Prognostic Trajectories in Adolescent Bipolar Disorder During Remission: Interactions among Metacognition, Goal Orientation, and Social Support
DOI:
https://doi.org/10.61173/c2sq5x04Keywords:
Bipolar Disorder, adolescent, metacognition, goal orientation, social supportAbstract
Background: Adolescent bipolar disorder (BD) is widely recognized as a severe psychiatric condition with a markedly elevated risk of relapse. Although a subset of patients attain symptom control during remission under clinical care, long-term prognostic trajectories still display substantial heterogeneity. Methods: To clarify determinants relevant to remission, this review systematically retrieved and compared literature via keyword-based searches across major databases, including Google Scholar and CNKI, spanning 2000–2025; classic theoretical works were also consulted to strengthen the conceptual foundation and to offer a more integrated perspective. Results: Evidence suggests that metacognition, goal orientation, and social support do not operate in isolation. Rather, they form a dynamic, mutually reinforcing cycle that exerts a marked influence on functional recovery among adolescents with BD during remission. Conclusion and Significance: The three factors emerge as core elements shaping remission outcomes and informing intervention design. They provide a robust theoretical basis together with practical implications for facilitating stable remission and for fostering more favorable long-term trajectories in adolescents with BD.
References
[1] Nusslock, R., Mittal, V. A., & Alloy, L. B. (2025). Reward processing in mood disorders and schizophrenia: A neurodevelopmental framework. Annual Review of Clinical Psychology, 21.
[2] Song, W., Zhang, H., Wang, B., Meng, L., & Fu, J. (2025). Psychosocial factors of relapse in adolescents with bipolar disorder. International Journal of Psychiatry, (3).
[3] Zhang, L., & Jin, L. (2025). Parenting styles and family environment characteristics of adolescents with bipolar disorder. International Journal of Psychiatry, (1).
[4] Lu, C., Duan, W., & Wang, F. (2025). The relationship between stigma and quality of life in patients with bipolar disorder: The mediating role of self-efficacy and social support. Journal of Clinical Psychosomatic Diseases, 31(1), 45–50.
[5] Haffner, P., Quinlivan, E., Fiebig, J., Sondergeld, L. M., Strasser, E. S., Adli, M., … Stamm, T. J. (2018). Improving functional outcome in bipolar disorder: A pilot study on metacognitive training. Clinical Psychology and Psychotherapy, 25(1), 50–58.
[6] Batmaz, S., Altinoz, A. E., & Sonkurt, H. O. (2021). Cognitive attentional syndrome and metacognitive beliefs as potential treatment targets for metacognitive therapy in bipolar disorder. World Journal of Psychiatry, 11(9), 589–600.
[7] Ames, C. (1992). Classrooms: Goals, structures, and student motivation. Journal of Educational Psychology, 84(3), 261–271.
[8] Pintrich, P. R. (2000). The role of goal orientation in selfregulated learning. In M. Boekaerts, P. R. Pintrich, & M. Zeidner (Eds.), Handbook of Self-Regulation (pp. 451–502). Academic Press.
[9] Kaplan, A., & Maehr, M. L. (2007). The contributions and prospects of goal orientation theory. Educational Psychology Review, 19(2), 141–184.
[10] Taylor, S. E. (2011). Social support: A review. In H. S. Friedman (Ed.), The Oxford Handbook of Health Psychology (pp. 189–214). Oxford University Press.
[11] Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310.
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