Positive beliefs about mania in bipolar disorder

Abstract

Purpose. To conduct a systematic review of the literature regarding positive beliefs about (hypo)mania held by individuals with bipolar disorder. To develop and evaluate a brief, self-guided online intervention targeting positive beliefs about mania.
Method. A systematic search of five electronic databases (PsychINFO, PsychARTICLES, MEDLINE, CINAHL, and Web of Science) was carried out. Studies meeting inclusion criteria were appraised using the mixed methods appraisal tool. Findings were synthesized using thematic synthesis.
A total of 41 participants took part in the intervention. Feasibility and acceptability were measured by recruitment and attrition rates, time spent completing the sessions and post-intervention feedback. The MANOVA and Reliable change indicator were used to assess potential clinical usefulness.
Results. Five analytical themes were identified: 1) enjoyable feelings of (hypo)mania, 2) vitality of (hypo)mania, 3) enhanced relationship with self and others, 4) advanced ability and achievement, and 5) creativity.
Overall, 62% (n = 13) completed all 6 sessions and provided favourable quantitative and qualitative feedback, indicating good acceptability of the study. MANOVA revealed a non-significant trend for beliefs about mania and confidence addressing mania. The reliable change indicator showed clinical improvement on all measures.
Conclusions. This is the first review of perceived positive beliefs about (hypo)mania held by people with bipolar disorder. The findings highlight the existence of positive beliefs and provide valuable insights into the nature of such perceptions.
While online recruitment was challenging, the intervention appears to be acceptable. Evidence suggests potential clinical utility. Further research into the effectiveness of this intervention when delivered face-to-face is indicated.

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Identifiers

ORCID for Thomas Richardson: orcid.org/0000-0002-5357-4281

ORCID for Jennifer Tarabay: orcid.org/0000-0001-7472-1036

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