The Bipolar II Depression Questionnaire: A Self-Report Tool for Detecting Bipolar II Depression

Autor: Yu-Tao Xiang, Marcella Lei Yee Fok, Connie T. Y. Yan, Cheuk Chi Chan, Gabor S. Ungvari, Arthur D. P. Mak, Chi Lap Yim, C. M. Leung
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Postpartum depression
Male
Bipolar Disorder
Psychometrics
Maternal Health
Social Sciences
lcsh:Medicine
Pilot Projects
Labor and Delivery
0302 clinical medicine
Recall bias
Surveys and Questionnaires
Medicine and Health Sciences
Outpatient clinic
Psychology
lcsh:Science
Depression (differential diagnoses)
Hypersomnia
Multidisciplinary
Depression
Obstetrics and Gynecology
Middle Aged
Suicide
Neurology
Anxiety
Female
medicine.symptom
Research Article
Adult
medicine.medical_specialty
Adolescent
03 medical and health sciences
Diagnostic Medicine
Mental Health and Psychiatry
medicine
Humans
Bipolar disorder
Psychiatry
Primary Care
Aged
business.industry
Mood Disorders
lcsh:R
Biology and Life Sciences
medicine.disease
Dyssomnias
030227 psychiatry
Health Care
Birth
Women's Health
lcsh:Q
Self Report
business
Sleep Disorders
030217 neurology & neurosurgery
Agoraphobia
Zdroj: PLoS ONE, Vol 11, Iss 3, p e0149752 (2016)
Leung, C M, Lapyim, C, Yan, C T Y, Chan, C C, Xiang, Y-T, Mak, A D P, Fok, M L-Y & Ungvari, G S 2016, ' The Bipolar II depression questionnaire : A self-report Tool for detecting Bipolar II depression ', PL o S One, vol. 11, no. 3, e0149752 . https://doi.org/10.1371/journal.pone.0149752
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0149752
Popis: Bipolar II (BP-II) depression is often misdiagnosed as unipolar (UP) depression, resulting in suboptimal treatment. Tools for differentiating between these two types of depression are lacking. This study aimed to develop a simple, self-report screening instrument to help distinguish BP-II depression from UP depressive disorder. A prototype BP-II depression questionnaire (BPIIDQ-P) was constructed following a literature review, panel discussions and a field trial. Consecutively assessed patients with a diagnosis of depressive disorder or BP with depressive episodes completed the BPIIDQ-P at a psychiatric outpatient clinic in Hong Kong between October and December 2013. Data were analyzed using discriminant analysis and logistic regression. Of the 298 subjects recruited, 65 (21.8%) were males and 233 (78.2%) females. There were 112 (37.6%) subjects with BP depression [BP-I =42 (14.1%), BP-II = 70 (23.5%)] and 182 (62.4%) with UP depression. Based on family history, age at onset, postpartum depression, episodic course, attacks of anxiety, hypersomnia, social phobia and agoraphobia, the 8-item BPIIDQ-8 was constructed. The BPIIDQ-8 differentiated subjects with BP-II from those with UP depression with a sensitivity/specificity of 0.75/0.63 for the whole sample and 0.77/0.72 for a female subgroup with a history of childbirth. The BPIIDQ-8 can differentiate BP-II from UP depression at the secondary care level with satisfactory to good reliability and validity. It has good potential as a screening tool for BP-II depression in primary care settings. Recall bias, the relatively small sample size, and the high proportion of females in the BP-II sample limit the generalization of the results.
Databáze: OpenAIRE
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