Yes No. Conclusion The SMHAT-1 and SMHRT-1 enable that mental health symptoms and disorders in elite athletes are recognised earlier than they otherwise would. [63] was 42.6 ± 7.10, which means that it was lower that the cut-off value for mild depressive symptoms (50). However, care is currently compromised in LMICs by issues such as the stigma, cultural Height, weight, other clinical assessments were taken, while a series of detailed, questionnaires was administered. To screen for bipolar disorder in adult primary care patients and to examine its clinical presentation and effect on functioning. Characteristics of the group are reported in Table 1. with bipolar I, 11 (46%) bipolar II and three (13%) with bipolar, and the median duration since onset at the time of the SCID was, were medically untreated at time of inter, From the full sample of 1066 women there were 21 women (2%), disorder using the SCID. Our group identified the objective(s), target group(s) and approach of the mental health tools. Seventy-five patients (68.2%) who screened positive for bipolar disorder had a current major depressive episode or an anxiety or substance use disorder. For a cut-off point score of 7 positive answers, sensitivity was 72.7% (95% CI = 63.3 - 82.1) and specificity 82.9% (95% CI = 74.9-90.9). CONCLUSIONS: The Mood Disorder Questionnaire is a useful screening instrument for bipolar I and II disorders in the community. The tendency to experience frequent fluctuations in mood may constitute an important risk factor for depression. Am J Psychiatry.2000;157:1873-1875. clinicians quickly become aware of the symptoms, this is not the case for bipolar II disorder. Based on the scoring guidelines recommended by the developers of the MDQ, the sensitivity of the scale was only 63.5% for the entire group of bipolar patients. Boudreaux, ED, Cagande, C, Kilgannon, JH, Clark, S, Camargo, CA. Please read and accept the terms and conditions and check the box to generate a sharing link. should be independently verified with primary sources. Patients who screened positive for bipolar disorder reported worse health-related quality of life as well as increased social and family life impairment compared with those who screened negative. Optimal early treatment of patients with evidence-based medication (typically mood stabilizers and antipsychotics) and psychosocial strategies is necessary. We investigated our translation of The Mood Disorder Questionnaire (MDQ) as a screening instrument for bipolar disorder in a psychiatric setting in Finland. to the results of the MDQ screen, conducted clinical interviews. The Mood Disorder Questionnaire is a useful screening instrument for bipolar I and II disorders in the community. In addition, the results showed that MDQ had relatively good sensitivity (0.73) and specificity (0.90) in an outpatient psychiatric sample (28). Bipolar disorder is indeed a troubled diagnosis. Clinical Practice and Epidemiology in Mental Health. Occurrence of mood disorders among educationally active older adults in Bialystok, Poland: a cross-sectional study, Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries, Differentiating borderline personality from bipolar disorder with the Mood Disorder Questionnaire (MDQ): A replication and extension of the International Mood Network (IMN) Nosology Project, Effects of Behavioral Activation/Inhibition Systems as Predictors of Substance Abuse in Bipolar Patients, Validity of the Mood Disorder Questionnaire in a Brazilian psychiatric population Validação da versão em português do Questionário de Transtornos do Humor em uma população brasileira de pacientes psiquiátricos, International Olympic Committee (IOC) Sport Mental Health Assessment Tool 1 (SMHAT-1) and Sport Mental Health Recognition Tool 1 (SMHRT-1) - towards better support of athletes’ mental health, Lifetime prevalence, sociodemographic correlates, and diagnostic overlaps of bipolar spectrum disorder in the general population of South Korea, The Mood Disorder Questionnaire improves recognition of bipolar disorder in psychiatric care, Screening for Bipolar Disorder in a Primary Care Practice, Epidemiological and clinical aspects of bipolar disorders: Controversies or a common need to redefine the aims and methodological aspects of surveys, Bipolarity in depressive patients without histories of diagnosis of bipolar disorder, and the utility of the MDQ for detecting bipolarity, Bipolarity in depressive patients without histories of diagnosis of bipolar disorder and the use of the Mood Disorder Questionnaire for detecting bipolarity, Development and Validation of a Screening Instrument for Bipolar Spectrum Disorder: The Mood Disorder Questionnaire, Prevalence of Osteoporosis in Australian Women, Validity of the Mood Disorder Questionnaire: A General Population Study, Using Questionnaires to Screen for Psychiatric Disorders: A Comment on a Study of Screening for Bipolar Disorder in the Community, Sensitivity and specificity of Mood Disorder Questionnaire for detecting bipolar disorder, The Post-Anaesthesia N-acetylcysteine Cognitive Evaluation (PANACEA) trial, Cross-Sectional and Longitudinal Relations Between Affective Instability and Depression. By continuing to browse If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. This study provides reference data representative of the Australian female population. disorder. or indirectly in connection with or arising out of the use of this material. The Mood Disorder Questionnaire (MDQ) is a self-report questionnaire designed to help detect bipolar disorder. identified to improve the treatment of patients with Bipolar II in LMICs, and will be followed up. The prevalence of receiving positive screening results for lifetime bipolar disorder was 9.8% (n = 112; 95% confidence interval, 8.0%-11.5%) and did not differ significantly by age, sex, or race/ethnicity. patients’ rights, and monitoring prescribing against agreed guidelines. In the reliability exercise, raters' judgments of BD were compared with the best estimate clinical diagnoses ... Valtonen H, et al. Mood and alcohol/substance use disorders were reassessed using a telephone-based Structured Clinical Interview for DSM-IV. Publication details, including instructions for authors and subscription information: http://www.informaworld.com/smpp/title~content=t768481832, Reliability of the Mood Disorder Questionnaire: comparison with the Structured, Clinical Interview for the DSM-IV-TR in a population sample, Department of Research and Development (RaD), Levanger Hospital, Health Trust Mid-Norway, Norway, Department of Neuroscience, Unit for Psychiatry and Behavioural Science, Faculty of Medicine, Norwegian, University of Science and Technology, Trondheim, Norway, and Biomedical Sciences: Barwon Health, Geelong, Victoria, Australia, Michael(2009)'Reliability of the Mood Disorder Questionnaire: comparison with the Structured Clinical Interview for the DSM-IV-TR in, a population sample',Australian and New Zealand Journal of Psychiatry,43:6,526 — 530, This article may be used for research, teaching and private study purposes. The study used five standardized psychometric scales: The Mood Disorder Questionnaire (MDQ), Hypomania Check List (HCL-32), Geriatric Depression Scale (GDS) and The Zung Self-Rating Depression Scale (Zung SDS). In the present state of our knowledge on course and response to treatment, the current diagnostic thresholds applied for mixed states and hypomanic episodes seem to be unsatisfactory. the Mood Disorder Questionnaire for bipolar disorders in. Using questionnaires to screen for psychiatric disorders: a, comment on a study of screening for bipolar disorder in the, Disorder Questionnaire for screening for bipolar disorder in a. Questionnaire for detecting bipolar disorder. 3220, Australia. Nearly 90.00% of the respondents obtained GDS scores indicating the presence of mild depressive symptoms; however, on the Zung SDS, which also evaluates depression symptom levels, the result obtained in almost the same number of respondents showed an absence of these symptoms. is very variable. Conclusions: This needs to The MDQ has, the MDQ has a high specificity, indicating that few, bipolar disorder, there are potential problems with, people with bipolar disorder may fail to screen, recognition of disorders with a remittent/recurrent, course. The present research examined (a) the relation between MDD and the emotional trait of affective instability, and (b) whether individual facets of affective instability, affect intensity and affect variability, exhibited unique relations with, Abstract It is inconceivable that the diagnostic gold standard should be determined only on the basis of a structured interview of patients alone. The cutoff BMD level for osteoporosis at the PA spine was 0. Equally. countries (LMICs) with typically a limited number of trained personnel and resources. Despite some fluctuations over time and a discrete influence of symptom severity, the screening algorithm can be used reliably, whether in the acute or remission phase of a depressive episode. a concern as this is a complex disease with often misdiagnosis, which is a major issue in lower and middleincome Nevertheless, lifetime prevalence, socioeconomic correlates and diagnostic overlaps of bipolar spectrum disorder (BPS) have not yet been estimated in the general population of South Korean adults. Study 3 also prospectively examined whether affect variability and/or intensity predicted changes in anhedonic depression over two months. be addressed. Methods: involving Australian women recruited from the community. Lean Library can solve it. Fifty-nine patients (53.2%) were classified as having bipolar disorder, leaving a group of 52 (46.8%) with unipolar depression. Of the 21 women who screened, positive using the MDQ, 19 had current or past psychopathologies other than bipolar. Management of BD is METHOD: A total of 711 subjects (stratified by Mood Disorder Questionnaire score) were randomly selected from a group of 85,358 adult respondents in a nationwide epidemiological general population sample that was balanced for key demographic variables. In Study 1, affective instability and MDD were both assessed via clinical interviews in an adult community sample (n=288). The questionnaire is self-administered and comprised of 5 questions. Nearly 80% of the subjects with BPS were co-diagnosed with other DSM-IV non-psychotic mental disorders: 35.4% (95% CI 24.2-48.5) for major depression and dysthymic disorder, 35.1% (95% CI 27.7-43.3) for anxiety disorders, and 51.9% (95% CI 40.5-63.1) for alcohol and nicotine use disorders. 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. We evaluated consecutive patients who satisfied the inclusion criteria of a current depressive episode, plus at least one previous depressive episode. These findings suggest that affective instability and particularly affect variability are associated with MDD and anhedonic depression. Data on medical and lifestyle factors ha, collected at baseline and biennial follow-up assessments. All figure content in this area was uploaded by Ottar Bjerkeset, All content in this area was uploaded by Ottar Bjerkeset on Dec 01, 2014, Access Details: [subscription number 906008583]. The present study was performed to evaluate the frequency of bipolar disorders among patients (a) presenting with depressive episodes but (b) who have never been diagnosed with bipolar disorder (c) in routine clinical practice in Korean subjects and to identify which clinical features were helpful in discriminating bipolar patients from unipolar patients. In addition, authors assessed the practical use of the Mood Disorder Questionnaire (MDQ) to distinguish bipolar from unipolar disorder in these subjects and tested whether modifications of the MDQ scoring could improve its performance. Bipolar spectrum disorders, which include bipolar I, bipolar II, and bipolar disorder not otherwise specified, frequently go unrecognized, undiagnosed, and untreated. The study was conducted between December 2001 and January 2003. My project, funded by the NHMRC, aims to understand the association between bipolar disorder and bone health, and if associated treatments, such as anticonvulsants, affect this association. This product could help you, Accessing resources off campus can be a challenge. The Mood Disorder Questionnaire (MDQ) is a widely used self-report screening instrument for the detection of bipolar disorder in clinical populations. O presente trabalho descreve o desenvolvimento e a validação da versão brasileira do questionário de transtornos do humor, um instrumento de rastreio para transtornos bipolares, em uma população psiquiátrica adulta. We found that the HCL-32 had better psychometric performance and discriminatory capacity than the MDQ. Subjects were interviewed for diagnosis using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders IV after completing the MDQ. It is the case that, bipolar I disorder is high and both relati. Thus, instruments for bipolar disorder screening are needed. A sensitivity of 0.281 and a specificity of 0.972 were obtained for the Mood Disorder Questionnaire. The clinical monitoring study carried out alongside the ESEMED project found for the diagnosis of mood disorders, a Kappa agreement (versus clinical interview) which ranged from 0.23 in Spain to 0.49 in France. mood disorder questionnaire: a general population study. Screening results using the MDQ were compared with results obtained using the Structured Clinical Interview for DSM-IV-TR Research Version, Non-patient edition (SCID) in a community-based sample of 1066 women. distribution in any form to anyone is expressly forbidden. A Dutch version of the MDQ (MDQ-NL) is now available. RESULTS: The internal consistency of the Brazilian Mood Disorder Questionnaire, evaluated with Cronbach's alpha coefficient was 0.76 (95% CI; 0.69-0.92). Fair reliability was found for PD. All rights reserved. Whether this association extends to bipolar disorder is yet to be fully understood. [62] found that in a group of 112 patients treated for advanced depression, the mean Zung SDS score before treatment was 60.3 ± 8.5 and after treatment 52.9 ± 12.1. Within a sample of depressed patients, the MDQ triad is a better screener for BD than the full MDQ, particularly if a positive triad screen is indicated by the presence of any two items. It is legitimate to surmise that the prevalence reported by recent (extremely costly) epidemiological surveys may be doubtful. Patients (n = 87) meeting DSM-IV-TR criteria for a major depressive episode, not previously known as bipolar were included. Efforts to screen for depression in a primary care setting without assessment of past manic symptoms can lead to incorrect diagnosis and treatment of bipolar disorder. An explanation for the discordance of, the SCID and MDQ suggests that people who, experience only hypomania or mixed mania but ne, full manic episodes often fail to screen positi, [13,17]. Compared to the SCID, the sensitivity for the MDQ was 25%, specificity 99%, positive predictive value 28%, negative predictive value 98%, and a demonstrated kappa of 0.25. 37 consecutive patients with bipolar spectrum illness received the MDQ, as well as 36 consecutive patients with unipolar depression. Dodd, Seetal, Williams, Lana J., Jacka, Felice N., Pasco, Julie A., Bjerkeset, Ottar and Berk, http://dx.doi.org/10.1080/00048670902873706, http://www.informaworld.com/terms-and-conditions-of-access.pdf, The Mood Disorder Questionnaire (MDQ) is a widely, Screening results using the MDQ were compared with results, Using the MDQ, 21 women screened positive for bipolar disorder, and, The MDQ has substantial limitations for detection of bipolar disorder, in, ised as an easy-to-administer, self-rated, screening, ity of 73% and a specificity of 90% for a screening, 2009 The Royal Australian and New Zealand College of Psychiatrists, ity of 90% for bipolar I disorder and 52% for, alidation studies demonstrate that although, e. This is a general problem in retrospecti, ertheless, the MDQ remains a widely used tool, estigate the reliability of the MDQ relati, ing age-stratified community-based samples of women, ision, South-Eastern Australia). This is not unexpected because the test-retest reliability (or kappa) of the SCID in the … In this regard, a recent study reported an internal consistency coefficient of 0.25 for MDQ, ... Several screening instruments that may be of possible benefit include life charting 80 (which can be used for mania, hypomania and depression), the Young Mania Rating Scale 81 and the Hypomania/Mania Symptom Checklist (HCL-32) 82,83 . This study tested the validity in the adult general population of the Mood Disorder Questionnaire, a screening instrument for bipolar I and II disorders. lier, is a well-known challenge for clinicians. The International Olympic Committee Sport Mental Health Recognition Tool 1 (SMHRT-1) was developed for athletes and their entourage (eg, friends, fellow athletes, family and coaches). Postpartum depression (relative risk [RR] [95% confidence interval {CI}], 2.00 [1.23-3.24]), early age of onset (RR [95% CI], 1.85 [1.30-2.64]), mood lability (RR [95% CI], 1.85 [1.30-2.64]), brief depressive episode (RR [95% CI], 1.66 (1.16-2.37]), bipolar family history (RR [95% CI], 1.62 [1.08-2.43]), history of suicide attempt (RR [95% CI], 1.47 (1.05-2.04]), and alcohol problem (RR [95% CI], 1.45 (1.04-2.02]) were found to have higher risks for bipolar disorder among depressive subjects. disorder: the Mood Disorder Questionnaire. Its rapid growth led to a proliferation of bipolar subtypes, each of which quickly gained disorder status, wrongly insinuating a disease entity. Missing data on the MDQ reduced the number of patients to 480, 10.4% (n = 52) of whom were diagnosed with bipolar disorder. Reliability of the Mood Disorder Questionnaire: comparison with the Structured Clinical Interview, instrument for the detection of bipolar disorder in clinical populations. Sensitivity and specificity of the MDQ were high for screening bipolar disorder in patients with major depression, and similar to the figures obtained in stable patients. the site you are agreeing to our use of cookies. New York State Psychiatric Institute, 2002. The MDQ provided high specificity (83.3%). (2003) The mood disorder questionnaire improves recognition of bipolar disorder in psychiatric care. This study confirms that MDQ is a useful instrument in the daily clinical assessment of depressive patients. Sciences, Barwon Health, PO Box 281, Geelong, Vic. Excellent reliability was obtained for PDA, panic disorder collapsing across the presence or absence of agoraphobia (PD and PDA), OCD, alcohol abuse or dependence, and substance abuse or dependence. The area under the curve was also greater than that of the MDQ at various … Hirschfeld RM, Holzer C, Calabrese JR, Weissman M, Reed M, et al. 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