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  Impaired cognitive control over emotional material in euthymic bipolar disorder

Wolkenstein, L., Kanske, P., Bailer, J., Wessa, M., Hautzinger, M., & Joormann, J. (2017). Impaired cognitive control over emotional material in euthymic bipolar disorder. Journal of Affective Disorders, 214, 108-114. doi:10.1016/j.jad.2017.03.007.

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 Creators:
Wolkenstein, Larissa1, 2, Author
Kanske, Philipp3, 4, Author           
Bailer, Josef5, Author
Wessa, Michèle6, Author
Hautzinger, Martin2, Author
Joormann, Jutta7, Author
Affiliations:
1Department of Psychology, Ludwig Maximilians University Munich, Germany, ou_persistent22              
2Department of Psychology, Eberhard Karls University Tübingen, Germany, ou_persistent22              
3Department Social Neuroscience, MPI for Human Cognitive and Brain Sciences, Max Planck Society, Leipzig, DE, ou_634552              
4Department of General Psychiatry, Center for Psychosocial Medicine, Heidelberg University Hospital, Germany, ou_persistent22              
5Central Institute of Mental Health, Mannheim, Germany, ou_persistent22              
6Department of Clinical Psychology and Neuropsychology, Johannes Gutenberg University, Mainz, Germany, ou_persistent22              
7Department of Psychology, Yale University, New Haven, CT, USA, ou_persistent22              

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Free keywords: Bipolar disorder; Cognitive control; Processing of emotional material; Inhibition; Emotion regulation
 Abstract: Background

Previous research suggests that bipolar disorder (BD) is characterized by deficits in cognitive control (CC). Impaired CC has been found in high-risk samples and is associated with the maintenance of BD symptoms. It remains unclear, however, whether BD is characterized by a general deficit in CC or by a deficit that is specifically related to the processing of emotional material.
Methods

The sample consisted of 42 remitted bipolar patients and 39 healthy controls (HC). We examined whether BD individuals display impaired CC when confronted with negative as well as positive material using an arithmetic inhibition task that required inhibition of pictorial stimulus material.
Results

Whereas both groups showed difficulties in exerting CC over negative material, only BD individuals exhibited deficient CC over positive material.
Limitations

Even though we intended the negative and positive pictures in the arithmetic inhibition task to be similarly arousing, participants in the current study rated the negative compared to the positive pictures as more arousing.
Conclusions

BD is associated with impaired CC when processing emotional – especially positive – stimuli even when patients are in remission. Possible implications of this deficit especially for emotion regulation are discussed.

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Language(s): eng - English
 Dates: 2017-01-292016-10-052017-03-052017-03-072017-05
 Publication Status: Issued
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1016/j.jad.2017.03.007
PMID: 28288404
Other: Epub 2017
 Degree: -

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Title: Journal of Affective Disorders
Source Genre: Journal
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Publ. Info: Amsterdam : Elsevier
Pages: - Volume / Issue: 214 Sequence Number: - Start / End Page: 108 - 114 Identifier: ISSN: 0165-0327
CoNE: https://pure.mpg.de/cone/journals/resource/954925480595