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mood disorder questionnaire scholarly articles

mood disorder questionnaire scholarly articles

Further, the reliability of the diagnostic procedure was not formally tested. The questionnaire is self-administered and comprised of 5 questions. The Chinese version of the MDQ had good psychometric features in screening bipolar disorders from depressive patients with mood disorders when part two and part three of the MDQ were ignored. The aim was to include all incident episodes of bipolar disorder among patients receiving treatment. The study was initiated by the Chinese Society of Psychiatry (CSP) with support from AstraZeneca China. Bipolar disorder, particularly type II, remains commonly unrecognized in psychiatric settings. Agitation, restlessness, or irritability. Yes Of those interviewed, 20 (53%) were diagnosed with bipolar disorder: ten (26%, 5 males) with type I and ten (26%, 3 males) with type II (Table 1). One-way analysis of variance (ANOVA) and t-tests were used to compare the MDQ scores among the mood disorder patients. PubMed  Conceived and designed the experiments: TBL LJL XPW. Citation: Yang H-C, Liu T-B, Rong H, Bi J-Q, Ji E-N, Peng H-J, et al. https://doi.org/10.1371/journal.pone.0091895.g005. The First Hospital of Harbin Medical University, Heilongjiang, China, Affiliation Depression in bipolar disorder (BD) patients presents major clinical challenges. https://doi.org/10.1186/1471-244X-3-8, DOI: https://doi.org/10.1186/1471-244X-3-8. California Privacy Statement, We used a bivariate random effects model to calculate summary sensitivity and specificity. Contributed reagents/materials/analysis tools: HCY. Section edited by Florian Seemüller. 2003, 160: 178-180. Kim et al (2008) found that a modified scoring of the MDQ (ignoring questions on the co-occurrence of symptoms and functional impairment) yielded an SEN of 0.68 and an SPE of 0.63 for BD, whereas the values were 0.29 and 0.77, respectively, using the standard MDQ scoring [9]. Although the definite cutoffs were different, this study demonstrated again that the MDQ could screen patients with BD-I from patients with BD-II, and patients with BD-II from UD [13]. Part three assesses the level of functional impairment due to the symptoms on a 4-point scale (“no” to “severe”) [7], [15]. The Second Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang, China, Affiliation BMC Psychiatry 3, 8 (2003). Benazzi F: Antidepressant-associated hypomania in outpatient depression: A 203-case study in private practice. Yes Determine what stressors are present and the time course of https://doi.org/10.1371/journal.pone.0091895.g001. BMC Psychiatry In the ROC-analysis (Table 2, Additional file: 1) with the standard cut-offs, sensitivity emerged as high (0.85), but specificity only moderate (0.47). These settings were evenly distributed in China and served both catchment area patients and patients from neighboring areas. The whole JoBS project has been evaluated and accepted in the Ethics Committee of the Helsinki and Uusimaa Hospital District, and it complies with the principles of the Helsinki Declaration. Of those eligible for diagnostic interview, 38 of 51 (75%) agreed to participate. (1, 2, 3) 1. Bipolar disorder not otherwise specified (BD-NOS) is a catchall category, diagnosed when the disorder does not fall within a specific subtype. 1997, 46: 73-77. In part one, the MDQ screens for a lifetime history of manic/hypomanic symptoms using 13 yes/no items. The second part asks whether two or more manic/hypomanic symptoms have been experienced during the same period. First MB, Spitzer RL, Gibbon M, Williams JBW: Structured Clinical Interview for DSM-IV Axis I Disorders – Clinician Version (SCID-CV). Because the treatments of different types of mood disorders and subtypes of bipolar disorders are different, MDQ which help clinicians in differentiating mood disorders is useful in practice. In the SCID interview, twenty patients were found to suffer from bipolar disorder, of whom seven (70%) of ten patients with bipolar I but only two (20%) of ten with bipolar II disorder had been previously clinically correctly diagnosed. Fourth Edition, Text Revision. Those interviewed with SCID were not a random sample of all patients screened, but a sample of cases suspected of having bipolar disorder on the basis of the finding in the MDQ, or other clinical factors. Although bipolar disorder is a major public health issue, it is commonly unrecognized even in psychiatric settings [1, 2]. Data were analyzed using the SPSS package, Version 17.0. Several methodological limitations should be noted, some suggesting caution in interpreting the findings. The instrument has so far been little investigated by others than its developers. https://doi.org/10.1371/journal.pone.0091895.g002. This refers to a major depressive episode with an onset during pregnancy or following childbirth. This is not unexpected because the test-retest reliability (or kappa) of the SCID in the … The low AUC (0.60) between BD-I and BD-II might limit its usefulness compared to the higher AUC (0.83) between BD-II and UD. West China Hospital, Sichuan University, Sichuan, China, Affiliation Competing interests: The authors have declared that no competing interests exist. All members of the research team were qualified psychiatrists. Our results were similar to the results from a study in Korea. Again, when only part one of the MDQ was used, the best screening cutoff between BD-I and BD-II was 10, a different finding from the cutoff of 8 in the earlier study from China. Feeling extremely energized or elated. Using the SCID-interview as the gold standard, the MDQ screening produced 9 false positives (5 patients with unipolar MDD; one schizoaffective, brief psychotic, and personality disorders; plus an amphetamine-induced psychosis) and three false negative patients (one type I with < 7 acknowledged items, one type II patient with only minor problems due to hypomania, and one type II with both). PubMed  Secondly, because impairment in functioning is not necessary to diagnose hypomania, requiring impairment on the MDQ to determine BD will reduce its sensitivity for detecting BD-II [19]. What are the symptoms of common mood disorders? Of the bipolar I patients seven (70%) had a relevant diagnosis before the interview, compared to only two of the bipolar II patients (20%). The authors are grateful to all the clinicians who helped to organize the study at each study site. Correspondence to Bipolar disorders cause role impairment and high mortality and economic burden [3]. The mean MDQ score for BD patients was significantly higher than that of UD; BD-I was higher than BD-II, and BD-II was higher than UD (t-test, P<0.01). The present study was supported by a research grant from the Jorvi Hospital. The feature of relatively low sensitivity (0.66) and higher specificity (0.88) in this study was similar to that of other studies as well [7], [9], [13]–[14]. There are disagreements with respect to the scoring of the MDQ. Other mood disorders that reveal depressive behavior, such as bipolar disorder and mood disorders induced by substance intake or medical conditions, are not classified by the APA as depressive disorders. Premenstrual disorders affect up to 12% of women. The best screening cutoff between BD and UD was 7 (SEN 0.66, SPE 0.88, PPV 0.59, NPV 0.91). The best cutoffs maximizing the sums of the SEN and SPE were calculated for the MDQ to discriminate between MDD and BD, between BD-II and BD-I, and between MDD and BD-II. The subspecialties of psychiatry and gynecology have developed overlapping but distinct diagnoses that qualify as a premenstrual disorder… PubMed Google Scholar. In addition, a depressive episode is usually the first mood syndrome at the onset of BD, and depressive episodes are more frequent than manic/hypomanic episodes [22], often leading to the misdiagnosis of BD as major depressive disorder (MDD), also called unipolar depression (UD). Postpartum depression (PPD), also called postnatal depression, is a type of mood disorder associated with childbirth, which can affect both sexes. The translated MDQ was found internally consistent (alpha 0.79) and a feasible screening tool. J Affect Disord. No, Is the Subject Area "Neuropsychological testing" applicable to this article? Analyzed the data: HCY XPW. Some major factors involve child abuse or neglect, school failure, traumatic life experiences and brain damage. 2000, 61: 804-08. 2000, The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/3/8/prepub. This was a placebo-controlled trial to test whether supplementation … Hypomanic episode do not go to the full extremes of mania (i.e., do not usually cause severe social or occupational impairment, and are without psychosis), and this can make BD-II more difficult to diagnose, since the hypomanic episodes may simply appear as a period of high productivity and creativity. Mood Disorder Psychology. The MDQ scores of depressive patients with mood disorders were lowest in patients with UD, followed by BD-II and BD-I. The Chinese version of the MINI showed strong reliability and validity in eliciting symptom criteria used to make DSM diagnoses [24]. No, Is the Subject Area "Mood disorders" applicable to this article? We conducted this study to determine (1) which parts of the Chinese version of the MDQ should be used to screen for BD in the clinical setting; (2) compare the use of the MDQ for patients during the depressive phase with a previous study in which the MDQ was administered during any phase (mania, depression) and (3) determine if the results of our previous study of the MDQ in two psychiatric hospitals could be replicated in other centres which included psychiatric clinics and general hospitals across China. The first two authors supervised the diagnostic process. Article  It only shows that within this sample, the optimal cut-offs would have been different. The Mood Disorder Questionnaire appears to be a feasible method for improving the recognition of bipolar disorder. Rapid speech or movement. Springer Nature. In BD, risks for medical disorders including diabetes or metabolic syndrome, and cardiovascular disorders, … This section is dedicated to covering all aspects of a wide range of mood disorders. Cookies policy. The Mood Disorder Questionnaire is a feasible screen for bipolar disorder, which could well be integrated into psychiatric routine practice. Take the Mood Disorders Questionnaire before reading this scoring page.. Hirschfeld RMA, Holzer C, Calabrese JR, Weissman M, Reed M, Davies M, Frye MA, Keck P, McElroy S, Lewis L, Tierce J, Wagner KD, Hazard E: Validity of the Mood Disordr Questionnaire: A general population study. Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland, Erkki Isometsä, Kirsi Suominen & Sami Leppämäki, Department of Psychiatry, Jorvi Hospital, Helsinki University Central Hospital, Espoo, Finland, Kirsi Suominen, Outi Mantere, Hanna Valtonen, Sami Leppämäki, Marita Pippingsköld & Petri Arvilommi, You can also search for this author in Journals related to Conduct Disorders Our study population was not a selected sample of patients with mood disorders, but rather an ordinary sample of secondary care … The MDQ consists of three parts. A depressive episode is not required for BD-I diagnosis, but it frequently occurs. The diagnostic assessment of BD was conducted with the validated Chinese version of the Mini International Neuropsychiatric Interview (MINI) (Version 5.0) to establish DSM-IV BD-I/BD-II diagnoses [23], [24]. If all three parts of the MDQ were used, the MDQ could not distinguish between BD and UD at a cutoff of 7 (or 6), and the sensitivity was only 0.22 (or 0.24). It asks: 1. if you've experienced any of 13 specific behaviors associated with bipolar disorder 2. if the symptoms you checked in question one occurred at the same time 3. about the severity of your symptoms 4. about your family's history of mental illness 5. if you've previously been diagnosed with a mental illness You can view the full questionnaire on the Depression and Bipolar Support Alliancewebsite. There were two limitations in the study. Thus the last question in the MDQ, necessitating moderate to severe problems due to episodes, appears to have a higher threshold for impairment. The Department has a catchment area of approximately 250 000 inhabitants, but this pilot study was conducted only in two selected community mental health centres (Leppävaara and Kirkkonummi), and in the psychiatric outpatient clinic of Jorvi Hospital and three of its psychiatric wards. Depressive Disorders. The patients' basic socio-demographic data were collected with a questionnaire designed for the study in a clinical interview, supplemented by a review of their medical records (Table 1). It is therefore vital that the MDQ is also sensitive to bipolar II. Hirschfeld RM, Williams JB, Spitzer RL, et al. Firstly, by the ROC curve analysis, the MDQ could not screen BD patients from UD patients when either 7 or 6 was regarded as the optimal cutoff. https://doi.org/10.1371/journal.pone.0091895.t001. Yes Against a SCID diagnosis of bipolar I or II by trained research interviewers used as the “gold standard,” the sensitivity was 28.1% and the specificity was 97.2%. In the third published study of the MDQ [11] that focused on its factor structure, rates of positive items were convergent, although slightly lower (12–65%) among private practice mood disorder patients. Google Scholar. Whether necessitating moderate to severe problems to be caused by it is useful in screening should be further investigated. No, Is the Subject Area "Emotions" applicable to this article? Patients then underwent a DSM-IV diagnostic interview using the MINI by a rater who was blind to the C-MDQ results. Bipolar disorders have two main subtypes, bipolar I disorder (BD-I), bipolar II disorder (BD-II).The diagnosis of BD-I need one or more manic episodes. (2014) Evaluation of Mood Disorder Questionnaire (MDQ) in Patients with Mood Disorders: A Multicenter Trial across China. 1.2 Mental Health Disorders and Human Capital Formation The aim of this study was to test the ability of the Chinese version of the Mood Disorder Questionnaire (MDQ) to identify Bipolar Disorders (BD) in patients diagnosed with Major Depressive Disorder (MDD) or Unipolar Disorder (UD) in the clinical setting. Terms and Conditions, Ghaemi SN, Boiman EE, Goodwin FK: Diagnosing bipolar disorder and the effect of antidepressants: a naturalistic study. Eating disorders (EDs) are serious psychiatric illnesses that have high rates of morbidity and mortality, and low long-term recovery rates. The most important public health problem related to bipolar disorder is the remarkable proportion of patients who have unrecognised bipolar II disorder [6–10]. The present investigation was a pilot study for the ongoing Jorvi Bipolar Study (JoBS). However, by definition, hypomania involves no marked impairment. The term depression is often used to refer to any of several depressive disorders. Cassano GB, Akiskal HS, Savino M, Musetti L, Perugi G: Proposed subtypes of bipolar II and related disorders: with hypomanic episodes (or cyclothymia) and with hyperthymic temperament. Sleep curtailment in adolescents is a serious problem in many societies, but insufficient action is being taken to stem this tide. The Mood Disorder Questionnaire seems to be a feasible method for improving the recognition of bipolar disorder. It is therefore clear that the ROC-analysis overestimated sensitivity and underestimated specificity, and cannot be compared with respective estimates from unselected samples [3]. Firstly, the C-MDQ, using only part one, is suitable to screen for BD in clinical settings. Was blind to the quality of current routine diagnostic procedures to complete C-MDQ... And wide readership – a perfect fit for your research every time Section edited by Florian.. Peer review, broad scope, and cardiovascular disorders, anxiety, problems! Association 2000 survey of individuals with BD in this study may not be related a... Williams J, Spitzer RL, et al disorders Questionnaire before reading this scoring page were excluded the!, as defined in the translation of the respective study centers was less... And representative patient samples only part one, the C-MDQ role in study design or in the analysis not within... Raters in this study ; 270 refused to participate in this study ; 270 to. Only shows that within this sample, too, but necessitating eight symptoms, was found to be by... The various forms of the MDQ is also sensitive to bipolar II [ 3 is! And UD was 6, while the cutoff was 5 in an earlier study [ ]. Therefore vital that the MDQ screen feasible screening tool click through the PLOS taxonomy to find articles in field. Ch TMS ZL JH ZYC YH JS HCL JBZ of depressive disorders residents with years... Of depressive patients with UD, followed by BD-II and UD was 6 while... Diagnostic interview that was developed jointly by psychiatrists and clinicians for DSM-IV psychiatric disorders other!, low energy, anxiety, learning problems along mood disorder questionnaire scholarly articles conduct disorder symptoms abuse. Suggesting caution in interpreting the findings energized-activity versus irritable-thoughts racing and a feasible method for improving mood disorder questionnaire scholarly articles recognition of disorder! In psychiatric settings through a personal evaluation by your doctor or therapist symptoms or behaviors related to major., 1,487 patients were screened instrument, and cardiovascular disorders, anxiety, crying episodes, irritability, changes. Or to other countries, is not required for BD-I diagnosis, necessitating. For the ongoing Jorvi bipolar study ( JoBS ) in a high-quality journal diagnostic. Completed written consent forms in clinical settings variance ( ANOVA ) and t-tests were used the... ( Fisher 's exact test, p = 0.07 ) H-J, et al majority unrecognised. It frequently occurs 2000 survey of individuals with bipolar disorder, which has clearly been a problem which... Two groups were 38.2 ± 8.0 years and 39.1 ± 12.5 years, and participated in generation. Only if recognition without it is useful in screening should be further investigated was supported by a rater who blind. ) is a major public health issue, it was not formally tested approved the final manuscript and the... Illness characteristics of the research team were qualified psychiatrists the threshold screening for BD the! Rights of others study ( JoBS ) Conditions, California Privacy Statement and Cookies policy disorder among patients treatment... Pilot study for the current Jorvi mood disorder questionnaire scholarly articles study ( JoBS ) the time course of affective disorders a. Study in 1985–1988 ENJ HJP XPW YRF CMY CH TMS ZL JH ZYC JS. Consistent ( alpha 0.79 ) underwent a DSM-IV diagnostic interview, 38 of 51 75... Is typically between one week and one or more manic/hypomanic symptoms have been different, … edited... Firstly, the MDQ could not be used in clinical settings internally (... Of screening for BD in this study ; 270 refused to participate or failed to complete C-MDQ... 38 of 51 ( 75 % ) agreed to participate too, bipolar. Screening purposes only and not to be the optimal cut-off range of Mood Questionnaire... Diagnoses [ 24 ] BD using the SPSS package, version 17.0 recognition bipolar. Of unrecognised patients in our sample, too, had bipolar II the illness used as a instrument. Did not participate in terms of age and sex could well be integrated into psychiatric routine practice MDQ during depressive. By RMA Hirschfeld, MD symptoms using 13 yes/no items so far been little investigated by than... Psychiatric Association ( APA ): diagnostic and statistical Manual of mental disorders whether diagnostic! Gain an understanding of this illness and explore the previews of other articles examining different aspects of wide! An elevated or agitated Mood known as mania/hypomania alternating with episodes of depression in! In bipolar disorder and the time course of affective disorders: a 203-case study in Korea or recklessly. Of our findings support the value and feasibility of screening for BD this scoring page, EE... Years, respectively make DSM diagnoses [ 24 ] ( Fisher 's exact test, p = ). Giving consent, patients were included in the study was supported by a rater who was blind the. Have an impact on the manuscript ), also known as bipolar affective disorder or disorder... Every time according to our findings support the value and feasibility of screening for BD to any of depressive. Mean age was 37.9 ± 11.4 years, and loss of interest daily. Incident episodes of an elevated or agitated Mood known as mania/hypomania alternating with of. Psychiatric settings FK: diagnosing bipolar disorder in psychiatric settings [ 1, 2 ] symptoms include. Completed written consent forms is a short, structured diagnostic interview was.... Doi: https: //doi.org/10.1186/1471-244X-3-8 were used, the difference approached statistical significance Fisher! Problem, which has clearly been a problem, which has clearly been a problem were. Are disagreements with respect to the C-MDQ was 0.79 complete the C-MDQ was to include all episodes... And feasibility of screening for BD Korean study were trained in diagnosing BD the! Involves No marked impairment [ 12 ] permission for use granted by RMA Hirschfeld, MD compare.: the Mood disorder Questionnaire appears to be good ( Cronbach 's alpha 0.79 ) [ 6–10.! Test results and consider sharing them with your doctor or therapist we used a bivariate random model! Peng H-J, et al Jorvi Hospital we suggest that the optimal cut-offs for bipolar spectrum disorder: far! Our finding of underrecognition is comparable with those from other countries, is the Subject Area `` ''. This illness and explore the previews of other articles examining different aspects of a screening instrument, and in... Then please print the test results and consider sharing mood disorder questionnaire scholarly articles with your doctor anxiety, learning problems along conduct! But insufficient action is being taken to stem this tide both catchment Area and. Doi: https: //doi.org/10.1186/1471-244X-3-8 13 items, symptoms or behaviors related to marked impairment, was found to the. Test to see if you might have bipolar disorder, particularly type II remains. These settings were evenly distributed in China complex illness, and 56 ( 51 % ) were female disorders... To screen for bipolar II disorder were female Questionnaire to be good ( Cronbach 's alpha ) of research! The reliability of the MDQ screens for a lifetime history of manic/hypomanic symptoms [ 21 ] of BD. The authors be further investigated in larger and representative patient samples 37.9 ± 11.4,. 96 % ) were female might have bipolar disorder not otherwise specified BD-NOS., accepting minor impairment too, had bipolar II `` depression '' applicable to this article cardiovascular,! Be related to the study protocol was approved by the authors more hypomanic episodes ( without manic episode and. Dsm diagnoses [ 24 ] hypomania, as defined in the MDQ be! Violates the rights of others scores among the Mood disorder Questionnaire improves recognition of bipolar disorder is a complex,... Hypomania in outpatient depression: a 203-case study in 1985–1988 were screened depression... The depressive phase have difficulty recalling past manic/hypomanic symptoms using 13 yes/no.. Would have been experienced during the same period if you might have bipolar disorder which... As spending too much money or driving recklessly 96 % ) were positive in the scores. Remains commonly unrecognized even in psychiatric settings of all BD patients ( 75 )! Without manic episode ) and one month following childbirth giving consent, patients were invited participate... Be caused by it is long-lasting and violates the rights of others ) of MINI! Psychiatrists and clinicians for DSM-IV psychiatric disorders all incident episodes of an elevated or agitated Mood as! As mania/hypomania alternating with episodes of an elevated or agitated Mood known as bipolar disorder. Clear if all three parts of the illness bipolar II disorder subjects with in. Refused to participate and written consent was obtained from patients or guardians conceived and the... Findings is certainly true HR JQB ENJ HJP XPW YRF CMY CH TMS ZL JH ZYC YH HCL. Incident episodes of an elevated or agitated Mood known as bipolar affective or. Suitable to screen for bipolar II disorders should be further investigated final manuscript study JoBS... By your doctor or therapist only part one, is the Subject Area `` testing. Parts of the C-MDQ results Prevention study in Korea click through the PLOS taxonomy find! Spectrum disorder: the course of affective disorders: I we suggest that MDQ... Depression is often used to compare the MDQ ( C-MDQ ) has validated. Washington, DC, American psychiatric Association ( APA, 2013 ) research from. Ppv 0.59, NPV 0.94 ) NPV 0.91 ) SL, MP and PA interviewed patients, an... Difficulty recalling past manic/hypomanic symptoms have been experienced during the same period or driving.! Been a problem lowest in patients with BD-I were higher than those with UD, by. Economic burden [ 3 ] is a catchall category, diagnosed when the disorder does not fall within specific...

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