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Hypomanic Defence: Investigating the relationship between depression, response styles and vulnerability to mania

O'Reilly, CB, Duckworth, JJ and Vass, V (2023) Hypomanic Defence: Investigating the relationship between depression, response styles and vulnerability to mania. Journal of Affective Disorders Reports, 14. p. 100625. ISSN 2666-9153

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Abstract

Background: The purpose of this study was to investigate the role of response styles to negative affect in mediating the relationship between depression and vulnerability to experiencing mania. Methods: A cross-sectional correlational design was utilized to examine 217 participants’ responses to an online survey comprising the Hypomanic Personality Scale (HPS), Response Styles Questionnaire (RSQ), and Personal Health Questionaire (PHQ-8). Results: After controlling for covariates (age, gender, ethnicity & depression), rumination, risk-taking and adaptive-coping were all positive predictors of hypomanic personality. Parallel mediation analysis demonstrated that rumination and risk-taking positively mediated the relationship between depression and hypomanic personality, whilst adaptive-coping negatively mediated this relationship. Serial mediation analysis revealed evidence for a sequence of causal mediators, demonstrating that rumination independently predicted risk-taking, which subsequently predicted hypomanic personality. Adaptive-coping continued to supress the relationship between depression and hypomanic personality after including risk-taking in the mediation analysis. Limitations: An unstratified volunteer sampling technique was utilised, introducing potential bias regarding the tendency to adopt maladaptive response styles. Utilising a three-factor response styles solution may lack face validity due to the wide variety of behaviours that encompass adaptive-coping strategies such as pleasant distraction and problem solving. Conclusions: Our findings support the maladaptive role of rumination and risk-taking in mediating the relationship between depression and vulnerability to experience mania, and further substantiates the protective function of adaptive-coping. Clinical interventions may endeavour to diminish the use of rumination and risk-taking, whilst promoting adaptive-coping strategies such as pleasant distraction and problem-solving.

Item Type: Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Psychology (from Sep 2019)
Publisher: Elsevier BV
SWORD Depositor: A Symplectic
Date Deposited: 30 Jan 2024 14:52
Last Modified: 30 Jan 2024 15:00
DOI or ID number: 10.1016/j.jadr.2023.100625
URI: https://researchonline.ljmu.ac.uk/id/eprint/22470
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