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Assessment of implicit self-esteem in bipolar manic and euthymic patients using the implicit association test
Jin Young Park1, Vin Ryu2, Ra Yeon Ha3
1Department of Psychiatry, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, South Korea; Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Manic patients show higher implicit self-esteem than euthymic patients, despite no differences in explicit self-esteem. This suggests a discontinuity in implicit self-esteem between manic and euthymic states in bipolar disorder.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Self-esteem is a crucial psychological factor in bipolar disorder.
- Limited understanding exists regarding implicit and explicit self-esteem in manic patients.
Purpose of the Study:
- To investigate differences in implicit and explicit self-esteem.
- Comparison between bipolar manic patients, euthymic patients, and healthy controls.
- Utilized the Implicit Association Test (IAT) for assessment.
Main Methods:
- 19 manic patients, 27 euthymic patients, and 27 healthy controls participated.
- Explicit self-esteem was measured using a self-esteem scale.
- Implicit self-esteem was assessed via the self-esteem IAT.
Main Results:
- No significant differences were found in explicit self-esteem across the groups.
- Significant differences emerged in implicit self-esteem.
- Manic patients exhibited higher IAT scores than euthymic patients and a trend towards higher scores than healthy controls.
Conclusions:
- Manic states may not be the direct opposite of depressed states on a latent level.
- A potential discontinuity in implicit self-esteem exists between manic and euthymic states.
- Findings offer novel insights into the psychological state of manic patients.
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