{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:38:18Z","timestamp":1793504298534,"version":"4.5.0"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,5,22]],"date-time":"2017-05-22T00:00:00Z","timestamp":1495411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010029","name":"Lancaster University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010029","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2017,9]]},"abstract":"\n Background<\/jats:title>\n \n Personal recovery is recognized as an important outcome for individuals with bipolar disorder (\n BD<\/jats:styled-content>\n ) and is distinct from symptomatic and functional recovery. Recovery\u2010focused psychological therapies show promise. As with therapies aiming to delay relapse and improve symptoms, research on the psychological mechanisms underlying recovery is crucial to inform effective recovery\u2010focused therapy. However, empirical work is limited. This study investigated whether negative beliefs about mood swings and self\u2010referent appraisals of mood\u2010related experiences were negatively associated with personal recovery.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross\u2010sectional online survey.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n People with a verified research diagnosis of\n BD<\/jats:styled-content>\n (\n n\u00a0=\u00a0<\/jats:italic>\n 87), recruited via relevant voluntary sector organizations and social media, completed online measures. Pearson's correlations and multiple regression analysed associations between appraisals, beliefs, and recovery.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Normalizing appraisals of mood changes were positively associated with personal recovery. Depression, negative self\u2010appraisals of depression\u2010relevant experiences, extreme positive\n and<\/jats:italic>\n negative appraisals of activated states, and negative beliefs about mood swings had negative relationships with recovery. After controlling for current mood symptoms, negative illness models (relating to how controllable, long\u2010term, concerning, and treatable mood swings are; \u03b2\u00a0=\u00a0\u2212.38), being employed (\u03b2\u00a0=\u00a0.39), and both current (\u03b2\u00a0=\u00a0\u2212.53) and recent experience of depression (\u03b2\u00a0=\u00a0.30) predicted recovery.\n <\/jats:p>\n <\/jats:sec>\n \n Limitations<\/jats:title>\n Due to the cross\u2010sectional design, causality cannot be determined. Participants were a convenience sample primarily recruited online. Power was limited by the sample size.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Interventions aiming to empower people to feel able to manage mood and catastrophize less about mood swings could facilitate personal recovery in people with\n BD<\/jats:styled-content>\n , which might be achieved in recovery\u2010focused therapy.\n <\/jats:p>\n <\/jats:sec>\n \n Practitioner points<\/jats:title>\n \n \n \n Personal recovery is an important outcome for people living with bipolar disorder<\/jats:p>\n <\/jats:list-item>\n \n More positive illness models are associated with better personal recovery in bipolar disorder, over and above mood symptoms<\/jats:p>\n <\/jats:list-item>\n \n Recovery\u2010focused therapy should focus on developing positive illness models<\/jats:p>\n <\/jats:list-item>\n \n Recovery\u2010focused therapy should address personally meaningful goals such as gaining employment<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjc.12140","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T19:47:06Z","timestamp":1495568826000},"page":"310-328","source":"Crossref","is-referenced-by-count":30,"title":["Psychological mechanisms and the ups and downs of personal recovery in bipolar disorder"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8872-2272","authenticated-orcid":false,"given":"Alyson L.","family":"Dodd","sequence":"first","affiliation":[{"name":"Department of Psychology Faculty of Health & Life Sciences Northumbria University Newcastle\u2010upon\u2010Tyne UK"},{"name":"Spectrum Centre for Mental Health Research Division of Health Research Faculty of Health & Medicine Lancaster University UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Mezes","sequence":"additional","affiliation":[{"name":"Spectrum Centre for Mental Health Research Division of Health Research Faculty of Health & Medicine Lancaster University UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Lobban","sequence":"additional","affiliation":[{"name":"Spectrum Centre for Mental Health Research Division of Health Research Faculty of Health & Medicine Lancaster University UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven H.","family":"Jones","sequence":"additional","affiliation":[{"name":"Spectrum Centre for Mental Health Research Division of Health Research Faculty of Health & Medicine Lancaster University UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(96)00548-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.05.075"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08050721"},{"key":"e_1_2_6_5_1","volume-title":"Cognitive behavior therapy: Basics and beyond","author":"Beck J. 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