|
Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Development and validation of a screening questionnaire for present or past (hypo)manic episodes based on DSM-IV-TR criteria
| Title: | Development and validation of a screening questionnaire for present or past (hypo)manic episodes based on DSM-IV-TR criteria |
| Authors: | Kameyama, Rie Browse this author | | Inoue, Takeshi Browse this author →KAKEN DB | | Uchida, Mai Browse this author | | Tanaka, Teruaki Browse this author | | Kitaichi, Yuji Browse this author | | Nakato, Yasuya Browse this author | | Hayashishita, Yoshiyuki Browse this author | | Nakai, Yukiei Browse this author | | Nakagawa, Shin Browse this author →KAKEN DB | | Kusumi, Ichiro Browse this author →KAKEN DB | | Koyama, Tsukasa Browse this author →KAKEN DB |
| Keywords: | Manic episode screening questionnaire | | Bipolar disorder | | Self-report | | Diagnosis | | Misdiagnosis |
| Issue Date: | 5-Sep-2013 |
| Publisher: | Elsevier science bv |
| Journal Title: | Journal of affective disorders |
| Volume: | 150 |
| Issue: | 2 |
| Start Page: | 546 |
| End Page: | 550 |
| Publisher DOI: | 10.1016/j.jad.2013.01.034 |
| PMID: | 23474095 |
| Abstract: | Background: We developed a self-reported questionnaire, the Manic Episode Screening Questionnaire (MES), based on the eight diagnostic criteria items of DSM-IV-TR (hypo)manic episodes. This study was designed to determine the optimal screening methods to identify bipolar disorders among mood disorder patients of a psychiatric specialty clinic. Methods: In 95 mood disorder patients, we assessed the operational characteristics of the MES as a screening and diagnostic instrument using a DSM-IV-TR diagnosis by a trained psychiatrist as a reference standard. The reference criteria were bipolar disorders. MES was used with two methods: the diagnostic algorithm and the one-question method (question #1 only). The diagnostic algorithm was regarded as fulfilled if the answers to question #1 and three or more of questions #2 to #8 were "yes", corresponding to the DSM-IV-TR (hypo)manic episode criteria. In different subjects, the test-retest reliability of the MES was examined. Results: The two methods of the MES showed high specificity (0.93-0.94), high positive predictive value (0.81-0.83) and high negative predictive value (0.88-0.90), but the sensitivity scored lower (0.68-0.75). The test-retest reliability was moderate: 0.75 for the diagnostic algorithm and 0.68 for the one-question method. Limitations: This study includes a small number of bipolar l patients. The findings might not be generalized to patients outside of this patient population. Conclusions: The MES is useful for the screening and diagnosis of bipolar disorders among mood disorder patients in psychiatric specialty clinics. The one question method of the MES is more convenient to use than prior questionnaires and is here recommended. (C) 2013 Elsevier B.V. All rights reserved. |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/53359 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
Submitter: 井上 猛
|
