Observational Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatr. Sep 19, 2021; 11(9): 619-634
Published online Sep 19, 2021. doi: 10.5498/wjp.v11.i9.619
Evaluating the emotion regulation of positive mood states among people with bipolar disorder using hierarchical clustering
Sunny Ho-Wan Chan, Chong Ho Yu, Ken Ho Kan Liu, Charlie Lau, Anna On Yee Fung, Samson Tse
Sunny Ho-Wan Chan, Ken Ho Kan Liu, Charlie Lau, Anna On Yee Fung, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China
Chong Ho Yu, School of Behavioral and Applied Science, Azusa Pacific University, Azusa, CA 91702, United States
Samson Tse, Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
Author contributions: Chan SHW conceived and guided the study; Liu KHK, Lau C and Fung AOY completed the literature search; Liu KHK, Lau C and Fung AOY coordinated the data collection; Chan SHW and Yu CH performed the statistical analyses; Chan SHW and Tse S wrote and revised the paper; all authors approved the final version of the manuscript.
Institutional review board statement: The study was conducted according to the Declaration of Helsinki and the ethical guidelines established by the University of Hong Kong/West Cluster of the Hong Kong Hospital Authority.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author. Participants gave informed consent for data sharing in which the presented data are anonymized and risk of identification is low.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sunny Ho-Wan Chan, PhD, Assistant Professor, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China. sunny.hw.chan@polyu.edu.hk
Received: March 11, 2021
Peer-review started: March 11, 2021
First decision: July 15, 2021
Revised: July 25, 2021
Accepted: August 18, 2021
Article in press: August, 18, 2021
Published online: September 19, 2021
Core Tip

Core Tip: Individuals with bipolar disorder (BD) essentially fail to regulate their emotions and behavior effectively due to their behavioral approach system (BAS) hypersensitivity. This research, based on the BAS dysregulation theory, explores the dynamic role of coping in emotion regulation for managing positive mood states due to BAS-activating life events. Results show that a low mass of coping combined with low BAS sensitivity level protects people with BD from detrimentally accentuating mood states. Practical applications for the improvement of stress management programs and theoretical implication for the extension of coping frameworks to include positive mood states are highlighted.