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Individuals with BD experience episodes of an elevated or agitated mood known as mania/hypomania alternating with episodes of depression. (2014) Evaluation of Mood Disorder Questionnaire (MDQ) in Patients with Mood Disorders: A Multicenter Trial across China. Angst J, Felder W, Frey R, Stassen HH: The course of affective disorders: I. 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. 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). 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). https://doi.org/10.1371/journal.pone.0091895.g005. Am J Psychiatry. This refers to a major depressive episode with an onset during pregnancy or following childbirth. Fourth Edition, Text Revision. 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 translated MDQ was found internally consistent (alpha 0.79) and a feasible screening tool. As per the scoring guidelines, if you answer "yes" t… Methods 1,487 being treated for MDD or UD at 12 mental health centers across China, completed the MDQ and subsequently … Yes 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. Of those eligible for diagnostic interview, 38 of 51 (75%) agreed to participate. Twenty‐one studies were included. 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. statement and The MDQ scores of depressive patients with BD-I were higher than those with BD-II, which were higher than for those with UD. Although bipolar disorder is a major public health issue, it is commonly unrecognized even in psychiatric settings [1, 2]. 10.1176/appi.ajp.160.1.178. Performed the experiments: HCY HR JQB ENJ HJP XPW YRF CMY CH TMS ZL JH ZYC YH JS HCL JBZ. Further, the reliability of the diagnostic procedure was not formally tested. Depression. here. 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. No, Is the Subject Area "Diagnostic medicine" applicable to this article? The APA proposes that postpartum psychiatric disorders be considered as one condition with three subclasses: adjustment reaction with depressed m… The Mood Disorder Questionnaire seems to be a feasible method for improving the recognition of bipolar disorder. 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. 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. 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. 10.1016/S0165-0327(98)00112-8. This is not unexpected because the test-retest reliability (or kappa) of the SCID in the … The National Depressive and Manic-Depressive Association 2000 survey of individuals with bipolar disorder. The internal consistency of the translated instrument was found to be good (Cronbach's alpha 0.79). 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). 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. Yes Forty subjects (37%) were positive in the MDQ. The criterion validity of the MDQ was estimated using the SEN, SPE, positive predictive value (PPV), negative predictive value (NPV) and the area under the curve (AUC). Mood disorders may increase your risk of suicide. Whether screening is actually beneficial is related to the quality of current routine diagnostic procedures. The Chinese version of the MINI showed strong reliability and validity in eliciting symptom criteria used to make DSM diagnoses . It was designed to meet the need for a short (approximately 15 minutes) but accurate structured psychiatric interview for multicenter clinical trials . mood dysregulation disorder among children and adolescents is estimated to fall into the 2%–5% range (APA, 2013). This study assessed the sensitivity and specificity of the Mood Disorder Questionnaire as a screening instrument for bipolar spectrum disorders in a general population sample. Am J Psychiatry. The mean ages of the two groups were 38.2 ± 8.0 years and 39.1 ± 12.5 years, respectively. There are disagreements with respect to the scoring of the MDQ. Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China, Affiliation By using this website, you agree to our 2. Determine what stressors are present and the time course of EI supervised the study, analyzed the data and wrote the paper. This section is dedicated to covering all aspects of a wide range of mood disorders. Division of Mood Disorders, Shenzhen Mental Health Centre, Shenzhen Key Lab for Psychological Healthcare, Guangdong, China, * E-mail: email@example.com (TBL); firstname.lastname@example.org (LJL), Affiliation Liu T-B, Rong H, Bi J-Q, Ji E-N, H-J... Failed to complete the C-MDQ, using only part one, is not known MDQ scores of patients. 13 ] various forms of the manuscript participated in this study ; 270 refused to.... 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