{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T07:49:46Z","timestamp":1774943386355,"version":"3.50.1"},"reference-count":83,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":44,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005851","name":"Shahid Beheshti University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005851","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Childhood maltreatment, alexithymia and impulsivity are related to bipolar disorder (BD), but the role of potential underlying mechanisms of this link, such as extreme sensory processing, in BD are unclear. This study compared sensory processing patterns between individuals with BD\u2010I or BD\u2010II and between those with and without alexithymia and childhood maltreatment. Additionally, the study aimed to examine the role of extreme sensory processing in the relationship between childhood trauma, alexithymia and impulsivity with both depression and mania in a sample of hospitalized individuals with BD (<jats:italic>n<\/jats:italic>\u2009=\u2009300). Participants completed self\u2010report and clinician\u2010rated scales. Patients with BD\u2010II exceeded those with BD\u2010I in low registration, sensory sensitivity and sensation avoidance, whereas patients with BD\u2010I exhibited a more heightened sensation\u2010seeking pattern. Patients with BD who had alexithymia and a history of childhood maltreatment exhibited more heightened sensory processing patterns, apart from sensory seeking, compared to those without alexithymia and childhood maltreatment. Additionally, the same pattern was more pronounced in individuals with BD who had both alexithymia and childhood maltreatment compared to those with either condition or neither of these conditions. The pathways from childhood maltreatment and alexithymia to depressive symptoms were mediated by low registration and sensation avoidance. Sensory seeking indirectly affected the link between alexithymia and manic symptoms. Childhood maltreatment and challenges in effectively processing emotional information, along with their related hypo\u2010 and hypersensitivity, may characterize BD individuals and its manifestation of depressive and manic symptoms.<\/jats:p>","DOI":"10.1002\/cpp.3070","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T11:59:19Z","timestamp":1728993559000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Connections Between Alexithymia, Childhood Maltreatment, Impulsivity and Extreme Sensory Processing Patterns in Relation to Bipolar Symptoms in Inpatients With Bipolar Disorder"],"prefix":"10.1002","volume":"31","author":[{"given":"Morteza","family":"Aghaeimazraji","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology, Faculty of Psychology and Educational Sciences Semnan University  Semnan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4314-0591","authenticated-orcid":false,"given":"Vahid","family":"Khosravani","sequence":"additional","affiliation":[{"name":"Behavioral Sciences Research Center Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed\u00a0Mehdi","family":"Samimi\u00a0Ardestani","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Behavioral Sciences Research Center, Imam Hossein Hospital Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Berk","sequence":"additional","affiliation":[{"name":"Deakin University IMPACT \u2013 The Institute for Mental and Physical Health and Clinical Translation, School of Medicine  Geelong Victoria Australia"},{"name":"Florey Institute for Neuroscience and Mental Health University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Psychiatry University of Melbourne, Royal Melbourne Hospital  Parkville Victoria Australia"},{"name":"Centre for Youth Mental Health The University of Melbourne  Parkville Victoria Australia"},{"name":"Orygen  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1160-2117","authenticated-orcid":false,"given":"Mahmoud","family":"Najafi","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Faculty of Psychology and Educational Sciences Semnan University  Semnan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.01.035"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(94)90005\u20101"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4236\/psych.2012.31012"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20105618.2007.00536.x"},{"key":"e_1_2_12_7_1","volume-title":"Childhood Trauma Questionnaire: A Retrospective Self Report","author":"Bernstein D. P.","year":"1998"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145\u20102134(02)00541\u20100"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0920\u20109964(01)00255\u20109"},{"key":"e_1_2_12_10_1","volume-title":"The Adolescent\/Adult Sensory Profile: User's Manual","author":"Brown C.","year":"2002"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2013.10.012"},{"key":"e_1_2_12_12_1","volume-title":"Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming","author":"Byrne B. M.","year":"2010"},{"key":"e_1_2_12_13_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1987"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2011.10.021"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100355(200007)21:3<156::AID\u2010IMHJ2>3.0.CO;2\u2010D"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pscychresns.2013.03.007"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000391"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.02.068"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001163\u2010199704000\u201000005"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.55.6.608"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2021_35_513"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.07.032"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4276\/030802211X13182481841868"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.4276\/030802211X13046730116407"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.08.036"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1590\/1516\u20104446\u20102015\u20101785"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.12.022"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/0164212X.2013.819466"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.13m08353"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.07.005"},{"key":"e_1_2_12_31_1","volume-title":"Structured Clinical Interview for DSM\u20105 Disorders (SCID\u20105\u2010RV), research Version","author":"First M. B.","year":"2014"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2552"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12402\u2010014\u20100144\u2010z"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2015.00357"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2021.625490"},{"key":"e_1_2_12_36_1","unstructured":"Hayes A. F.2018. \u201cPROCESS Macro for SPSS and SAS. The PROCESS Macro for SPSS and SAS. Introduction to Mediation Moderation and Conditional PROCESS Analysis Second Edition: A Regression\u2010Based Approach.\u201d"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022615575670"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2012.10.008"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.04.028"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.12.057"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/17450128.2019.1687963"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnint.2012.00120"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.56.2.171"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.583786"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2022.03.054"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11243114"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.01.032"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010021\u201003532\u20104"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.12.026"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/13651501.2021.1904997"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1080\/13651501.2021.1879867"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.06.021"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144\u2010019\u201000329\u20103"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2024.107087"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.49.5.444"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2023.03.029"},{"key":"e_1_2_12_58_1","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline R. B.","year":"2015"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1080\/87565641.2016.1178266"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2009.03.004"},{"key":"e_1_2_12_61_1","doi-asserted-by":"crossref","unstructured":"Machado A. S. M.2020. \u201cExtreme Sensory Processing Patterns and Relation With Autistic and Alexithymic Traits Among Parents of Children With Autism Spectrum Disorder and Sensory Processing Disorder\u2010An Exploratory Study.\u201d","DOI":"10.1016\/j.euroneuro.2021.10.330"},{"key":"e_1_2_12_62_1","first-page":"247","volume-title":"Understanding the Nature of Sensory Integration With Diverse Populations","author":"Miller L. J.","year":"2001"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.11.1783"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10942\u2010024\u201000552\u20103"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.01.033"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2785"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000099"},{"issue":"2","key":"e_1_2_12_68_1","first-page":"23","article-title":"Evaluating the fit of Structural Equation Models: Tests of Significance and Descriptive Goodness\u2010Of\u2010Fit Measures","volume":"8","author":"Schermelleh\u2010Engel K.","year":"2003","journal-title":"Methods of Psychological Research Online"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2016.01.553"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.4306\/pi.2017.14.1.51"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.12.019"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2016.09.013"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11682\u2010017\u20109741\u20108"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207450600588881"},{"key":"e_1_2_12_75_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20105618.2007.00357.x"},{"key":"e_1_2_12_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2013.08.018"},{"key":"e_1_2_12_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2022.04.020"},{"key":"e_1_2_12_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2013.07.008"},{"key":"e_1_2_12_79_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2010.06.011"},{"key":"e_1_2_12_80_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.08.039"},{"key":"e_1_2_12_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.01.025"},{"key":"e_1_2_12_82_1","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12440"},{"key":"e_1_2_12_83_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.133.5.429"},{"key":"e_1_2_12_84_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129139"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.3070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T11:44:42Z","timestamp":1732535082000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.3070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":83,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/cpp.3070"],"URL":"https:\/\/doi.org\/10.1002\/cpp.3070","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2024-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e3070"}}