Diagnosing bipolar disorder in trauma exposed primary care patients

Graves, Ruth Elaine; Alim, Tanya N.; Aigbogun, Notalelomwan; Chrishon, Kris; Mellman, Thomas A.; Charney, Dennis S.; Lawson, William B.

doi:10.1111/j.1399-5618.2007.00449.x

Cited by 19 publications

(15 citation statements)

References 16 publications

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“…34,35 The internal consistency of the Chinese MDQ was similar to those previously described in psychiatric samples. 7,9,12 The operating characteristics of the Chinese MDQ were good, and comparable to those obtained in Western populations, [7][8][9][10][11][12][13][14] but the optimal criteria for a positive screen was different from the standard criteria used by its developers. The Chinese MDQ's sensitivity of 0.73 and specificity of 0.88 was achieved by omission of the impairment criterion.…”

Section: Discussionmentioning

confidence: 74%

“…The MDQ has been translated into many languages and tested among psychiatric outpatients, community samples and the general population. [7][8][9][10][11][12][13][14] Table 1 presents a summary of the relevant studies on the scale's screening performance. Although the sensitivity, specificity and optimal criteria for a positive screen vary depending on the study population and country sampled, all 15 The authors added that a modified version of the scale is warranted.…”

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confidence: 99%

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Validation of the Chinese version of the Mood Disorder Questionnaire in a psychiatric population in Hong Kong

Chung¹,

Tso²,

Cheung³

et al. 2008

Psychiatry Clin Neurosci

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Aims:The aim of the present study was to determine the validity of a Chinese version of the Mood Disorder Questionnaire (MDQ) as a screening instrument for bipolar disorder in a psychiatric outpatient population in Hong Kong.Methods: A total of 185 patients primarily being treated for mood disorders were asked to fill in the Chinese MDQ and supply other personal data during their scheduled clinic visit. The mean age was 43.0 years and 65.9% were female. A subsample of 102 randomly selected subjects, stratified by the MDQ symptom score, received a telephone-based Structured Clinical Interview for DSM-IV (SCID). Sixtytwo patients (60.8%) were suffering from bipolar disorder (bipolar I, n = 48; bipolar II, n = 9; bipolar disorder not otherwise specified, n = 5), 35 (34.3%) from depressive disorder, and one (1.0%) from substance dependence, while four (3.9%) were unaffected by either mood or alcohol/substance use disorder. The internal consistency, factor structure and operating characteristics of the Chinese MDQ were analyzed. Results:The internal consistency of the Chinese MDQ, evaluated using Cronbach alpha, was 0.82. Principal component analysis with varimax rotation indicated an 'energized-activity' factor and an 'irritability-racing thoughts' factor, which explained 47.2% of the rotated variance. The optimal cut-off was seven or more manic symptoms occurring within the same time period, which yielded a sensitivity of 0.73 and a specificity of 0.88 for detecting bipolar disorder. An additional criterion that the symptoms cause impairment resulted in significant loss of sensitivity. Conclusion:The Chinese MDQ is a valid screening instrument for bipolar disorder in a psychiatric outpatient population.

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Section: Discussionmentioning

confidence: 74%

mentioning

confidence: 99%

Validation of the Chinese version of the Mood Disorder Questionnaire in a psychiatric population in Hong Kong

Chung¹,

Tso²,

Cheung³

et al. 2008

Psychiatry Clin Neurosci

View full text Add to dashboard Cite

show abstract

“…The full text of 280 studies was assessed for eligibility. We found seven studies 19-25 meeting our inclusion criteria. Bipolar disorder prevalence was measured in primary care patients with depression 20-22,24 (n=4 studies), any psychiatric complaint 23 (n=1 study), trauma exposure 25 (n=1 study), and medically unexplained symptoms 19 (n=1study).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies 19,20 used structured interviews to diagnose bipolar disorder, three studies used screening measures 21-23 , and two studies 24,25 used both a structured interview and a screening measure. Five studies 21-25 used the Mood Disorder Questionnaire (MDQ) 26 screening measure and one study used Hypomania Checklist-32 (HCL-32) 27 and the MDQ. The MDQ assesses whether any of 13 symptoms of mania ever occurred concurrently in a patient’s life, if the symptoms were associated with impairment, whether a relative has bipolar disorder, and whether a clinician has ever diagnosed bipolar disorder in the patient.…”

Section: Resultsmentioning

confidence: 99%

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The Prevalence of Bipolar Disorder in Primary Care Patients With Depression or Other Psychiatric Complaints: A Systematic Review

et al. 2013

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Background Bipolar disorder prevalence in primary care patients with depression or other psychiatric complaints has been measured in several studies but has not been systematically reviewed. Objective To systematically review studies measuring bipolar disorder prevalence in primary care patients with depression or other psychiatric complaints. Methods We conducted a systematic review using the PRISMA method in January 2013. We searched seven databases using a comprehensive list of search terms. Included articles had a sample size of 200 patients or more and assessed bipolar disorder using a structured clinical interview or bipolar screening questionnaire in adult primary care patients with a prior diagnosis of depression or had an alternate psychiatric complaint. Results Our search yielded 5595 unique records. Seven cross-sectional studies met our inclusion criteria. The percentage of primary care patients with bipolar disorder was measured in four studies of patients with depression, one study of patients with trauma exposure, one study of patients with any psychiatric complaint and one study of patients with medically unexplained symptoms. The percentage of patients with bipolar disorder ranged from 3.4% to 9% in studies using structured clinical interviews and from 20.9% to 30.8% in studies using screening measures. Conclusions Bipolar disorder likely occurs in 3 – 9% of primary care patients with depression, trauma exposure, medically unexplained symptoms or a psychiatric complaint. Screening measures used for bipolar disorder detection overestimate the occurrence of bipolar disorder in primary care due to false positives.

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Disparities in Mental Health Diagnosis and Treatment Among African Americans: Implications for the Correctional Systems

Lawson

2012

Crime, HIV and Health: Intersections of Criminal Justice and Public Health Concerns

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Diagnosing bipolar disorder in trauma exposed primary care patients

Abstract: The MDQ was found to have low specificity in a predominately African American group of trauma exposed patients attending primary care.

Cited by 19 publications

References 16 publications

Validation of the Chinese version of the Mood Disorder Questionnaire in a psychiatric population in Hong Kong

Validation of the Chinese version of the Mood Disorder Questionnaire in a psychiatric population in Hong Kong

The Prevalence of Bipolar Disorder in Primary Care Patients With Depression or Other Psychiatric Complaints: A Systematic Review

Disparities in Mental Health Diagnosis and Treatment Among African Americans: Implications for the Correctional Systems

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