Open AccessLongitudinal Predictors of Bipolar Spectrum Disorders: A Behavioral Approach System Perspective
Author(s) -
Alloy Lauren B.,
Abramson Lyn Y.,
Urosevic Snezana,
Bender Rachel E.,
Wagner Clara A.
Publication year - 2009
Publication title -
clinical psychology: science and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 105
eISSN - 1468-2850
pISSN - 0969-5893
DOI - 10.1111/j.1468-2850.2009.01160.x
Subject(s) - temperament , psychosocial , bipolar disorder , psychology , clinical psychology , longitudinal study , cognition , perspective (graphical) , developmental psychology , psychiatry , medicine , personality , social psychology , pathology , artificial intelligence , computer science
We review longitudinal predictors, primarily psychosocial, of the onset, course, and expression of bipolar spectrum disorders. We organize our review along a proximal–distal continuum, discussing the most proximal (i.e., prodromes) predictors of bipolar episodes first, then recent environmental (i.e., life events) predictors of bipolar symptoms and episodes next, followed by more distal psychological (i.e., cognitive styles) predictors, and ending with the most distal temperament (i.e., Behavioral Approach System [BAS] sensitivity) predictors. We then present a theoretical model, the BAS dysregulation model, for understanding and integrating the role of these predictors of bipolar spectrum disorders. Finally, we consider the implications of the reviewed longitudinal predictors for future research and psychosocial treatments of bipolar disorders.