Impairment in the achievement domain in bipolar spectrum disorders: role of behavioral approach system hypersensitivity and impulsivity.

AIM: Research indicates that bipolar disorder is characterized by both high levels of impairment and high levels of achievement. A critical, and yet largely unexamined question, is: what psychological mechanisms promote high accomplishment (and low impairment) among bipolar spectrum individuals? The aim of this study was to examine this question. The Authors also conceptually explore how the answer to this question can enhance the development of intervention and prevention strategies for adolescents with a bipolar spectrum condition. METHODS: Academic transcript data were obtained for 120 college students who had either a bipolar spectrum disorder (N=54) or no major psychopathology (N=66). RESULTS: Bipolar spectrum individuals obtained a lower cumulative grade point average (GPA, t=-2.9, P=0.005) and dropped more classes (t=2.1, P=or<0.04) than normal controls. The findings also have relevance to the behavioral approach system (BAS) dysregulation theory of bipolar disorder, as well as research on impulsivity among bipolar individuals. Specifically, follow-up analyses revealed that bipolar individuals exhibiting a combination of high BAS drive and low impulsivity earned higher GPAs than the remaining bipolar individuals. Thus, high BAS sensitivity, when paired with low impulsivity, may not be impairing and may contribute to the high achievement sometimes observed among bipolar individuals. CONCLUSION: Such information is important for the development of prevention and intervention programs designed adolescents that lower risk for bipolar impairment without decreasing achievement.

Manipulation of frontal EEG asymmetry through biofeedback alters self-reported emotional responses and facial EMG.

Individual differences in resting asymmetrical frontal brain activity have been found to predict subsequent emotional responses. The question of whether frontal brain asymmetry can cause emotional responses has yet to be addressed. Biofeedback training designed to alter the asymmetry of frontal brain activity was therefore examined. Eighteen right-handed female participants were randomly assigned to receive biofeedback training designed to increase right frontal alpha relative to left frontal alpha (n = 9) or to receive training in the opposite direction (n = 9). Five consecutive days of biofeedback training provided signals of reward or nonreward depending on whether the difference between right (F4) and left (F3) frontal alpha exceeded a criterion value in the specified direction. Systematic alterations of frontal EEG asymmetry were observed as a function of biofeedback training. Moreover, subsequent self-reported affect and facial muscle activity in response to emotionally evocative film clips were influenced by the direction of biofeedback training.

State anger and prefrontal brain activity: evidence that insult-related relative left-prefrontal activation is associated with experienced anger and aggression.

Research has demonstrated that left-prefrontal cortical activity is associated with positive affect, or approach motivation, and that right-prefrontal cortical activity is associated with negative affect, or withdrawal motivation. In past research, emotional valence (positive-negative) has been confounded with motivational direction (approach-withdrawal), such that, for instance, the only emotions examined were both positive and approach related. Recent research has demonstrated that trait anger, a negative but approach-related emotion, is associated with increased left-prefrontal and decreased right-prefrontal activity, suggesting that prefrontal asymmetrical activity is associated with motivational direction and not emotional valence. The present experiment tested whether state-induced anger is associated with relative left-prefrontal activity and whether this prefrontal activity is also associated with aggression. Results supported these hypotheses.

Voluntary facial expression and hemispheric asymmetry over the frontal cortex.

Brain activity was monitored while 36 participants produced facial configurations denoting anger, disgust, fear, joy, and sadness. EEG alpha power was analyzed during each facial pose, with facial conditions grouped according to the approach/withdrawal motivational model of emotion. This model suggests that "approach" emotions are associated with relatively greater left frontal brain activity whereas "withdrawal" emotions are associated with relatively greater right frontal brain activity. In the context of a bilateral decrease in activation, facial poses of emotions in the withdrawal condition resulted in relatively less left frontal activation in the lateral-frontal, midfrontal and frontal-temporal-central region, but not in the parietal region, as predicted. Findings in the approach condition were less consistently supportive of predictions of the approach/withdrawal model. Implications for the approach/withdrawal model and for the emotion eliciting potential of voluntary facial movement are discussed.

Anger and frontal brain activity: EEG asymmetry consistent with approach motivation despite negative affective valence.

The anterior regions of the left and right cerebral hemispheres have been posited to be specialized for expression and experience of approach and withdrawal processes, respectively. Much of the evidence supporting this hypothesis has been obtained by use of the anterior asymmetry in electroencephalographic alpha activity. In most of this research, however, motivational direction has been confounded with affective valence such that, for instance, approach motivation relates positively with positive affect. In the present research, we tested the hypothesis that dispositional anger, an approach-related motivational tendency with negative valence, would be associated with greater left- than right-anterior activity. Results supported the hypothesis, suggesting that the anterior asymmetry varies as a function of motivational direction rather than affective valence.

Terror management and cognitive-experiential self-theory: evidence that terror management occurs in the experiential system.

The authors hypothesized, on the basis of terror management theory and cognitive-experiential self-theory, that participants in an experiential mode of thinking would respond to mortality salience with increased worldview defense and increased accessibility of death-related thoughts, whereas participants in a rational mode would not. Results from 3 studies provided convergent evidence that when participants were in an experiential mode, mortality salience produced the typical worldview defense effect, but when participants were in a rational mode it did not. Study 4 revealed that mortality salience also led to a delayed increase in the accessibility of death-related thoughts only when participants were in an experiential mode. These results supported the notion that worldwide defense is intensified only if individuals are in an experiential mode when considering their mortality. Discussion focuses on implications for understanding terror management processes.

Behavioral activation sensitivity and resting frontal EEG asymmetry: covariation of putative indicators related to risk for mood disorders.

Dispositional tendencies toward appetitive motivation have been hypothesized to be related to the development of psychopathology. Moreover, decreased left-frontal cortical activity has been reported in depression and has been related to low-trait positive affect and high-trait negative affect. The present study tested the hypothesis that relatively greater left- than right-frontal cortical activity would be related to heightened approach-related dispositional tendencies. Resting frontal cortical asymmetrical activity, as measured by electroencephalographic activity in the alpha band, was examined in relation to the motivational response tendencies of a behavioral activation system (BAS) and a behavioral inhibition system (BIS), as measured by C. S. Carver and T. L. White's (1994) BIS-BAS self-report questionnaire. Results supported the hypothesis.

Terror management theory and self-esteem: evidence that increased self-esteem reduces mortality salience effects.

On the basis of the terror management theory proposition that self-esteem provides protection against concerns about mortality, it was hypothesized that self-esteem would reduce the worldview defense produced by mortality salience (MS). The results of Experiments 1 and 2 confirmed this hypothesis by showing that individuals with high self-esteem (manipulated in Experiment 1; dispositional in Experiment 2) did not respond to MS with increased worldview defense, whereas individuals with moderate self-esteem did. The results of Experiment 3 suggested that the effects of the first 2 experiments may have occurred because high self-esteem facilitates the suppression of death constructs following MS.

Empathy and attitudes: can feeling for a member of a stigmatized group improve feelings toward the group?

Results of 3 experiments suggest that feeling empathy for a member of a stigmatized group can improve attitudes toward the group as a whole. In Experiments 1 and 2, inducing empathy for a young woman with AIDS (Experiment 1) or a homeless man (Experiment 2) led to more positive attitudes toward people with AIDS or toward the homeless, respectively. Experiment 3 tested possible limits of the empathy-attitude effect by inducing empathy toward a member of a highly stigmatized group, convicted murderers, and measuring attitudes toward this group immediately and then 1-2 weeks later. Results provided only weak evidence of improved attitudes toward murderers immediately but strong evidence of improved attitudes 1-2 weeks later.

Social evaluation and cardiovascular response: an active coping approach.

Cardiovascular effects of social evaluation were examined under different task conditions. In Experiment 1, systolic responses in women were greater under public than private conditions when a fixed behavioral challenge was difficult, but not when the challenge was easy. In Experiment 2, social evaluation potentiated systolic responsivity in men and women when a behavioral challenge was unfixed, but not when a behavioral challenge was fixed and easy to meet. Results are discussed in terms of a recent integrative analysis of effort and cardiovascular response as well as alternative conceptions that posit, or might be taken to imply, an association between publicity and physiologic activation.