Development and validation of a screening instrument for bipolar spectrum disorder: The mood disorder questionnaire

Development and validation of a screening instrument for bipolar spectrum disorder: The mood disorder questionnaire
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DOI:
10.1176/appi.ajp.157.11.1873
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发表时间:
2000-11-01
影响因子:
17.7
通讯作者:
Zajecka, J
Zajecka, J
中科院分区:
医学1区
文献类型:
--
作者:
Hirschfeld, RMA;Williams, JBW;Zajecka, J

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目的:双相谱系障碍包括双相I、双相II和双相障碍,通常未被发现、诊断和治疗。本报告描述了一种新的简短的双相情感障碍自我报告筛查工具的有效性,称为情绪障碍问卷。方法:共有198名患者在五家主要治疗情绪障碍患者的门诊完成了情绪障碍问卷调查。一名研究人员对情绪障碍问卷的结果视而不见,利用DSM-IV结构化临床访谈中的双相模块进行了电话研究诊断访谈。结果:情绪障碍问卷筛选得分在7个或更多条目时,获得了良好的敏感性(0.73)和很好的特异性(0.90)。结论:情绪障碍问卷是精神科门诊人群中筛选双相情感障碍的有用工具。
Objective: Bipolar spectrum disorders, which include bipolar I, bipolar II, and bipolar disorder not otherwise specified, frequently go unrecognized, undiagnosed, and untreated. This report describes the validation of a new brief self-report screening instrument for bipolar spectrum disorders called the Mood Disorder Questionnaire.Method: A total of 198 patients attending five outpatient clinics that primarily treat patients with mood disorders completed the Mood Disorder Questionnaire. A research professional, blind to the Mood Disorder Questionnaire results, conducted a telephone research diagnostic interview by means of the bipolar module of the Structured Clinical Interview for DSM-IV.Results: A Mood Disorder Questionnaire screening score of 7 or more items yielded good sensitivity (0.73) and very good specificity (0.90).Conclusions: The Mood Disorder Questionnaire is a useful screening instrument for bipolar spectrum disorder in a psychiatric outpatient population.