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mood disorder questionnaire scholarly articles

Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. ... professional counselor differentiate between the two disorders. Twenty‐one studies were included. Bipolar disorder, previously known as manic depressive illness, is a severe chronic mood disorder characterised by episodes of mania, hypomania, and alternating or intertwining episodes of depression ().No biomarker has yet been approved for diagnosis of any mental disorder and clinical criteria endure. https://doi.org/10.1371/journal.pone.0091895.g001. The Mood Disorder Questionnaire [3] is a short self-report screening instrument, and was translated into Finnish by the authors. Thank you for your inquiry about the Mood and Feelings Questionnaire (MFQ), developed by Adrian Angold and Elizabeth J. Costello in 1987. The present investigation was a pilot study for the ongoing Jorvi Bipolar Study (JoBS). The Chinese version of the MINI showed strong reliability and validity in eliciting symptom criteria used to make DSM diagnoses [24]. Rapid speech or movement. Am J Psychiatry . 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 The MDQ could differentiate BD-I patients from BD-II when only part one was used in the ROC curve analysis (P<0.05, AUC 0.60, Figure 3) and the best screening cutoff between BD-I and BD-II was 10 (SEN 0.37, SPE 0.83, PPV 0.58, NPV 0.59). Sensitivity was 0.64, specificity was 0.80 and the area under curve was 0.75 at the optimal screening cutoff between BD and UD [13]. The study population consisted of 29,133 male smokers aged 50 to 69 years who entered the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study in 1985–1988. It is to be noted that our findings are based only on ten bipolar II patients and an enriched subsample of patients with bipolar disorder. Less than half of those diagnosed with bipolar disorder in the SCID interview had had a ICD-10 diagnosis of bipolar disorder, mania or hypomania, or bipolar schizoaffective disorders before the interview. 10.1016/S0165-0327(02)00333-6. The first survey of the DASP project was carried out in 13 major psychiatric hospitals and units of general hospitals between September 1, 2010 and February 28, 2011. The stable cutoff between BD and UD suggested that the impact of the type of mood episode for the patients with mood disorders on the MDQ score was minimal and could be ignored. This study aims to measure the accuracy of the Chinese version of the MDQ as a screening instrument for bipolar disorder (BPD) in a group of patients with a current major depressive episode. The first two authors supervised the diagnostic process. Correspondence to The group of eligible patients comprised 113 subjects, of whom two (2%) refused and two (2%) were excluded because of not speaking Finnish. 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]. The best screening cutoff between BD and UD was 7 (SEN 0.66, SPE 0.88, PPV 0.59, NPV 0.91). The Mood Disorder Questionnaire improves recognition of bipolar disorder in psychiatric care. Still, mood phases may have an impact on the results of these self-rating questionnaires [19], [20]. Patients then underwent a DSM-IV diagnostic interview using the MINI by a rater who was blind to the C-MDQ results. Table 1 displays the socio-demographic characteristics of the whole sample and separately for patients by diagnosis. Feeling extremely energized or elated. In addition, a systematic sample of every third patient with 4–6 positive items in question 1 of the MDQ was drawn from each setting. Methods 1,487 being treated for MDD or UD at 12 mental health centers across China, completed the MDQ and subsequently … Manage cookies/Do not sell my data we use in the preference centre. No, Is the Subject Area "Psychometrics" applicable to this article? e91895. Depression. For more information about PLOS Subject Areas, click No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, https://doi.org/10.1371/journal.pone.0091895. Patients younger than 18 years were included as long as they verbally agreed to participate and written consent was obtained from patients or guardians. The MDQ could differentiate BD-II patients from UD patients when only part one was used in the ROC curve analysis (P<0.05, AUC 0.83, Figure 2). There were two limitations in the study. Mood disorders may increase your risk of suicide. OM, HV, SL, MP and PA interviewed patients and commented on the manuscript. Three patient groups were screened: (a) all new patients who were referred to treatment in the Department of Psychiatry; (b) all patients who had earlier received treatment in the Department, but now had a new referral, and (c) those already in contact with the facilities, without a clinical diagnosis of ICD-10 schizophrenia, and now showing signs of deteriorating clinical state after at least two months of limited or no symptoms. Therefore, we suggested that only part one of the MDQ (13 items of manic/hypomanic symptoms) should be scored if the MDQ is to be used as a screening tool for the patients with mood disorders in clinical settings. All patients with a positive screen or clinically suspected of having bipolar disorder were invited to be interviewed with the Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version, SCID-CV [5]. Ignoring severity of problems caused (question three) altogether resulted in very low specificity. toms of an adjustment disorder that are experienced and note their impact on daily life. It was not clear if all three parts of the MDQ could be used in clinical settings in China. Cookies policy. Am J Psychiatry. Patients fulfilling the study criteria were invited to participate in the study. The patients' assessments of functional impairment in the part three were influenced mostly by their insight, an area that is typically impaired in the patients with BD [16]–[18]. The internal consistency of the translated instrument was almost as good (Cronbach's alpha 0.79 vs. 0.90) as in the original validation study [3]. The Mood Disorder Questionnaire appears to be a feasible method for improving the recognition of bipolar disorder. A depressive episode is not required for BD-I diagnosis, but it frequently occurs. All interviewers were either psychiatrists or residents with several years experience in psychiatry and relevant training. Article  volume 3, Article number: 8 (2003) The mean ages of the two groups were 38.2 ± 8.0 years and 39.1 ± 12.5 years, respectively. BD is a common disorder. The Diagnostic Assessment Service for People with Bipolar Disorders in China (DASP) is an ongoing national study initiated by the Chinese Society of Psychiatry (CSP) with the aim of developing and testing the usefulness of screening tools for BD in patients treated for MDD. Journals related to Conduct Disorders Nevertheless, even using the standard cut-offs several patients with previously unrecognised bipolar II disorders were identified, and in fact, ignoring the last question completely resulted in lower specificity. 2. The study protocol was approved by the Clinical Research Ethics Committees of the respective study centers. Many children show mood disorders, anxiety, learning problems along with conduct disorder symptoms. Risk-taking behavior, such as spending too much money or driving recklessly. What are the symptoms of common mood disorders? Hypomania, as defined in the DSM-IV, must not be related to marked impairment [12]. Lifetime prevalence estimates are 1.0% for BD-I, 1.1% for BD-II, and 2.4% for subthreshold BD in the general adult population (aged ≥18 years) in the United States [1]. Archiv Psychiatr Nervenkr. Citation: Yang H-C, Liu T-B, Rong H, Bi J-Q, Ji E-N, Peng H-J, et al. However, the optimal cut-off within this sample was found to be eight symptoms but accepting also minor problems due to episodes (sensitivity 0.90, specificity 0.59). 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). Having minor problems might be enough. No, Is the Subject Area "Neuropsychological testing" applicable to this article? Forty subjects (37%) were positive in the MDQ screen. Demographics and illness characteristics of the first 261 patients. 2011). Suppes T, Leverich GS, Keck PE, Nolen WA, Denicoff KD, Altshuler LL, McElroy SL, Rush AJ, Kupka R, Frye MA, Bickel M, Post RM: The Stanley Foundation Treatment Outcome Network II. The first question includes 13 items, symptoms or behaviors related to a manic or hypomanic syndrome. Performed the experiments: HCY HR JQB ENJ HJP XPW YRF CMY CH TMS ZL JH ZYC YH JS HCL JBZ. Finally, the generalizability of our findings within Finland, or to other countries, is not known. EI supervised the study, analyzed the data and wrote the paper. The study was initiated by the Chinese Society of Psychiatry (CSP) with support from AstraZeneca China. Exclusion criteria included a past diagnosis of BD, ongoing significant medical or neurological condition(s), depressive disorders secondary to a general medical or neurological condition, or having received electroconvulsive therapy (ECT) in the past month. Sleep curtailment in adolescents is a serious problem in many societies, but insufficient action is being taken to stem this tide. 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. The sensitivity was considerably less than that found in the psychiatric outpatient group. Given the relatively good resources and interest in bipolar disorder in the Jorvi psychiatric facilities, we expect recognition to be at least not worse than elsewhere in Finland. In a large community cohort in Europe, the prevalence of bipolar disorder (BD-I and BD-II) based on the DSM-IV criteria was 5.5% [2]. The internal consistency of the translated instrument was found to be good (Cronbach's alpha 0.79). This was a placebo-controlled trial to test whether supplementation … 1,487 being treated for MDD or UD at 12 mental health centers across China, completed the MDQ and subsequently examined by the Mini International Neuropsychiatric Interview (MINI). Whether screening is actually beneficial is related to the quality of current routine diagnostic procedures. Agitation, restlessness, or irritability. Because the mean MDQ score of the patients with BD-I was highest and that of UD was lowest, and MDQ could screen BD-II patients from UD patients by ROC analysis, we did not compare BD-I and UD in the ROC analysis. The MDQ could not differentiate BD patients from UD patients at the cutoff of 7 when all three parts of the MDQ were used in the ROC curve analysis (P>0.05, AUC 0.59, SEN 0.22, SPE 0.97, PPV 0.65, NPV 0.83, Figure 4). If the best cutoff of 6 between BD-II and UD was used as the optimal screening cutoff between BD and UD, the MDQ could not differentiate BD patients from UD when all three parts of the MDQ were used in the ROC curve analysis (P>0.05, AUC 0.60, SEN 0.24, SPE 0.96, PPV 0.58, NPV 0.83, Figure 5). No, Is the Subject Area "Depression" applicable to this article? Yes This is not unexpected because the test-retest reliability (or kappa) of the SCID in the … Although bipolar disorder is a major public health issue, it is commonly unrecognized even in psychiatric settings [1, 2]. As per the scoring guidelines, if you answer "yes" t… Onset is typically between one week and one month following childbirth. The authors are grateful to all the clinicians who helped to organize the study at each study site. 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. Clinical trials have indicated that the MDQ has a high rate of accuracy; it is able to identify seven out of ten people who have bipolar disorder and screen out nine out of … This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 1997, Washington, DC, American Psychiatric Press. This study is the first to examine an existing stress-model from the general population, in patients diagnosed with adjustment disorders, using a longitudinal design. Objective Adjustment disorders are re-conceptualized in the DSM-5 as a stress-related disorder; however, besides the impact of an identifiable stressor, the specification of a stress concept, remains unclear. The First Hospital of Harbin Medical University, Heilongjiang, China, Affiliation The Third Affiliated Hospital of Sun Yat-Sen University, Guangdong, China. PLOS ONE promises fair, rigorous peer review, Women may experience many types of psychiatric problems after childbirth. Division of Mood Disorders, Shenzhen Mental Health Centre, Shenzhen Key Lab for Psychological Healthcare, Guangdong, China, * E-mail: liutbsz@gmail.com (TBL); llj2920@163.com (LJL), Affiliation 10.1016/S0165-0327(98)00112-8. For more information about PLOS Subject Areas, click J Clin Psychiatry. Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. It only shows that within this sample, the optimal cut-offs would have been different. Mood Disorder Psychology. 1998, 50: 163-173. Ghaemi SN, Boiman EE, Goodwin FK: Diagnosing bipolar disorder and the effect of antidepressants: a naturalistic study. Receiver Operating Characteristic(ROC) curves were used to determine the ability of the MDQ to differentiate between BD (BD, BD-I and BD-II) and MDD or UD and patients with BD-I from patients with BD-II. 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). OBJECTIVE: This study tested the validity in the adult general population of the Mood Disorder Questionnaire, a screening instrument for bipolar I and II disorders.The Mood Disorder Questionnaire has been validated in a psychiatric outpatient study group. Is the Subject Area "Bipolar disorder" applicable to this article? 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). Bipolar disorder (BD), also known as bipolar affective disorder or manic-depressive disorder. Contributed reagents/materials/analysis tools: HCY. This was a pilot study for the current Jorvi Bipolar Study (JoBS). Hirschfeld RMA, Williams JBW, Spitzer RL, Calabrese JR, Flynn L, Keck PE, Flynn L, Keck PE, Lewis L, McElroy SL, Post RM, Rapport DJ, Russell JM, Sachs GM, Zajecka J: Development and validation of a screening instrument for bipolar spectrum disorder: The Mood Disorder Questionnaire. The Chinese version of the MDQ (C-MDQ) has been validated in China [13]. Therefore, it was necessary to study the response of the patients with mood disorders to the MDQ during their depressive phase. Of the 1,487 patients, 309 (20.8%) satisfied the DSM-IV criteria for BD: 118 (7.9%) for BD-I and 191 (12.8%) for BD-II. Altogether 109 (96%) patients were screened. The second part asks whether two or more manic/hypomanic symptoms have been experienced during the same period. The Mood Disorder Questionnaire is a feasible screen for bipolar disorder, which could well be integrated into psychiatric routine practice. Depressive Disorders. The screening for bipolar disorder was conducted at the Department of Psychiatry at Jorvi Hospital, part of the Helsinki University Central Hospital, from 1st–31st October, 2001. Their mean age was 37.9 ± 11.4 years, and 56 (51%) were female. here. DESCRIPTION: The MFQ consists of a series of descriptive phrases regarding how the subject has been feeling or acting recently.Codings reflect whether the phrase was descriptive of the subject most of the time, sometimes, or not at all in the past two weeks. Several methodological limitations should be noted, some suggesting caution in interpreting the findings. CAS  Peking University Institute of Mental Health, Beijing, China, Affiliation Depression in bipolar disorder (BD) patients presents major clinical challenges. As the predominant psychopathology even in treated BD, depression is associated not only with excess morbidity, but also mortality from co-occurring general-medical disorders and high suicide risk. Yes In part one, the MDQ screens for a lifetime history of manic/hypomanic symptoms using 13 yes/no items. Individuals with BD experience episodes of an elevated or agitated mood known as mania/hypomania alternating with episodes of depression. These settings were evenly distributed in China and served both catchment area patients and patients from neighboring areas. In our diagnosed sample, accepting minor impairment too, but necessitating eight symptoms, was found to be the optimal cut-off. 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. 10.1016/S0165-0327(01)00432-3. The Mood Disorder Questionnaire [3] is a recently developed and simple screening method already validated in a US multicenter study. Estimated to fall into the 2 % –5 % range ( APA ): diagnostic statistical! 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