This application is part of a 2-site collaborative renewal grant with an identical (except for budget/personnel) application submitted concurrently by Dr. Lauren B. Alloy (Temple University) under the same title. ? ? Although important biological work has been conducted on Bipolar (Bi) disorder, less work has examined psychosocial factors in the onset, course, and progression of this disorder. Thus, in this proposal, theories implicating the Behavioral Approach System (BAS) in Bi Spectrum disorders are integrated with work on psychosocial factors in these conditions to provide a theoretically consistent and methodologically rigorous biopsychosocial framework to guide a prospective study of the course and progression of Bi disturbance. In the current grant, a unique sample of 206 Ss initially exhibiting milder Bi disturbance (Cyclothymia [Cyc] and Bi II), many of whom now are progressing to a more severe course, and 214 demographically-matched Normal controls (Nors) with no lifetime history of any psychopathology has been assembled and followed prospectively for an average of 21 months with independent and blind self-report and interview assessments (every 16 weeks) of life events, cognition, and psychiatric status/symptoms. At the outset of the proposed continued follow-up of this sample, laboratory assessments of BAS profiles, both in the resting state and in response to BAS-relevant cues, using psychophysiological (EEG assessments of left frontal cortical activity), behavioral (task persistence vs. helplessness), cognitive (self-efficacy/hopefulness vs. hopelessness), and subjective affect (euphoria, anger/irritability, depression) indices will be conducted to test the hypothesis that Bi Ss exhibit dysregulated BAS activity compared to Nor Ss. Moreover, life events, with a focus on those that are BAS-relevant, laboratory BAS profile, and cognitive vulnerability will be examined in the prediction of -Hypomania/Mania and Depression symptoms and episodes among Bi and Nor Ss in the continued 3-year prospective follow-up. Finally, these same factors will be examined to predict general worsening of course and progression to Bi II and Bi I status among the Bi Ss.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH052662-08
Application #
6819273
Study Section
Special Emphasis Panel (ZRG1-BBBP-5 (01))
Program Officer
Chavez, Mark
Project Start
1997-08-01
Project End
2007-11-30
Budget Start
2004-12-01
Budget End
2005-11-30
Support Year
8
Fiscal Year
2005
Total Cost
$426,817
Indirect Cost
Name
University of Wisconsin Madison
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
161202122
City
Madison
State
WI
Country
United States
Zip Code
53715
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Weiss, Rachel B; Stange, Jonathan P; Boland, Elaine M et al. (2015) Kindling of life stress in bipolar disorder: comparison of sensitization and autonomy models. J Abnorm Psychol 124:4-16
Molz Adams, Ashleigh; Shapero, Benjamin G; Pendergast, Laura H et al. (2014) Self-referent information processing in individuals with bipolar spectrum disorders. J Affect Disord 152-154:483-90
Molz, Ashleigh R; Black, Chelsea L; Shapero, Benjamin G et al. (2013) Aggression and impulsivity as predictors of stress generation in bipolar spectrum disorders. J Affect Disord 146:272-80
Alloy, Lauren B; Uroševi?, Snežana; Abramson, Lyn Y et al. (2012) Progression along the bipolar spectrum: a longitudinal study of predictors of conversion from bipolar spectrum conditions to bipolar I and II disorders. J Abnorm Psychol 121:16-27

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