Implicit and explicit self-associations in bipolar disorder: A comparison with healthy controls and unipolar depressive disorder

N.E.J.G. Jabben, P.J. de Jong, R.W. Kupka, K.A. Glashouwer, W.A. Nolen, B.W.J.H. Penninx

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    According to cognitive theory, negative self-schemas are involved in the occurrence of depression. Whereas implicit depressive self-associations have been found in unipolar depression, it is unknown whether impaired associations with regard to the self are also involved in Bipolar Disorder (BD). This study investigated whether a bias in self-associations is a characteristic of bipolar disorder and whether discrepancies between implicit and explicit self-evaluations may be relevant for understanding bipolar psychopathology. Implicit and explicit self-associations were assessed in patients with BD (n=99), in patients with depressive disorder (n=1236), and healthy controls (n=387). Analyses of variance and correlation analyses were used to compare bipolar patients to controls and unipolar patients on implicit self-associations and the discrepancy between implicit and explicit self-associations. Similar to unipolar patients, patients with BD showed stronger implicit depressive self-associations than controls. Specifically for bipolar patients there was no significant correlation between implicit and explicit depressive self-associations. In a similar vein, discrepancies between implicit and explicit self-associations were relatively pronounced in symptomatic bipolar patients as compared to both healthy controls and unipolar depressed patients. Thus automatic depressive self-associations were characteristic for all mood disorders whereas a lack of concordance between implicit and explicit self-associations was specific for BD. © 2013 Elsevier Ireland Ltd.
    Original languageEnglish
    Pages (from-to)329-334
    JournalPsychiatry Research
    Volume215
    Issue number2
    DOIs
    Publication statusPublished - 2014

    Fingerprint Dive into the research topics of 'Implicit and explicit self-associations in bipolar disorder: A comparison with healthy controls and unipolar depressive disorder'. Together they form a unique fingerprint.

  • Cite this

    Jabben, N. E. J. G., de Jong, P. J., Kupka, R. W., Glashouwer, K. A., Nolen, W. A., & Penninx, B. W. J. H. (2014). Implicit and explicit self-associations in bipolar disorder: A comparison with healthy controls and unipolar depressive disorder. Psychiatry Research, 215(2), 329-334. https://doi.org/10.1016/j.psychres.2013.11.030