Behavioral response to naturally occurring stress in cyclothymia and dysthymia.

Outlines an approach to epidemiologic-type life-stress studies that involves the intensive study of smaller groups of well-defined disordered individuals across the course of the response. On the basis of their previous research, the authors suggest that cyclothymia may be characterized by poor regulation of biologic and behavioral variation and that this condition may be exaggerated by stress. To extend the evidence on poor regulation generated in laboratory studies of cortisol functioning, 31 cyclothyme patients and 24 normal controls (median age 19.3 yrs) were asked to provide daily ratings of moods and events over 28 consecutive days. Data show that Ss with cyclothymia showed prolonged duration of recovery of behavioral levels compared to controls. Findings support a notion of weak inhibitory modulation in certain CNS systems that control biologic and behavioral variables related to affective disorder. It is suggested that the prolonged duration of behavioral change in cyclothymia is unlikely to be the consequence of concurrent depression and that the nature of prolonged recovery to stress in cyclothymia reflects the operation of an endogenous regulatory process, as opposed to a cognitive appraisal bias. (33 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)