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Gepubliceerd in: Cognitive Therapy and Research 3/2017

03-09-2016 | Original Article

Positive Emotion Specificity and Mood Symptoms in an Adolescent Outpatient Sample

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

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 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.
Voetnoten
1
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.
 
2
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.
 
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Metagegevens
Titel
Positive Emotion Specificity and Mood Symptoms in an Adolescent Outpatient Sample
Auteurs
June Gruber
Anna Van Meter
Kirsten E. Gilbert
Eric A. Youngstrom
Jennifer Kogos Youngstrom
Norah C. Feeny
Robert L. Findling
Publicatiedatum
03-09-2016
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2017
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-016-9796-7

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