Clinical Psychology: Research and Practice Innovations

Clinical Psychology: Research and Practice Innovations"

The Distinct Role of Negative Emotion, Dysphoria, and Mania in Predicting The Symptoms of Emotional Disorders

Document Type : Original Article

Authors
Soheila Maboud 1
Mostafa Zarean 2
Touraj Hashemi Nosratabad 3
1 Master of Science in Clinical Psychology, Faculty of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.
2 Assistant Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.
3 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.
10.22075/jcp.2025.34438.2914
Abstract
Background: The study of the theoretical background and research literature suggest that negative emotion plays a significant role as a foundational factor in the pathology of emotional disorders. However, it seems that other variables such as mania and dysphoria are also involved in this relationship. This research was conducted with the aim of investigating the role of negative affect, dysphoria and mania in predicting the signs and symptoms of emotional disorders.
Methods: The statistical population of this study included all students of Tabriz University who were studying between 2023-2024. For that purpose, a sample comprising 380 students were selected using available sampling. An online execution forms was prepared and participants completed Positive and Negative Affect Schedule- Expanded Form (PANAS-X), Inventory of Depression and Anxiety Symptoms (IDAS), Nepean Dysphoria Scale (NDS), and Altman Self-Report Mania Scale (ASRM) via online forms. Data was analyzed by path analysis and multiple regression in SPSS V.24.
Results: Results showed that negative emotion, dysphoria and mania positively and significantly predicted panic, social anxiety and depression.
Conclusion: Based on this, it can be concluded that traditional constructs in psychopathology, such as dysphoria and mania, still play an effective role in explaining the variance of emotional disorders, and relying only on negative emotions will have theoretical and clinical limitations in treatment. Because after the accurate identification of the effective factors in emotional disorders, it is possible to design suitable therapeutic intervention for each disorder.
Keywords
Negative Emotion
Dysphoria
Mania
Emotional Disorders
Panic
Anxiety
Depression
Subjects

  1.  

    1. Gross JJ, editor. Handbook of emotion regulation. Guilford publications; 2013 Dec 17.
    2. Majad-Ara,, E., Bigdeli,, I., Najafi,, M., Rashn,, S. Direct and Indirect Impact of Effects on Anxiety and Depression in Elderly: The Mediating Role of Difficulty in Emotion Regulation. Journal of Clinical Psychology, 2016; 8(2): 89-98.
    3. Nyklíček I, Vingerhoets AD, Zeelenberg M. Emotion regulation and well-being: A view from different angles. Springer New York; 2011.
    4. Barlow DH, Durand VM, Hofmann SG. Abnormal psychology: An integrative approach. Cengage learning; 2018.
    5. Kalantar, A., Bigdeli, I., Mashhadi, A., kareshki, H. Modeling Structural Equations of Anxiety Sensitivity, Emotion Regulation and Resilience in the Formation of Depression and PTSD Disorders in Firefighters. Journal of Clinical Psychology, 2019; 11(2): 90-103.
    6. Barlow DH, Allen LB, Choate ML. Toward a unified treatment for emotional disorders. InThe Neurotic Paradox, Volume 1 2020 Feb 10 (pp. 141-166). Routledge.
    7. Mineka S, Watson D, Clark LA. Comorbidity of anxiety and unipolar mood disorders. Annual review of psychology. 1998 Feb;49(1):377-412.
    8. Watson D, O'Hara MW. Understanding the emotional disorders: A symptom-level approach based on the IDAS-II. Oxford University Press; 2017.
    9. Watson D, Clark LA, Stasik SM. Emotions and the emotional disorders: A quantitative hierarchical perspective. International Journal of Clinical and Health Psychology. 2011;11(3):429-42.
    10. Brown TA, Barlow DH. A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment. The Neurotic Paradox, Vol 2. 2018 Oct 24:325-54.
    11. Valena SP, Szentagotai-Tatar A. The relationships between stress, negative affect, rumination and social anxiety. Journal of evidence-based psychotherapies. 2015 Sep 1;15(2):179.
    12. Mishra A. Correlation between social anxiety and negative affect. International Journal of Indian Psychȯlogy. 2020;8(3).
    13. Iqbal N, Dar KA. Negative affectivity, depression, and anxiety: Does rumination mediate the links?. Journal of Affective Disorders. 2015 Aug 1;181:18-23.
    14. Lonigan CJ, Phillips BM, Hooe ES. Relations of positive and negative affectivity to anxiety and depression in children: evidence from a latent variable longitudinal study. Journal of consulting and clinical psychology. 2003 Jun;71(3):465.
    15. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th ed, text revision; DSM-IV-TR). Washington, DC: American Psychiatric Association. 1994.
    16. Kaplan HI, Sadock BJ, Grebb JA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences, clinical psychiatry. Williams & Wilkins Co; 1994.
    17. Hallstrom C, McClure N. Anxiety and depression: Your questions answered. (No Title). 1998.
    18. Mushlin SB, Greene HL. Decision making in medicine: an algorithmic approach. Elsevier Health Sciences; 2009 Oct 27.
    19. Cassidy F, Ahearn E, Murry E, Forest K, Carroll BJ. Diagnostic depressive symptoms of the mixed bipolar episode. Psychological Medicine. 2000 Mar;30(2):403-11.
    20. Schanda H. Paranoia and dysphoria: historical developments, current concepts. Psychopathology. 2000 Jun 16;33(4):204-8.
    21. Starcevic V. Dysphoric about dysphoria: towards a greater conceptual clarity of the term. Australasian Psychiatry. 2007 Feb;15(1):9-13.
    22. Berner P, Musalek M, Walter H. Psychopathological concepts of dysphoria. Psychopathology. 1987 Feb 9;20(2):93-100.
    23. Kaplan HI, Sadock BJ, Grebb JA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences, clinical psychiatry. Williams & Wilkins Co; 2014.
    24. Chang K, Adleman NE, Dienes K, Simeonova DI, Menon V, Reiss A. Anomalous Prefrontal-Subcortical Activation in Familial Pediatric BipolarDisorder: A Functional Magnetic Resonance Imaging Investigation. Archives of general psychiatry. 2004 Aug 1;61(8):781-92.
    25. Lennox BR, Jacob R, Calder AJ, Lupson V, Bullmore ET. Behavioural and neurocognitive responses to sad facial affect are attenuated in patients with mania. Psychological medicine. 2004 Jul;34(5):795-802.
    26. Sachs GS, Printz DJ, Kahn DA, Carpenter D, Docherty JP. The expert consensus guideline series: medication treatment of bipolar disorder. Postgrad Med. 2000 Apr;1:1-04.
    27. Levine J, Chengappa KR, Brar JS, Gershon S, Kupfer DJ. Illness characteristics and their association with prescription patterns for bipolar I disorder. Bipolar disorders. 2001 Feb;3(1):41-9.
    28. Chen YW, Dilsaver SC. Comorbidity of panic disorder in bipolar illness: evidence from the Epidemiologic Catchment Area Survey. The American journal of psychiatry. 1995 Feb 1;152(2):280-2.
    29. Simon NM, Otto MW, Fischmann D, Racette S, Nierenberg AA, Pollack MH, Smoller JW. Panic disorder and bipolar disorder: anxiety sensitivity as a potential mediator of panic during manic states. Journal of Affective Disorders. 2005 Jul 1;87(1):101-5.
    30. Simon NM, Smoller JW, Fava M, Sachs G, Racette SR, Perlis R, Sonawalla S, Rosenbaum JF. Comparing anxiety disorders and anxiety-related traits in bipolar disorder and unipolar depression. Journal of psychiatric research. 2003 May 1;37(3):187-92.
    31. Dayer A, Aubry JM, Roth L, Ducrey S, Bertschy G. A theoretical reappraisal of mixed states: dysphoria as a third dimension. Bipolar Disorders. 2000 Dec;2(4):316-24.
    32. Musalek M, Griengl H, Hobl B, Sachs G, Zoghlami A. Dysphoria from a transnosological perspective. Psychopathology. 2000 Jun 16;33(4):209-14.
    33. Tillman R, Geller B. Definitions of rapid, ultrarapid, and ultradian cycling and of episode duration in pediatric and adult bipolar disorders: a proposal to distinguish episodes from cycles. Journal of child and adolescent psychopharmacology. 2003 Sep 1;13(3):267-71.
    34. Krejcie RV, Morgan DW. Determining sample size for research activities. Educational and psychological measurement. 1970 Sep;30(3):607-10.
    35. Watson D, Clark LA. The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Ames: The University of Iowa.1999.
    36. Hufford MR. Special methodological challenges and opportunities in ecological momentary assessment. The science of real-time data capture: Self-reports in health research. 2007 May 3:54-75.
    37. Mohammadi F, Karami J, Khanjani Z, Hashemi T. Factor analysis of the Positive and Negative Affect Schedule - Expanded Form. First Conference on Personality & Modern Life. Islamic Azad University of Sanandaj. 2012 May. [Persian]
    38. Watson D, O'Hara MW, Simms LJ, Kotov R, Chmielewski M, McDade-Montez EA, Gamez W, Stuart S. Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS). Psychological assessment. 2007 Sep;19(3):253.
    39. Orouji F, Abdi R, Chalabianloo G. Mediating Role of Psychological Inflexibility as Transdiagnostic Factor in the Relationship Between Emotional Dysregulation and Sleep Problems With Symptoms of Emotional Disorders. Frontiers in Psychology. 2022 Apr 25;13:800041.
    40. HajiShaabani R, Abdi R. The role of experiential avoidance, mindfulness, and anxiety sensitivity as transdiagnostic factors in predicting symptoms of emotional disorders. Journal of Clinical Psychology & Personality, Vol.17, No.1, Serial 32, Spring & Summer 2020, pp.: 203-212. [Persian]
    41. Mott SL, Schiller CE, Richards JG, O’Hara MW, Stuart S. Depression and anxiety among postpartum and adoptive mothers. Archives of women's mental health. 2011 Aug;14:335-43.
    42. Jornonian A. The interactive pattern of perfectionism and negative repetitive thoughts in predicting the severity of symptoms of emotional disorders. [M. A. Dissertation]. Tabriz: Shahid madani University; 2015. P.4-12. [Persian]
    43. Berle D, Starcevic V. Preliminary validation of the Nepean dysphoria scale. Australasian Psychiatry. 2012 Aug;20(4):322-6.
    44. Berle D, Starcevic V, Viswasam K, Milicevic D, Hannan A, Brakoulias V, Steel Z. Confirmatory factor analysis of the Nepean Dysphoria Scale in a clinical sample. Psychiatric Quarterly. 2018 Sep;89:621-9.
    45. Pazzagli A, Monti MR. Dysphoria and aloneness in borderline personality disorder. Psychopathology. 2000 Jun 16;33(4):220-6.
    46. Maboud S, Shadbafi M, Hashemi T. Validation and investigation psychometric properties of the Nepean Dysphoria Scale among Iranian students, Knowledge and research in applied psychology; 2024 Mar.
    47. Altman EG, Hedeker D, Peterson JL, Davis JM. The Altman self-rating mania scale. Biological psychiatry. 1997 Nov 15;42(10):948-55.
    48. Mohammadi Z. The validity of the dimensional model of bipolar disorder based on DSM-V.. [M. A. Dissertation]. Tehran. University of Rehabilitation Sciences and Social Welfare;2017. P25-26. [Persian]
    49. American Psychiatric Association. Mania—Adult: Altman Self-Rating Mania Scale (ASRM)[Internet]. Washington, DC: APA; 2013. Available from: https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM5_Level-2-Mania-Adult.pdf

  • Receive Date 13 June 2024
  • Revise Date 20 January 2025
  • Accept Date 05 February 2025
  • First Publish Date 05 February 2025
  • Publish Date 22 September 2024