033291710001078.PubMedCrossRef

Prisciandaro, J. J., & Tolliver, B. K. (2015). Evidence for the continuous latent structure of mania and depression in out-patients with bipolar disorder: Results from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Psychologial Medicine, 45(12), 2595–2603. doi:10.1017/S0033291715000513.CrossRef

Quevedo, K. M., Benning, S. D., Gunnar, M. R., & Dahl, R. E. (2009). The onset of puberty: Effects on the psychophysiology of defensive and appetitive motivation. Development and Psychopathology, 21(01), 27. doi:10.1017/s0954579409000030.PubMedPubMedCentralCrossRef

Rich, B. A., Grimley, M. E., Schmajuk, M., Blair, K. S., Blair, R. J. R., & Leibenluft, E. (2008). Face emotion labeling deficits in children with bipolar disorder and severe mood dysregulation. Development and Psychopathology. doi:10.1017/s0954579408000266.PubMedPubMedCentral

Rolls, E. T. (1999). The brain and emotion. New York, NY: Oxford University Press.

Rottenberg, J., Kasch, K. L., Gross, J. J., & Gotlib, I. H. (2002). Sadness and amusement reactivity differentially predict concurrent and prospective functioning in major depressive disorder. Emotion, 2(2), 135–146. doi:10.1037//1528-3542.2.2.135.PubMedCrossRef

Sanislow, C. A., Pine, D. S., Quinn, K. J., Kozak, M. J., Garvey, M. A., Heinssen, R. K., et al. (2010). Developing constructs for psychopathology research: Research domain criteria. Journal of Abnormal Psychology, 119, 631–639. doi:10.1037/a0020909.PubMedCrossRef

Shiota, M. N., Keltner, D., & John, O. P. (2006). Positive emotion dispositions differentially associated with Big Five personality and attachment style. The Journal of Positive Psychology, 1(2), 61–71. doi:10.1080/17439760500510833.CrossRef

Siegel, R. S., Freeman, A. J., La Greca, A. M., & Youngstrom, E. A. (2015). Peer relationship difficulties in adolescents with bipolar disorder. Child & Youth Care Forum, 44(3), 355–375. doi:10.1007/s10566-014-9291-9.CrossRef

Silk, J. S., Siegle, G. J., Whalen, D. J., Ostapenko, L. J., Ladouceur, C. D., & Dahl, R. E. (2009). Pubertal changes in emotional information processing: Pupillary, behavioral, and subjective evidence during emotional word identification. Development and Psychopathology, 21(01), 7–26. doi:10.1017/s0954579409000029.PubMedPubMedCentralCrossRef

Somerville, L. H., Jones, R. M., & Casey, B. J. (2010). A time of change: Behavioral and neural correlates of adolescent sensitivity to appetitive and aversive environmental cues. Brain and Cognition, 72(1), 124–133. doi:10.1016/j.bandc.2009.07.003.PubMedCrossRef

Spitzer, R. L. (1983). Psychiatric diagnosis: Are clinicians still necessary? Comprehensive Psychiatry, 24(5), 399–411.PubMedCrossRef

Stanton, K., Gruber, J., & Watson, D. (in press). Basic dimensions defining mania risk: A structural approach. Psychological Assessment.

Tracy, J. L., & Robins, R. W. (2004). Putting the self into self-conscious emotions: A theoretical model. Psychological Inquiry, 15, 103–125. doi:10.1207/s15327965pli1502.CrossRef

Urosevic, S., Abramson, L., Harmon-Jones, E., & Alloy, L. (2008). Dysregulation of the behavioral approach system (BAS) in bipolar spectrum disorders: Review of theory and evidence. Clinical Psychology Review, 28(7), 1188–1205. doi:10.1016/j.cpr.2008.04.004.PubMedPubMedCentralCrossRef

Uusitalo-Malmivaara, L. (2014). Happiness decreases during early adolescence—A study on 12- and 15-year-old finnish students. Psychology, 05, 541–555. doi:10.4236/psych.2014.56064.CrossRef

Van Meter, A. R., Burke, C., Kowatch, R. A., Findling, R. L., & Youngstrom, E. A. (2016). Ten-year updated meta-analysis of the clinical characteristics of pediatric mania and hypomania. Bipolar Disorders. doi:10.1111/bdi.12358.PubMed

Van Meter, A., Moreira, A. L., & Youngstrom, E. A. (2011). Meta-analysis of epidemiological studies of pediatric bipolar disorder. Journal of Clinical Psychiatry, 72, 1250–1256. doi:10.4088/JCP.10m06290.PubMedCrossRef

Watson, D., & Naragon-Gainey, K. (2010). On the specificity of positive emotional dysfunction in psychopathology: Evidence from the mood and anxiety disorders and schizophrenia/schizotypy. Clinical Psychology Review, 30, 839–848.PubMedCrossRef

Youngstrom, E. A., Birmaher, B., & Findling, R. L. (2008a). Pediatric bipolar disorder: Validity, phenomenology, and recommendations for diagnosis. Bipolar Disorders, 10, 194–214. doi:10.1111/j.1399-5618.2007.00563.x.PubMedPubMedCentralCrossRef

Youngstrom, E. A., Findling, R. L., Danielson, C. K., & Calabrese, J. R. (2001). Discriminative validity of parent report of hypomanic and depressive symptoms on the General Behavior Inventory. Psychological Assessment, 13(2), 267–276. doi:10.1037//1040-3590,13.2.267.PubMedCrossRef

Youngstrom, E. A., Findling, R. L., Kogos Youngstrom, J., & Calabrese, J. R. (2005a). Toward an evidence-based assessment of pediatric bipolar disorder. Journal of Clinical Child and Adolescent Psychology, 34(3), 433–448. doi:10.1207/s15374424jccp3403_4.PubMedCrossRef

Youngstrom, E. A., Frazier, T. W., Demeter, C., Calabrese, J. R., & Findling, R. L. (2008b). Developing a ten item mania scale from the parent general behavior inventory for children and adolescents. Journal of Clinical Psychiatry, 69(5), 831–839.PubMedPubMedCentralCrossRef

Youngstrom, E. A., Genzlinger, J. E., Egerton, G. A., & Van Meter, A. R. (2015). Multivariate meta-analysis of the discriminative validity of caregiver, youth, and teacher rating scales for pediatric bipolar disorder: Mother knows best about mania. Archives of Scientific Psychology, 3, 112–137. doi:10.1037/arc0000024.CrossRef

Youngstrom, E. A., & Izard, C. E. (2008). Functions of emotions and emotion-related dysfunction. In A. J. Elliot (Ed.), Handbook of approach and avoidance motivation (pp. 367–384). New York: Psychology Press.

Youngstrom, E., Meyers, O., Demeter, C., Youngstrom, J., Morello, L., Piiparinen, R., et al. (2005b). Comparing diagnostic checklists for pediatric bipolar disorder in academic and community mental health settings. Bipolar Disorders, 7, 507–517. doi:10.1111/j.1399-5618.2005.00269.x.PubMedCrossRef

Titel: Positive Emotion Specificity and Mood Symptoms in an Adolescent Outpatient Sample
verfasst von: June Gruber
Anna Van Meter
Kirsten E. Gilbert
Eric A. Youngstrom
Jennifer Kogos Youngstrom
Norah C. Feeny
Robert L. Findling
Publikationsdatum: 03.09.2016
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 3/2017
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-016-9796-7

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23.04.2024 | Demenz | Nachrichten

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Springer Medizin

Positive Emotion Specificity and Mood Symptoms in an Adolescent Outpatient Sample

Abstract

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Weniger postpartale Depressionen nach Esketamin-Einmalgabe

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Update Psychiatrie

Springer Medizin

Abstract

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Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie