Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task
Abstract Background Some studies suggest a mood-congruent attentional bias in bipolar patients. However, for euthymic patients, especially in dependence on the predominant polarity, there is little and inconsistent data. A clearer understanding of emotion-related attentional biases and their relatio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-06-01
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| Series: | International Journal of Bipolar Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40345-022-00262-8 |
| _version_ | 1811227237834293248 |
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| author | Martina Wenzel Heike Althen Julia Veeh Andreas Reif |
| author_facet | Martina Wenzel Heike Althen Julia Veeh Andreas Reif |
| author_sort | Martina Wenzel |
| collection | DOAJ |
| description | Abstract Background Some studies suggest a mood-congruent attentional bias in bipolar patients. However, for euthymic patients, especially in dependence on the predominant polarity, there is little and inconsistent data. A clearer understanding of emotion-related attentional biases and their relationship to dysfunctional emotion regulation could help improving the diagnostics and treatment of bipolar disorder (BD). Twenty bipolar patients in a depressive state (BP-acute-D), 32 euthymic patients with manic (BP-euth-M) or depressive (BP-euth-D) predominant polarity, and 20 healthy control participants (HC) performed a dot-probe task (DPT) with happy and sad faces presented for 250 ms or 1250 ms in two different runs. Emotion regulation strategies were assessed with two questionnaires. Results In the short presentation condition of the DPT, BP-euth-M showed less attention for happy faces than HC (p = .03, r = − 0.48). BP-acute-D scored lower in cognitive reappraisal and putting into perspective and higher in suppression, catastrophizing, and rumination than HC. BP-euth-M scored higher in rumination and BP-euth-D lower in putting into perspective and higher in catastrophizing than HC. In BP-euth-D and HC, bias scores for sad faces in the longer presentation condition and reappraisal scores correlated positively. Conclusions Results of the DPT suggest an avoidance of happy faces for BP-euth-M which we interpret as a protection mechanism for triggers of mania. That individuals who apply more reappraisal show more selective attention to sad faces could on the one hand reflect a mental effort in reevaluating the sad emotional input and on the other hand a greater tolerance for it. |
| first_indexed | 2024-04-12T09:39:09Z |
| format | Article |
| id | doaj.art-bd2d1a18a89e468482a20fdb48815fe4 |
| institution | Directory Open Access Journal |
| issn | 2194-7511 |
| language | English |
| last_indexed | 2024-04-12T09:39:09Z |
| publishDate | 2022-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | International Journal of Bipolar Disorders |
| spelling | doaj.art-bd2d1a18a89e468482a20fdb48815fe42022-12-22T03:38:08ZengSpringerOpenInternational Journal of Bipolar Disorders2194-75112022-06-0110111510.1186/s40345-022-00262-8Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe taskMartina Wenzel0Heike Althen1Julia Veeh2Andreas Reif3Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe UniversityDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe UniversityDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe UniversityDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe UniversityAbstract Background Some studies suggest a mood-congruent attentional bias in bipolar patients. However, for euthymic patients, especially in dependence on the predominant polarity, there is little and inconsistent data. A clearer understanding of emotion-related attentional biases and their relationship to dysfunctional emotion regulation could help improving the diagnostics and treatment of bipolar disorder (BD). Twenty bipolar patients in a depressive state (BP-acute-D), 32 euthymic patients with manic (BP-euth-M) or depressive (BP-euth-D) predominant polarity, and 20 healthy control participants (HC) performed a dot-probe task (DPT) with happy and sad faces presented for 250 ms or 1250 ms in two different runs. Emotion regulation strategies were assessed with two questionnaires. Results In the short presentation condition of the DPT, BP-euth-M showed less attention for happy faces than HC (p = .03, r = − 0.48). BP-acute-D scored lower in cognitive reappraisal and putting into perspective and higher in suppression, catastrophizing, and rumination than HC. BP-euth-M scored higher in rumination and BP-euth-D lower in putting into perspective and higher in catastrophizing than HC. In BP-euth-D and HC, bias scores for sad faces in the longer presentation condition and reappraisal scores correlated positively. Conclusions Results of the DPT suggest an avoidance of happy faces for BP-euth-M which we interpret as a protection mechanism for triggers of mania. That individuals who apply more reappraisal show more selective attention to sad faces could on the one hand reflect a mental effort in reevaluating the sad emotional input and on the other hand a greater tolerance for it.https://doi.org/10.1186/s40345-022-00262-8Bipolar disorderDot-probe taskAttentional biasPredominant polarityEmotion regulationEuthymic phase |
| spellingShingle | Martina Wenzel Heike Althen Julia Veeh Andreas Reif Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task International Journal of Bipolar Disorders Bipolar disorder Dot-probe task Attentional bias Predominant polarity Emotion regulation Euthymic phase |
| title | Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task |
| title_full | Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task |
| title_fullStr | Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task |
| title_full_unstemmed | Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task |
| title_short | Euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task |
| title_sort | euthymic patients with predominantly manic polarity avoid happy faces in a dot probe task |
| topic | Bipolar disorder Dot-probe task Attentional bias Predominant polarity Emotion regulation Euthymic phase |
| url | https://doi.org/10.1186/s40345-022-00262-8 |
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