Skip to main content
Log in

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

  • Original Article
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Alloy, L. B., Bender, R. E., Whitehouse, W. G., Wagner, C. A., Liu, R. T., Grant, D. A., & Abramson, L. Y. (2012). High Behavioral Approach System (BAS) sensitivity, reward responsiveness, and goal-striving predict first onset of bipolar spectrum disorders: A prospective behavioral high-risk design. Journal of Abnormal Psychology, 121(2), 339.

    Article  PubMed Central  PubMed  Google Scholar 

  • Altman, E., Hedeker, D., Peterson, J. L., & Davis, J. M. (1997). The Altman self-rating mania scale. Biological Psychiatry, 42, 948–955.

    Article  CAS  PubMed  Google Scholar 

  • Beck, A. T., & Beck, R. W. (1972). Screening depressed patients in a family practice: A rapid technique. Postgraduate Medicine, 52, 81–85.

    CAS  PubMed  Google Scholar 

  • Cusi, A., MacQueen, G. M., & McKinnon, M. C. (2010). Altered self-report of empathic responding in patients with bipolar disorder. Psychiatry Research, 178, 354–358.

    Article  PubMed  Google Scholar 

  • Dutra, S. J., West, T. V., Impett, E. A., Oveis, C., Kogan, A., Keltner, D., & Gruber, J. (2014). Rose-colored glasses gone too far? Mania symptoms predict biased emotion experience and perception in couples. Motivation and Emotion, 38, 157–165.

    Article  Google Scholar 

  • Eckblad, M., & Chapman, L. J. (1986). Development and validation of a scale for hypomanic personality. Journal of Abnormal Psychology, 95, 214–222.

    Article  CAS  PubMed  Google Scholar 

  • Eisner, L. R., Johnson, S. L., & Carver, C. S. (2008). Cognitive responses to failure and success relate uniquely to bipolar depression versus mania. Journal of Abnormal Psychology, 117, 154–163.

    Article  PubMed Central  PubMed  Google Scholar 

  • Giovanelli, A., Hoerger, M., Johnson, S. L., & Gruber, J. (2013). Impulsive responses to positive mood and reward are related to mania risk. Cognition and Emotion, 27(6), 1091–1104.

    Article  PubMed  Google Scholar 

  • Gruber, J. (2011). When feeling good can be bad: Positive emotion persistence (PEP) in bipolar disorder. Current Directions in Psychological Science, 20(4), 217–221.

    Article  Google Scholar 

  • Gruber, J., Johnson, S. L., Oveis, C., & Keltner, D. (2008). Risk for mania and positive emotional responding: Too much of a good thing? Emotion, 8, 23–33.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gruber, J., Mauss, I. B., & Tamir, M. (2011). A dark side of happiness? How, when, and why happiness is not always good. Perspectives on Psychological Science, 6, 222–233.

    Article  PubMed  Google Scholar 

  • Johnson, S. L. (2005). Mania and dysregulation in goal pursuit: A review. Clinical Psychology Review, 25(2), 241–262.

    Article  PubMed Central  PubMed  Google Scholar 

  • Johnson, S. L., Winett, C. A., Meyer, B., Greenhouse, W. J., & Miller, I. (1999). Social support and the course of bipolar disorder. Journal of Abnormal Psychology, 108(4), 558–566.

    Article  CAS  PubMed  Google Scholar 

  • Jones, S., Shams, M., & Liversidge, T. (2007). Approach goals, behavioural activation and risk of hypomania. Personality and Individual Differences, 43(6), 1366–1375.

    Article  Google Scholar 

  • Kerr, N., Dunbar, R. I. M., & Bentall, R. P. (2003). Theory of mind deficits in bipolar affective disorder. Journal of Affective Disorders, 73(3), 253–259.

    Article  PubMed  Google Scholar 

  • Klein, D. N., Lewinsohn, P. M., & Seeley, J. R. (1996). Hypomanic personality traits in a community sample of adolescents. Journal of Affective Disorders, 38, 135–143.

    Article  CAS  PubMed  Google Scholar 

  • Kwapil, T. R., Miller, M. B., Zinser, M. C., Chapman, L. J., Chapman, J., & Eckblad, M. (2000). A longitudinal study of high scorers on the Hypomanic Personality Scale. Journal of Abnormal Psychology, 109, 222–226.

    Article  CAS  PubMed  Google Scholar 

  • Lee, J., Zaki, J., Harvey, P. O., Ochsner, K., & Green, M. F. (2011). Schizophrenia patients are impaired in empathic accuracy. Psychological Medicine, 41(11), 2297–2304.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Lembke, A., & Ketter, T. A. (2002). Impaired recognition of facial emotion in mania. American Journal of Psychiatry, 159, 302–304.

    Article  PubMed  Google Scholar 

  • Mansell, W., & Lam, D. (2006). “I won’t do what you tell me!”: Elevated mood and the assessment of advice-taking in euthymic bipolar I disorder. Behaviour Research and Therapy, 44, 1787–1801.

    Article  PubMed  Google Scholar 

  • Miklowitz, D. J., & Johnson, S. L. (2006). The psychopathology and treatment of bipolar disorder. Annual Review of Clinical Psychology, 2, 1–37.

    Article  Google Scholar 

  • Montag, C., Ehrlich, A., Neuhaus, K., Dziobek, I., Heekeren, H. R., Heinz, A., & Gallinat, J. (2010). Theory of mind impairments in euthymic bipolar patients. Journal of Affective Disorders, 123(1–3), 264–269.

    Article  PubMed  Google Scholar 

  • Piff, P., Purcell, A. L., Gruber, J., Hertenstein, M., & Keltner, D. (2012). Contact high: Mania proneness and positive perception of emotional touches. Cognition and Emotion, 1, 1–8.

    Google Scholar 

  • Romans, S. I., & McPherson, H. M. (1992). The social networks of bipolar affective disorder patients. Journal of Affective Disorders, 25, 221–228.

    Article  CAS  PubMed  Google Scholar 

  • Samamé, C., Martino, D. J., & Stejilevich, S. A. (2012). Social cognition in euthymic bipolar disorder: systematic review and meta-analytic approach. Acta Psychiatrica Scandinavica, 125, 266–280.

    Article  PubMed  Google Scholar 

  • Stange, J. P., Shapero, B. G., Jager-Hyman, S., Grant, D. A., Abramson, L. Y., & Alloy, L. B. (2013). Behavioral approach system (BAS)-relevant cognitive styles in individuals with high versus moderate bas sensitivity: A behavioral high-risk design. Cognitive therapy and research, 37(1), 139–149.

    Article  PubMed Central  PubMed  Google Scholar 

  • Thomas, J., & Bentall, R. P. (2002). Hypomanic traits and response styles to depression. British Journal of Clinical Psychology, 41(3), 309–313.

    Article  PubMed  Google Scholar 

  • Wright, S. L., Langenecker, S. A., Deldin, P. J., Rapport, L. J., Nielson, K. A., Kade, B. A., & Zubieta, J.-K. (2009). Gender-specific disruptions in emotion processing in younger adults with depression. Depression and Anxiety, 26, 182–189.

    Article  PubMed Central  PubMed  Google Scholar 

  • Zaki, J., Bolger, N., & Ochsner, K. (2008). It takes two: The interpersonal nature of empathic accuracy. Psychological Science, 19(4), 399–404.

    Article  PubMed  Google Scholar 

  • Zaki, J., Bolger, N., & Ochsner, K. (2009). Unpacking the informational bases of empathic accuracy. Emotion, 9(4), 478–487.

    Article  PubMed  Google Scholar 

  • Zaki, J., & Ochsner, K. (2009). The need for a cognitive neuroscience of naturalistic social cognition. Annals of the New York Academy of Sciences, 1167(1), 16–30.

    Article  PubMed Central  PubMed  Google Scholar 

  • Zaki, J., & Ochsner, K. (2012). The neuroscience of empathy: Progress, pitfalls, and promise. Nature Neuroscience, 15(5), 675–680.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to June Gruber.

Ethics declarations

Conflict of Interest

Hillary Devlin, Jamil Zaki, Desmond Ong, & June Gruber declare that they each have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (national and by the Yale University institutional review board). Informed consent was obtained from all participants prior to the study.

Animal Rights

No animal studies were carried out by the authors for this paper.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Devlin, H.C., Zaki, J., Ong, D.C. et al. Tracking the Emotional Highs but Missing the Lows: Hypomania Risk is Associated With Positively Biased Empathic Inference. Cogn Ther Res 40, 72–79 (2016). https://doi.org/10.1007/s10608-015-9720-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-015-9720-6

Keywords

Navigation