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Brain Imaging Investigation of the Neural Correlates of Emotional Autobiographical Recollection
Published on: August 26, 2011
Autobiographical memory specificity, depression, and trauma in bipolar disorder
William Mowlds1, Ciaran Shannon, Christopher G McCusker
1Department of Psychology, The Queens University of Belfast, Northern Ireland.
The British Journal of Clinical Psychology
|July 8, 2009
Summary
Childhood trauma is linked to current depressive mood in bipolar disorder (BD), but not BD severity or autobiographical memory (AM) specificity. Routine trauma assessment in BD is crucial for effective treatment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Trauma Studies
Background:
- Bipolar disorder (BD) is frequently associated with trauma exposure.
- Autobiographical memory (AM) specificity is often impaired in mood disorders.
- The interplay between childhood trauma, AM, and mood in BD requires further investigation.
Purpose of the Study:
- To determine the prevalence of trauma in a bipolar disorder sample.
- To examine autobiographical memory (AM) specificity.
- To investigate the influence of childhood trauma on AM specificity, depressive mood, and BD severity, and explore potential moderation by AM specificity.
Main Methods:
- Recruitment of 52 participants from a mental health service in Northern Ireland.
- Administration of AM tests and self-report measures for trauma and depression.
- Assessment of BD severity using a systematic clinical data review.
Main Results:
- High trauma prevalence (94.2%) was observed in the BD sample.
- AM specificity was lower than in major depression samples.
- Childhood trauma predicted current inter-episode depressive mood but not BD severity or AM specificity; this association was not moderated by AM specificity.
Conclusions:
- Early psychosocial adversity is related to current inter-episode depressive mood in bipolar disorder.
- Overgeneral AM levels in BD are comparable to depression but not linked to trauma or illness severity.
- Routine trauma assessment and evidence-based psychological therapies are recommended for BD treatment.
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