{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:42:49Z","timestamp":1791222169462,"version":"4.1.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2009,9,15]],"date-time":"2009-09-15T00:00:00Z","timestamp":1252972800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:sec id=\"S0033291709991206_sec_a001\"><jats:title>Background<\/jats:title><jats:p>There is some evidence that cognitive therapy (CT) is beneficial in reducing relapses in bipolar disorder. However, not all bipolar patients benefit from it. A previous study found that a group of non-responders to CT shared common characteristics: they value some of the high goal-attainment beliefs and characteristics associated with being in a state of mild hypomania \u2013 a high \u2018sense of hyper-positive self\u2019 (SHPS). To promote of our understanding of this group of patients, the present study investigated the relationship between SHPS, preferred internal state, dysfunctional attitudes and coping with hypothetical manic prodromal scenarios.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291709991206_sec_a002\"><jats:title>Method<\/jats:title><jats:p>Fifty-four bipolar I patients filled in self-report questionnaires that assess preferred mood state, coping with scenarios, dysfunctional attitudes and SHPS.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291709991206_sec_a003\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The Sense of Hyper-positive Self Scale Ideal score (SHPSS-Ideal) predicted patients' preferred internal state of mania. Coping with hypothetical scenarios was predicted by Dysfunctional Attitude Scale (DAS) goal-attainment scores: the higher the goal-attainment score, the higher the participant's tendency to identify with self-descriptors linked to hypomania and to engage in stimulating behaviours that may escalate the prodromal stage to mania.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291709991206_sec_a004\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Clinicians should check and modify goal-attainment beliefs, particularly of those who exhibit features of SHPS. These patients' tendency to identify with hypomanic traits as self-descriptors should be dealt with by psychological techniques such as cognitive restructuring.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291709991206","type":"journal-article","created":{"date-parts":[[2009,9,15]],"date-time":"2009-09-15T09:47:37Z","timestamp":1253008057000},"page":"967-975","source":"Crossref","is-referenced-by-count":16,"title":["Sense of hyper-positive self, goal-attainment beliefs and coping strategies in bipolar I disorder"],"prefix":"10.1017","volume":"40","author":[{"given":"R.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Lam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Mansell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,9,15]]},"reference":[{"key":"S0033291709991206_ref016","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005557911051"},{"key":"S0033291709991206_ref015","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.117.2.268"},{"key":"S0033291709991206_ref004","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n0215"},{"key":"S0033291709991206_ref030","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.4.313"},{"key":"S0033291709991206_ref014","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.109.4.721"},{"key":"S0033291709991206_ref019","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.145"},{"key":"S0033291709991206_ref026","volume-title":"Classical and Modern Regression with Applications","author":"Myers","year":"1990"},{"key":"S0033291709991206_ref017","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.2.324"},{"key":"S0033291709991206_ref028","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1998.tb01398.x"},{"key":"S0033291709991206_ref022","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(00)00191-9"},{"key":"S0033291709991206_ref021","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291704002910"},{"key":"S0033291709991206_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/0028-3908(78)90022-9"},{"key":"S0033291709991206_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(96)00548-3"},{"key":"S0033291709991206_ref007","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(88)90050-5"},{"key":"S0033291709991206_ref011","volume-title":"NEO PI-R Professional Manual: Revised NEO Personality Inventory (NEO PI-R) and NEO Five-Factor Inventory (NEO-FFI)","author":"Costa","year":"1992"},{"key":"S0033291709991206_ref005","doi-asserted-by":"publisher","DOI":"10.2165\/00023210-200216010-00004"},{"key":"S0033291709991206_ref013","volume-title":"User Guide for the Structured Clinical Interview for DSM-IV Axis 1 Disorders","author":"First","year":"1996"},{"key":"S0033291709991206_ref029","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701003373"},{"key":"S0033291709991206_ref002","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"S0033291709991206_ref008","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"S0033291709991206_ref018","volume-title":"Cognitive Therapy for Bipolar Disorder: A Therapist's Guide to the Concept, Methods and Practice","author":"Lam","year":"1999"},{"key":"S0033291709991206_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(02)00462-7"},{"key":"S0033291709991206_ref012","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1988.01800340076012"},{"key":"S0033291709991206_ref024","first-page":"515","article-title":"The interpretation of and responses to changes in internal states: an integrative cognitive model of mood swings and bipolar disorder","volume":"35","author":"Mansell","year":"2007","journal-title":"Behavioural and Cognitive Psychotherapy"},{"key":"S0033291709991206_ref010","doi-asserted-by":"crossref","first-page":"3","DOI":"10.2307\/3315487","article-title":"Beyond kappa: a review of interrater agreement measures","volume":"27","author":"Capozzoli","year":"1999","journal-title":"Canadian Journal of Statistics"},{"key":"S0033291709991206_ref003","first-page":"81","volume-title":"Handbook of Behavioral Neurobiology","volume":"4","author":"Aschoff","year":"1981"},{"key":"S0033291709991206_ref027","doi-asserted-by":"publisher","DOI":"10.1006\/jrpe.1994.1019"},{"key":"S0033291709991206_ref023","unstructured":"Mansell W (2003). Mood and cognition in bipolar affective disorder (D.Clin.Psych. thesis). Institute of Psychiatry, King's College London."},{"key":"S0033291709991206_ref031","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2008.00583.x"},{"key":"S0033291709991206_ref025","volume-title":"Applied Logistic Regression Analysis","author":"Menard","year":"1995"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291709991206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T19:40:39Z","timestamp":1556480439000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291709991206\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9,15]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["S0033291709991206"],"URL":"https:\/\/doi.org\/10.1017\/s0033291709991206","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,9,15]]}}}