Tracking the Emotional Highs but Missing the Lows: Hypomania Risk is Associated With Positively Biased Empathic Inference

Empathy plays a vital role in emotional and social functioning. Research suggests that empathy may be disrupted in disorders of negative emotion (e.g., depression, anxiety), though less work has examined how empathy is impacted in disorders of positive emotion (e.g., mania), which are associated with positive biases in emotion experience and perception. The present research explored how variation in self-reported hypomania risk was associated with performance on an objective empathic accuracy task with real-world targets. Risk for hypomania was associated with heightened moment-by-moment detection of emotional up-shifts (i.e., increases in positive emotion) for targets describing positive events; however, it was also associated with overly-positive retrospective ratings (i.e., overestimating global positive emotion) for targets describing negative events. These findings suggest that hypomania risk may lead to positive biases in detecting others’ emotion across both positive and negative life events when using both micro-level continuous and global retrospective emotion measures.

[1]  J. Gruber,et al.  A Dark Side of Happiness? How, When, and Why Happiness Is Not Always Good , 2011, Perspectives on psychological science : a journal of the Association for Psychological Science.

[2]  W. Mansell,et al.  "I won't do what you tell me!": elevated mood and the assessment of advice-taking in euthymic bipolar I disorder. , 2006, Behaviour research and therapy.

[3]  S. Romans,et al.  The social networks of bipolar affective disorder patients. , 1992, Journal of affective disorders.

[4]  C. Montag,et al.  Theory of mind impairments in euthymic bipolar patients. , 2010, Journal of affective disorders.

[5]  D. A. Grant,et al.  High Behavioral Approach System (BAS) sensitivity, reward responsiveness, and goal-striving predict first onset of bipolar spectrum disorders: a prospective behavioral high-risk design. , 2012, Journal of abnormal psychology.

[6]  J. Gruber Can Feeling Too Good Be Bad? , 2011 .

[7]  Tessa V. West,et al.  Rose-colored glasses gone too far? Mania symptoms predict biased emotion experience and perception in couples , 2014 .

[8]  Sheri L. Johnson,et al.  Cognitive responses to failure and success relate uniquely to bipolar depression versus mania. , 2008, Journal of abnormal psychology.

[9]  D. Keltner,et al.  Contact high: Mania proneness and positive perception of emotional touches , 2012, Cognition & emotion.

[10]  S. Strejilevich,et al.  Social cognition in euthymic bipolar disorder: systematic review and meta‐analytic approach , 2012, Acta psychiatrica Scandinavica.

[11]  Sheri L. Johnson,et al.  Impulsive responses to positive mood and reward are related to mania risk , 2013, Cognition & emotion.

[12]  A. Beck,et al.  Screening depressed patients in family practice. A rapid technic. , 1972, Postgraduate medicine.

[13]  Sheri L. Johnson Mania and dysregulation in goal pursuit: a review. , 2005, Clinical psychology review.

[14]  Sheri L. Johnson,et al.  Elevated expectancies among persons diagnosed with bipolar disorder. , 2009, The British journal of clinical psychology.

[15]  Sheri L. Johnson,et al.  The psychopathology and treatment of bipolar disorder. , 2006, Annual review of clinical psychology.

[16]  Robin I. M. Dunbar,et al.  Theory of mind deficits in bipolar affective disorder. , 2003, Journal of affective disorders.

[17]  Sheri L. Johnson,et al.  Risk for mania and positive emotional responding: too much of a good thing? , 2008, Emotion.

[18]  L. J. Chapman,et al.  A longitudinal study of high scorers on the hypomanic personality scale. , 2000, Journal of abnormal psychology.

[19]  Donald Hedeker,et al.  The Altman Self-Rating Mania Scale , 1997, Biological Psychiatry.

[20]  P. Lewinsohn,et al.  Hypomanic personality traits in a community sample of adolescents. , 1996, Journal of affective disorders.

[21]  R. Bentall,et al.  Hypomanic traits and response styles to depression. , 2002, The British journal of clinical psychology.

[22]  K. Ochsner,et al.  The neuroscience of empathy: progress, pitfalls and promise , 2012, Nature Neuroscience.

[23]  K. Ochsner,et al.  The Need for a Cognitive Neuroscience of Naturalistic Social Cognition , 2009, Annals of the New York Academy of Sciences.

[24]  Jamil Zaki,et al.  Unpacking the informational bases of empathic accuracy. , 2009, Emotion.

[25]  Jamil Zaki,et al.  PSYCHOLOGICAL SCIENCE Research Article It Takes Two The Interpersonal Nature of Empathic Accuracy , 2022 .

[26]  D. A. Grant,et al.  Behavioral Approach System (BAS)-Relevant Cognitive Styles in Individuals with High Versus Moderate BAS Sensitivity: A Behavioral High-Risk Design , 2013, Cognitive Therapy and Research.

[27]  L. J. Chapman,et al.  Development and validation of a scale for hypomanic personality. , 1986, Journal of abnormal psychology.

[28]  Junghee Lee,et al.  Schizophrenia patients are impaired in empathic accuracy , 2011, Psychological Medicine.

[29]  I. Miller,et al.  Social support and the course of bipolar disorder. , 1999, Journal of abnormal psychology.

[30]  Steven H. Jones,et al.  Approach goals, behavioural activation and risk of hypomania. , 2007 .

[31]  S. Langenecker,et al.  Gender‐specific disruptions in emotion processing in younger adults with depression , 2009, Depression and anxiety.

[32]  G. MacQueen,et al.  Altered self-report of empathic responding in patients with bipolar disorder , 2010, Psychiatry Research.

[33]  T. Ketter,et al.  Impaired recognition of facial emotion in mania. , 2002, The American journal of psychiatry.