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Development and validation of a screening questionnaire for present or past (hypo)manic episodes based on DSM-IV-TR criteria

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/53359

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

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