Mood Disturbance in Adolescents Screened by the Mood Disorder Questionnaire Predicts Poorer Social Adjustment

Objective: The present meta-analysis was conducted to determine the diagnostic accuracy of the bipolarity index (BI) and Rapid Mode Screener (RMS) as compared with the Bipolar Spectrum Diagnostic Scale (BSDS), the Hypomania Checklist (HCL-32), and the Mood Disorder Questionnaire (MDQ) in people with bipolar disorder (BD). Methods: We systematically searched five databases using standard search terms, and relevant articles published between May 1990 and November 30, 2021 were collected and reviewed. Results: Ninety-three original studies were included (n=62,291). At the recommended cutoffs for the BI, HCL-32, BSDS, MDQ, and RMS, the pooled sensitivities were 0.82, 0.75, 0.71, 0.71, and 0.78, respectively, while the corresponding pooled specificities were 0.73, 0.63, 0.73, 0.77, and 0.72, respectively. However, there was evidence that the accuracy of the BI was superior to that of the other tests, with a relative diagnostic odds ratio (RDOR) of 1.22 (0.98-1.52, p < 0.0001). The RMS was significantly more accurate than the other tests, with an RDOR (95%CI) of 0.79 (0.67-0.92, p < 0.0001) for the detection of BD type I (BD-I). However, there was evidence that the accuracy of the MDQ was superior to that of the other tests, with an RDOR of 1.93 (0.89-2.79, p = 0.0019), for the detection of BD type II (BD-II). Conclusion: The psychometric properties of two new instruments, the BI and RMS, in people with BD were consistent with considerably higher diagnostic accuracy than the HCL-32, BSDS, and MDQ. However, a positive screening should be confirmed by a clinical diagnostic evaluation for BD.

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“…Ultimately, 93 studies (n=62,291) were included ( , available as online-only supplementary material). 11 - 16 , 20 , 21 - 24 , 31 - 100 …”

Section: Resultsmentioning

confidence: 99%

Assessment of the diagnostic performance of two new tools versus routine screening instruments for bipolar disorder: a meta-analysis

Sayyah

Delirrooyfard

Rahim

2022

Braz. J. Psychiatry

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“…Likewise, smoking among adolescents has been associated with poor school performance and less study time [ 53 ]. Although causality is difficult to ascertain, clustering of riskier behaviors among adolescents is found with mood disturbance and includes smoking, substance use and self-harm or suicidal attempts [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Dietary quality linkage to overall competence at school and emotional disturbance in representative Taiwanese young adolescents: dependence on gender, parental characteristics and personal behaviors

Huang

Wahlqvist

Lee

et al. 2018

Nutr J

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BackgroundChild school performance during puberty may be at increased risk through emotional disturbance. It is hypothesized that this may be mitigated by dietary quality.MethodsIn a nationally representative sample (Nutrition and Health Survey in Taiwan, NAHSIT), 1371 Taiwanese aged 11–16 years, overall competence at school, (OCS) and emotional status have been assessed by teachers with the SAED (Scale for Assessing Emotional Disturbance). Parents provided family socio-demographics and students completed a behavioral and dietary questionnaire (Youth Healthy Eating Index - Taiwan, YHEI-TW). Associations between emotional disturbance (ED), OCS and dietary quality (YHEI-TW) were assessed in multiple linear regression models with adjustments for covariates including parental characteristics, personal behaviors, body fatness and puberty.ResultsBoys or girls with ED had a less favorable OCS (p < 0.001), minimally dependent on YHEI-TW. On multivariable analysis there was a more positive association between OCS and YHEI-TW among boys (β = 0.05, p < 0.01) and girls (β = 0.07, p < 0.001). Poor dietary quality was associated with ED, especially in girls (β = − 0.06, p < 0.001). Additionally, parental characteristics, body fatness, and personal behaviors are associated with OCS. Puberty is associated with ED and may be indirectly linked to OCS.ConclusionsUnsatisfactory food intake is associated with the link between emotional disturbance and impaired school performance, as assessed by OCS, especially among girls. For both genders, socio-economic and behavioral factors including parenteral income, reading, screen viewing and smoking are modulators of this association. Puberty was a modifying factor in girls. Dietary quality is a relevant factor for health (ED) as well as education (OCS) during early adolescence.Electronic supplementary materialThe online version of this article (10.1186/s12937-018-0333-2) contains supplementary material, which is available to authorized users.

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“…This fundamental conceptual error in determining a cutoff score on bipolar disorder screening scales on the basis of optimal agreement with a diagnostic standard has continued in more recent studies. I reviewed 27 recently published studies that examined the performance of bipolar disorder screening scales across a range of scores (Bech, Christensen, Vinberg, Bech-Andersen, & Kessing, 2011;Boschloo et al, 2013;Chou et al, 2012;Cyprien et al, 2014;de Sousa Gurgel et al, 2012;Feng et al, 2016;Frey, Simpson, Wright, & Steiner, 2012;Gamma et al, 2013;Gan et al, 2012;Hsieh et al, 2016;Hu et al, 2012;Imamura et al, 2015;Kung et al, 2015;Leao & Del Porto, 2012;Lee et al, 2013Lee et al, , 2016Mosolov et al, 2014;Nallet et al, 2013;Pan & Yeh, 2015;Perugi et al, 2012;Poon, Chung, Tso, Chang, & Tang, 2012;Sasdelli et al, 2013;Smith et al, 2011;Waleeprakhon et al, 2014;Yang et al, 2014;Yang et al, 2011;Zaratiegui et al, 2011). Almost every study recommended a cutoff point on the screening scale that maximized or optimized the level of agreement with the diagnostic gold standard.…”

Section: Selecting a Cutoff Score On A Screening Testmentioning

confidence: 99%

Screening for bipolar disorder with self-administered questionnaires: A critique of the concept and a call to stop publishing studies of their performance in psychiatric samples

Zimmerman

2017

Depress Anxiety

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Mood Disturbance in Adolescents Screened by the Mood Disorder Questionnaire Predicts Poorer Social Adjustment

Cited by 3 publications

References 38 publications

Assessment of the diagnostic performance of two new tools versus routine screening instruments for bipolar disorder: a meta-analysis

Assessment of the diagnostic performance of two new tools versus routine screening instruments for bipolar disorder: a meta-analysis

Dietary quality linkage to overall competence at school and emotional disturbance in representative Taiwanese young adolescents: dependence on gender, parental characteristics and personal behaviors

Screening for bipolar disorder with self-administered questionnaires: A critique of the concept and a call to stop publishing studies of their performance in psychiatric samples

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