바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

Behavioral Activation System Hypersensitivity among Korean Undergraduates with Hypomanic Personality: Perspective from the BAS Model of Bipolar Disorder

Abstract

Among the recently proposed psychological theories of bipolar disorder, the behavioral activation system (BAS) model is considered as one of the most promising working models. Although the BAS model of bipolar disorder received extensive empirical support in Western countries, the applicability of this model in different cultures remains untested. As a preliminary step to test its applicability in Korea, the main objective of this study is twofold. First, we attempted to investigate whether BAS sensitivity is elevated in Korean high-risk group with hypomanic personality. Second, we tested whether BAS sensitivity is a significant predictor of mood symptoms in conjunction with behavioral inhibition system (BIS) sensitivity. The results showed that the level of BAS sensitivity was heightened in the undergraduate high-risk group defined as those in the upper decile of the Hypomanic Personality Scale. In regression analyses, high BAS and low BIS sensitivities contributed to more (hypo)manic symptoms, thereby confirming the assumption that (hypo) mania reflects BAS hyperactivation and failure of BIS inhibition. Conversely, low BAS and high BIS sensitivities predicted more depressive symptoms, suggesting that BAS deactivation corresponds to depression.

keywords
bipolar disorder, behavioral activation system, mania, depression, high-risk study, 양극성 장애, 행동활성화체계, 조증, 우울, 위험군

Reference

1.

Abler, B., Greenhouse, I., Ongur, D., Walter, H., & Heckers, S. (2008). Abnormal reward system activation in mania. Neuropsychopharmacology, 33, 2217-2227.

2.

Alloy, L. B., & Abramson, L. Y. (2010). The role of the behavioral approach system (BAS) in bipolar spectrum disorders. Current Directions in Psychological Science, 19, 189-194.

3.

Alloy, L. B., Abramson, L. Y., Walshaw, P. D., Cogswell, A., Grandin, L. D., Hughes, M. E., & Hogan, M. E. (2008). Behavioral approach system and behavioral inhibition system sensitivities and bipolar spectrum disorders: Prospective prediction of bipolar mood episodes. Bipolar Disorders, 10, 310-322.

4.

Alloy, L. B., Bender, R. E., Whitehouse, W. G., Wagner, C. A., Liu, R. T., Grant, D. A., & Abramson, L. Y. (2012). High Behavioral Approach System (BAS) sensitivity, reward responsiveness, and goal-striving predict first onset of bipolar spectrum disorders: A prospective behavioral high-risk design. Journal of Abnormal Psychology, 121, 339-351.

5.

Alloy, L. B., Urošević, S., Abramson, L. Y., Jager-Hyman, S., Nusslock, R., Whitehouse, W. G., & Hogan, M. (2012). Progression along the bipolar spectrum: a longitudinal study of predictors of conversion from bipolar spectrum conditions to bipolar I and II disorders. Journal of Abnormal Psychology, 121, 16-27.

6.

Alloy, L. B., Nusslock, R., & Boland, E. M. (2015). The development and course of bipolar spectrum disorders: An integrated reward and circadian rhythm dysregulation model. Annual Review of Clinical Psychology, 11, 213-250.

7.

Altman, E. G., Hedeker, D., Peterson, J. L., & Davis, J. M. (1997). The Altman self-rating mania scale. Biological Psychiatry, 42, 948-955.

8.

Carver, C. S., & Johnson, S. L. (2009). Tendencies toward mania and tendencies toward depression have distinct motivational, affective, and cognitive correlates. Cognitive Therapy and Research, 33, 552-569.

9.

Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67, 319-333.

10.

Chon, K. K., Choi, S. C., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6, 59-76.

11.

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple correlation/regression analysis for the social sciences. Mahwah, NJ: Lawrence Erlbaum.

12.

Corr, P. J. (2001). Testing problems in J. A. Gray’s personality theory:A commentary on Matthews and Gilliland (1999). Personality and Individual Differences, 30, 333-352.

13.

Corr, P. J. (2002). J. A. Gray's reinforcement sensitivity theory: Tests of the joint subsystems hypothesis of anxiety and impulsivity. Personality and Individual Differences, 33, 511-532.

14.

Depue, R. A., & Iacono, W. G. (1989). Neurobehavioral aspects of affective disorders. Annual Review of Psychology, 40, 457-492.

15.

Eckblad, M., & Chapman, L. J. (1986). Development and validation of a scale for hypomanic personality. Journal of Abnormal Psychology, 95, 214-222.

16.

Fowles, D. C. (1988). Psychophysiology and psychopathology: A motivational approach. Psychophysiology, 25, 373-391.

17.

Fulford, D., Johnson, S. L., & Carver, C. S. (2008). Commonalities and differences in characteristics of persons at risk for narcissism and mania. Journal of Research in Personality, 42, 1427-1438.

18.

Gray, J. A. (1990). Brain systems that mediate both emotion and cognition. Cognition and Emotion, 4, 269-288.

19.

Gray, J. A. (1994). Framework for a taxonomy of psychiatric disorder. In H. M. Van Goozen, N. E. Van De Poll, & J. A. Sergeant (Eds.), Emotions: Essays on emotional theory (pp. 29-59). Hillsdale, NJ: Lawrence Erlbaum Associates.

20.

Harmon-Jones, E., & Allen, J. J. (1997). Behavioral activation sensitivity and resting frontal EEG asymmetry: Covariation of putative indicators related to risk for mood disorders. Journal of Abnormal Psychology, 106, 159-163.

21.

Hayden, E. P., Bodkins, M., Brenner, C., Shekhar, A., Nurnberger Jr, J. I., O'Donnell, B., & Hetrick, W. P. (2008). A multimethod investigation of the behavioral activation system in bipolar disorder. Journal of Abnormal Psychology, 117, 164.

22.

Hofmann, B. U., & Meyer, T. D. (2006). Mood fluctuations in people putatively at risk for bipolar disorders. British Journal of Clinical Psychology, 45, 105-110.

23.

Hundt, N. E., Nelson-Gray, R. O., Kimbrel, N. A., Mitchell, J. T., & Kwapil, T. R. (2007). The interaction of reinforcement sensitivity and life events in the prediction of anhedonic depression and mixed anxiety-depression symptoms. Personality and Individual Differences, 43, 1001-1012.

24.

Johnson, S. L. (2005a). Mania and dysregulation in goal pursuit: A review. Clinical Psychology Review, 25, 241-262.

25.

Johnson, S. L. (2005b). Life events in bipolar disorder: Towards more specific models. Clinical Psychology Review, 25, 1008-1027.

26.

Johnson, S. L. & Carver, C. S. (2006). Extreme goal setting and vulnerability to mania among undiagnosed young adults. Cognitive Therapy and Research, 30, 377-395.

27.

Johnson, S. L., Edge, M. D., Holmes, M. K., & Carver, C. S. (2012). The behavioral activation system and mania. Annual Review of Psychology, 8, 243-267.

28.

Jones, S. H., & Tarrier, N. (2005). New developments in bipolar disorder. Clinical Psychology Review, 25, 1003-1007.

29.

Jung, S. H., Lee, E. H., Kim, J. H., Han, K. H., & Moon, K. J. (2013). Diagnostic utility of MMPI-2-RF scales: Differentiating bipolar disorder from major depressive disorder. Korean Journal of Psychology:General, 32, 371-394.

30.

Kim, B. N., & Kwon, S. M. (2014). Preliminary validation of Korean-responses to positive affect (K-RPA). Korean Journal of Clinical Psychology, 33, 243-260.

31.

Kim, H. H., Han, Y. S., & Han, I. W. (1993). A Study of discrimination by MMPI in schizophrenics, bipolar disorder and schizoaffective patient group. Korean Journal of Clinical Psychology, 12, 41-51.

32.

Kim, K. H., & Kim, W. S. (2001). Korean-BAS/BIS Scale. Korean Journal of Health Psychology, 6, 19-37.

33.

Kim, Y. A., & Oh, K. J. (1996). Psychological characteristics of hypomanic tendency as a risk factor for bipolar disorder. Korean Journal of Clinical Psychology, 15, 103-115.

34.

Klein, D. N., Lewinsohn, P. M., & Seeley, J. R. (1996). Hypomanic personality traits in a community sample of adolescents. Journal of Affective Disorders, 38, 135-143.

35.

Koh, M. K., & Kim, H. S. (2013). Emotional inertia and depression: Influence of behavioral activation and ways of stress coping. Korean Journal of Clinical Psychology, 32, 935-954.

36.

Koo, M. J., Choi, S. W., & Chi, Y. K. (2011). Bipolar and unipolar depression: Based on MMPI-2. Korean Journal of Clinical Psychology, 30, 325-336.

37.

Kwapil, T. R., Barrantes-Vidal, N., Armistead, M. S., Hope, G. A., Brown, L. H., Silvia, P. J., & Myin-Germeys, I. (2011). The expression of bipolar spectrum psychopathology in daily life. Journal of Affective Disorders, 130, 166-170.

38.

Kwapil, T. R., Miller, M. B., Zinser, M. C., Chapman, L. J., Chapman, J., & Eckblad, M. (2000). A longitudinal study of high scorers on the Hypomanic Personality Scale. Journal of Abnormal Psychology, 109, 222-226.

39.

Lee, A. (2013). Differences in BAS dysregulation between depressive groups with and without hypomanic personality features. (Unpublished master’s thesis). Seoul National University, Seoul, Korea.

40.

Lee, E. K., & Kwon. J. H. (2003). A study of social problem-solving of hypomania and a hypomanic case. Duksung Women’s University Students’ Life Research, 19, 115-143.

41.

Lee, J. Y., & Park, J. K. (2000). A study of characteristics of thought disorder in inpatients with schizophrenia and manic disorder. Korean Journal of Clinical Psychology, 19, 47-55.

42.

Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M., Petukhova, M., & Kessler, R. C. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Archives of General Psychiatry, 64, 543-552.

43.

Meyer, B., Johnson, S. L., & Carver, C. S. (1999). Exploring behavioral activation and inhibition sensitivities among college students at risk for bipolar spectrum symptomatology. Journal of Psychopathology and Behavioral Assessment, 21, 275-292.

44.

Meyer, B., Johnson, S. L., & Winters, R. (2001). Responsiveness to threat and incentive in bipolar disorder: Relations of the BIS/BAS scales with symptoms. Journal of Psychopathology and Behavioral Assessment, 23, 133-143.

45.

Meyer, T. D., & Hautzinger, M. (2003). Screening for bipolar disorders using the Hypomanic Personality Scale. Journal of Affective Disorders, 75, 149-154.

46.

Miller, C. J., Johnson, S. L., Kwapil, T. R., & Carver, C. S. (2011). Three studies on self-report scales to detect bipolar disorder. Journal of Affective Disorders, 128, 199-210.

47.

Moon, K. J., Yook, K. Y., Han, K. H., & Kim, J. H. (2015). Diagnostic utility of MMPI-2-RF scales: Distinguishing bipolar disorder, major depressive disorder and schizophrenia. Korean Journal of Clinical Psychology, 34, 103-125.

48.

Nicholls, J. G., Licht, B. G., & Pearl, R. A. (1982). Some dangers of using personality questionnaires to study personality. Psychological Bulletin, 92, 572-580.

49.

Park, J. W. (2013). The development and efficacy of the cognitive behavioral therapy for bipolar disorder based on psychological behaviorism theory. (Unpublished doctoral dissertation). The Catholic University of Korea, Bucheon, Korea.

50.

Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.

51.

Shin, J. A. & Kim, H. S. (2013). Influence of behavior inhibition system, difficulty in naming of emotion, rumination and worry on depression and anxiety. Cognitive Behavior Therapy in Korea, 13, 269-283.

52.

Urošević, S., Abramson, L. Y., Harmon-Jones, E., & Alloy, L. B. (2008). Dysregulation of the behavioral approach system (BAS) in bipolar spectrum disorders: Review of theory and evidence. Clinical Psychology Review, 28, 1188-1205.

53.

Walsh, M. A., Royal, A., Brown, L. H., Barrantes-Vidal, N., & Kwapil, T. R. (2012). Looking for bipolar spectrum psychopathology:Identification and expression in daily life. Comprehensive Psychiatry, 53, 409-421.

54.

Woo, C. W., & Shin, M. S. (2010). Cognitive impairments in schizophrenia and psychotic bipolar disorder and their relation to psychotic symptoms. Korean Journal of Clinical Psychology, 29, 471-489.

55.

Yoon, B. S. (2008). Relationship of BIS/BAS, affective, and health locus of control and examining joint subsystem hypothesis. Korean Journal of Health Psychology, 13, 923-942.

logo