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Responsiveness to Threat and Incentive in Bipolar Disorder: Relations of the BIS/BAS Scales with Symptoms

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Abstract

Over the past 10 years, theorists have suggested that bipolar disorder symptoms result from increases and decreases in the activity of the Behavioral Activation or Facilitation System (BAS or BFS) and the Behavioral Inhibition System (BIS). These neurobehavioral systems are thought to determine the intensity of affective and behavioral responses to incentives and threats. This study examined cross-sectional and prospective associations of self-reported BIS and BAS with mania and depression in a sample of 59 individuals diagnosed with Bipolar I disorder. Depression was tied to BIS, pointing to the importance of sensitivity to threats in depression. However, links between BIS and depression appeared state-dependent. BAS subscales did not correlate with manic symptoms in a state-dependent manner; however, BAS (total scale and reward responsiveness subscale) predicted relative intensification of manic symptoms over time. Thus, evidence suggests that BAS sensitivity may constitute a vulnerability to mania among persons diagnosed with bipolar disorder. Discussion focuses on the integrative potential of the BIS/BAS constructs for linking psychosocial and biological research on bipolar disorder.

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REFERENCES

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Bech, P., Bolwig, T. G., Kramp, P., & Rafaelsen, O. J. (1979). The Bech- Rafaelsen Mania Scale and the Hamilton Depression Scale: Evaluation of homogeneity and inter-observer reliability. Acta Psychiatrica Scandinavica, 130, 330–351.

    Google Scholar 

  • Beevers, C. G., & Meyer, B. (in press). Lack of positive experiences and positive expectancies mediate the relationship between BAS responsiveness and depression. Cognition and Emotion.

  • Carver, C. S., Meyer, B., & Antoni, M. H. (2000). Responsiveness to threats and incentives, expectancy of recurrence, and distress and disengagement: Moderator effects in early-stage breast cancer patients. Journal of Consulting and Clinical Psychology, 68, 965–975.

    PubMed  Google Scholar 

  • Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales. Journal of Personality and Social Psychology, 67, 319–333.

    Google Scholar 

  • Clark, L. A., Watson, D., & Mineka, S. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103, 103–116.

    PubMed  Google Scholar 

  • Coryell, W., Endicott, J., Keller, M., Andreasen, N., Grove, W., Hirschfeld, R. M., & Scheftner, W. (1989). Bipolar affective disorder and high achievement:Afamilial association. American Journal of Psychiatry, 146, 983–988.

    PubMed  Google Scholar 

  • Craddock, N., & Jones, I. (1999). Genetics of bipolar disorder. Journal of Medical Genetics, 36, 585–594.

    PubMed  Google Scholar 

  • Depue, R. A., & Iacono, W. G. (1989). Neurobehavioral aspects of affective disorders. Annual Review of Psychology, 40, 457–492.

    PubMed  Google Scholar 

  • Depue, R. A., Krauss, S. P., & Spoont, M. R. (1987). A two-dimensional threshold model of seasonal bipolar affective disorder. In D. Magnusson & A. Oehman (Eds.), Psychopathology: An interactional perspective. Personality, psychopathology, and psychotherapy(pp. 95–123). Orlando, FL: Academic Press.

    Google Scholar 

  • Depue, R. A., Luciana, M., Arbisi, P., Collins, P., & Leon, A. (1994). Dopamine and the structure of personality: Relation of agonistinduced dopamine activity to positive emotionality. Journal of Personality and Social Psychology, 67, 485–498.

    PubMed  Google Scholar 

  • Depue, R. A., Slater, J. F., Wolfstetter-Kausch, H., Klein, D., Goplerud, E., & Farr,D. (1981).A behavioral paradigm for identifying persons at risk for bipolar depressive disorder: A conceptual framework and five validation studies. Journal of Abnormal Psychology, 90, 381–437.

    PubMed  Google Scholar 

  • Depue, R. A., & Zald, D. H. (1993). Biological and environmental processes in nonpsychotic psychopathology: A neurobehavioral perspective. In C. G. Costello (Ed.), Basic issues in psychopathology (pp. 127–237). New York: Guilford Press.

    Google Scholar 

  • Ehlers, C. L., Frank, E., & Kupfer, D. J. (1988). Social zeitgebers and biological rhythms: A unified approach to understanding the etiology of depression. Archives of General Psychiatry, 45, 948–952.

    PubMed  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders - Patient Edition (SCID-I/P, Version 2.0). New York: Biometrics Research Department, New York State Psychiatric Institute.

    Google Scholar 

  • Fowles, D. C. (1993). Biological variables in psychopathology: A psychobiological perspective. In P. B. Sutker & H. E. Adams (Eds.), Comprehensive handbook of psychopathology (2nd ed., pp. 57–82). New York: Plenum Press.

    Google Scholar 

  • Frank, E., Prien, R. F., Jarrett, D. B., Keller, M. B., Kupfer, D. J., Lavori, P., Rush, A. J., & Weissman, M. M. (1991). Conceptualization and rationale for consensus definition of terms in major depressive disorder: Remission, recovery, relapse, and recurrence. Archives of General Psychiatry, 48, 851–855.

    PubMed  Google Scholar 

  • Goodnick, P. J. (1997). Mania: Clinical and research perspectives. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Goodwin, F. K., & Jamison, K. R. (1990). Manic-depressive illness. New York: Oxford University Press.

    Google Scholar 

  • Goplerud, E., & Depue R. A. (1985). Behavioral response to naturally occurring stress in cyclothymia and dysthymia. Journal of Abnormal Psychology, 94, 128–139.

    PubMed  Google Scholar 

  • Gotlib, I. H., Ranganath, C., & Rosenfeld, J. P. (1998). Frontal EEG alpha asymmetry, depression, and cognitive functioning. Cognition and Emotion, 12, 449–478.

    Google Scholar 

  • Gray, J. A. (1990). Brain systems that mediate both emotion and cognition. Special Issue: Development of relationships between emotion and cognition. Cognition and Emotion, 4, 269–288.

    Google Scholar 

  • Gray, J. A. (1994). Framework for a taxonomy of psychiatric disorder. In H. M. Van Goozen, N. E. Van De Poll, & J. A. Sergeant (Eds.), Emotions: Essays on emotion theory (pp. 29–59). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Greenhouse, W. J., Meyer, B., & Johnson, S. L. (2000). Coping and medication adherence in bipolar disorder. Journal of Affective Disorders, 59, 237–241.

    PubMed  Google Scholar 

  • Hamilton, M. (1960).A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.

    Google Scholar 

  • Harmon-Jones, E., & Allen, J. J. (1997). Behavioral activation sensitivity and resting frontal EEG asymmetry: Covariation of putative indicators related to risk for mood disorders. Journal of Abnormal Psychology, 106, 159–163.

    PubMed  Google Scholar 

  • Hedeker, D., & Gibbons, R. D. (1996). MIXREG: A computer program for mixed-effects regression analysis with autocorrelated errors. Computer Methods and Programs in Biomedicine, 49, 229–252.

    PubMed  Google Scholar 

  • Henriques, J. B., & Davidson, R. J. (1991). Left frontal hypoactivation in depression. Journal of Abnormal Psychology, 100, 535–545.

    PubMed  Google Scholar 

  • Henriques, J. B., Glowacki, J. M., & Davidson, R. J. (1994). Reward fails to alter response bias in depression. Journal of Abnormal Psychology, 103, 460–466.

    PubMed  Google Scholar 

  • Heubeck, B. G., Wilkinson, R. B., & Cologon, J. (1998). A second look at Carver and White's (1994) BIS/BAS scales.Personality and Individual Differences, 25, 785–800.

    Google Scholar 

  • Johnson, S. L., Meyer, B., Winett, C. A., & Small, J. (2000). Social support and self-esteem predict changes in bipolar depression but not mania. Journal of Affective Disorders, 58, 79–86.

    PubMed  Google Scholar 

  • Johnson, S. L., & Miller, I. (1997). Negative life events and time to recovery from episodes of bipolar disorder. Journal of Abnormal Psychology, 106, 449–457.

    Google Scholar 

  • Johnson, S. L., & Roberts, J. E. (1995). Life events and bipolar disorder: Implications from biological theories. Psychological Bulletin, 117, 434–449.

    PubMed  Google Scholar 

  • Johnson, S., Sandrow, D., Meyer, B., Winters, R., Miller, I., Keitner, G., & Solomon, D. (2000). Life events involving goal-attainment and the emergence of manic symptoms. Journal of Abnormal Psychology, 109, 721–727.

    PubMed  Google Scholar 

  • Johnson, S. L., Turner, R. J., & Iwata, N. (2001). BIS/BAS levels and psychiatric disorder: An epidemiological study. Manuscript submitted for publication.

  • Johnson, S. L., Winett, C. A., & Mellman, T. (1998, November). The relation between life events, sleep, and symptom severity in bipolar disorder. Poster presentation at the thirteenth annual meeting of the Society for Research in Psychopathology, Cambridge, MA.

  • Johnson, S. L., Winett, C. A., Meyer, B., Greenhouse, W. J., & Miller, I. (1999). Social support and the course of bipolar disorder. Journal of Abnormal Psychology, 108, 558–566.

    PubMed  Google Scholar 

  • Jorm, A. F., Christensen, H., Henderson, A. S., Jacom, P. A., Korten, A. E., & Rodgers, B. (1999). Using the BIS/BAS scales to measure behavioural inhibition and behavioural activation: Factor structure, validity and norms in a large community sample. Personality and Individual Differences, 26, 49–58.

    Google Scholar 

  • LeDoux, J. E. (1995). Emotion: Clues from the brain. Annual Review of Psychology, 46, 209–235.

    Article  PubMed  Google Scholar 

  • Lenox, R. H., & Watson, D. G. (1994). Lithium and the brain: A psychopharmacological strategy to a molecular basis for manic depressive illness. Clinical Chemistry, 14, 309–314.

    Google Scholar 

  • Lozano, B., & Johnson, S. (2001). Can personality traits predict depressive and manic symptoms? Journal of Affective Disorders, 63, 103–111.

    PubMed  Google Scholar 

  • Malkoff-Schwartz, S., Frank, E., Anderson, B., Sherrill, J. T., Siegel, L., Patterson, D., & Kupfer, D. J. (1998). Stressful life events and social rhythm disruption in the onset of manic and depressive bipolar episodes: A preliminary investigation. Archives of General Psychiatry, 55, 702–707.

    PubMed  Google Scholar 

  • Meltzer, H. Y., Lenox, R. H., Manji, H. K., McElroy, S. L., Keck, P. E., & Dubovsky, S. L. (1995). Drugs for treatment of bipolar disorder. In A. F. Schatzberg & C. B. Nemeroff (Eds.), The American Psychiatric Press textbook of psychopharmacology (pp. 303–388). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Meyer, B., Johnson, S. L., & Blaney, P. H. (2000, November). Personality, life events, and bipolar disorder. Poster session presented at the fifteenth annual meeting of the Society for Research in Psychopathology, Boulder, CO.

  • Meyer, B., Johnson, S. L., & Carver, C. S. (1999). Exploring behavioral activation and inhibition sensitivities among college students at risk for bipolar symptomatology. Journal of Psychopathology and Behavioral Assessment, 21, 275–292.

    Google Scholar 

  • Milich, R., Hartung, C. M., Martin, C. A., & Haigler, E. D. (1994). Behavioral disinhibition and underlying processes in adolescents with disruptive behavior disorders. In D. K. Routh (Ed.), Disruptive Behavior Disorders in Childhood (pp. 109–138). New York: Plenum Press.

    Google Scholar 

  • Miller, I. W., Bishop, S., Norman, W. H., & Maddever, H. (1985). The Modified Hamilton Rating Scale for Depression: Reliability and Validity. Psychiatry Research, 14, 131–142.

    PubMed  Google Scholar 

  • Miller, I. W., Norman, W. H., & Keitner, G. I. (1989). Cognitive- behavioral treatment of depressed inpatients: Six-and twelve-month follow-up. American Journal of Psychiatry, 146, 1274–1279.

    PubMed  Google Scholar 

  • Miller, I. W., Norman, W. H., & Keitner, G. I. (1999). Combined treatment for patients with double depression. Psychotherapy and Psychosomatics, 68, 180–185.

    PubMed  Google Scholar 

  • Mineka, S., Watson, D., & Clark, L. A. (1993). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49, 377–412.

    Google Scholar 

  • Newman, J. P., Patterson, C. M., & Kosson, D. S. (1987). Response perseveration in psychopaths. Journal of Abnormal Psychology, 96, 145–148.

    PubMed  Google Scholar 

  • Norris, S. D., Krishnan, K. R.-R., & Ahearn, E. (1997). Structural changes in the brain of patients with bipolar affective disorder by MRI: A review of the literature. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 21, 1323–1337.

    PubMed  Google Scholar 

  • Pekkarinen, P., Terwilliger, J., Bredbacka, P. E., Lonnqvist, J., & Peltonen, L. (1995). Evidence of a predisposing locus to bipolar disorder on Xq24-q27.1 in an extended Finnish pedigree. Genome Research, 5, 105–115.

    PubMed  Google Scholar 

  • Plutchik, R., Platman, S. R., & Fieve, R. R. (1970). Self-concepts associated with mania and depression. Psychological Reports, 27, 399–405.

    PubMed  Google Scholar 

  • Reilly-Harrington, N. A., Alloy, L. B., Fresco, D. M., & Whitehouse, W. G. (1999). Cognitive styles and life events interact to predict bipolar and unipolar symptomatology. Journal of Abnormal Psychology, 108, 567–578.

    Article  PubMed  Google Scholar 

  • Rosenberg, D. G., Winett, C. A., & Johnson, S. L. (1998, November). Validating definitions of recovery in bipolar disorder. Poster presentation at the thirteenth annual meeting of the Society for Research in Psychopathology, Cambridge, MA.

  • Schultz, W., Dayan, P., & Montague, P. R. (1997). A neural substrate of prediction and reward. Science, 275, 1593–1599.

    PubMed  Google Scholar 

  • Schultz,W., Tremblay, L, & Hollerman, J. R. (2000). Reward processing in primate orbitofrontal cortex and basal ganglia.Cerebral Cortex, 10, 272–283.

    PubMed  Google Scholar 

  • Simoneau, T. L., Miklowitz, D. J., & Saleem, R. (1998). Expressed emotion and interactional patterns in the families of bipolar patients. Journal of Abnormal Psychology, 107, 497–507.

    PubMed  Google Scholar 

  • Sutton, S. K., & Davidson, R. J. (1997). Prefrontal brain asymmetry: A biological substrate of the behavioral approach and inhibition systems. Psychological Science, 8, 204–210.

    Google Scholar 

  • Watson, D., & Clark, L. A. (1993). Behavioral disinhibition versus constraint: A dispositional perspective. In D. M. Wegner & J. W. Pennebaker (Eds.), Handbook of menal control (pp. 506–527). Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Watson, D., Clark, L. A., & Harkness, A. R. (1994). Structures of personality and their relevance to psychopathology. Journal of Abnormal Psychology, 103, 18–31.

    PubMed  Google Scholar 

  • Wehr, T. (1990). Effects of wakefulness and sleep on depression and mania. In J. Montplaisier & R. Godbout (Eds.), Sleep and biological rhythms, basic mechanisms and applications to psychiatry (pp. 42–86). New York: Oxford.

  • Wehr, T., Sack, D. A., Rosenthal, N. (1987). Sleep reduction as the final common pathway in the genesis of mania. American Journal of Psychiatry, 144, 201–203.

    PubMed  Google Scholar 

  • Williams, J. B., Gibbon, M., First, M. B., & Spitzer, R. L. (1992). The Structured Clinical Interview for DSM-III-R (SCID): II. Multisite test-retest reliability. Archives of General Psychiatry, 49, 630–636.

    PubMed  Google Scholar 

  • Winters, R., Scott, W., & Beevers, C. (2000). Affective distress as a central and organizing symptom in depression: Neurobiological mechanisms. In S. Johnson, A. Hayes, T. Field, P. McCabe, & N. Schneiderman (Eds.), Stress, coping, and depression (pp. 177- 219). Mahweh, NJ: Erlbaum.

    Google Scholar 

  • Zinbarg, R. E., & Mohlman, J. (1998). Individual differences in the acquisition of affectively valenced associations. Journal of Personality and Social Psychology, 74, 1024–1040.

    PubMed  Google Scholar 

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Meyer, B., Johnson, S.L. & Winters, R. 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 (2001). https://doi.org/10.1023/A:1010929402770

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