Improving the Screening Instrument of Bipolar Spectrum Disorders: Weighted Korean Version of the Mood Disorder Questionnaire
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objective: It is not easy to diagnose bipolar disorders accurately in the clinical setting. Although Korean version of the Mood Disorder Questionnaire (K-MDQ) is easily administered, it still has weakness regarding case finding. In this study, we suggest a new weighted version of the K-MDQ to increase its screening power. Methods: Ninety-five patients with bipolar disorders and 346 controls (patients with schizophrenia, patients with depressive disorders, patients with anxiety disorders, and subjects without any psychiatric disease) were enrolled in this study. The subjects received brief information on the K-MDQ, and then independently completed the questionnaire. Results: Using odds ratios, we constructed a new weighted K-MDQ (W-K-MDQ). Item 1 (feel so good or hyper) was weighted 7 times and item 4 (less sleep) 3.5 times. Item 7 (easily distracted) and item 11 (more interested in sex) were excluded. Part 2 (simultaneity) and 3 (functional impairment) were also excluded as in the original K-MDQ. The sensitivity of the W-K-MDQ with a cutoff value of 10 was enhanced to 0.789. The area under the receiver operating characteristic curve was increased to 0.837. Conclusion: We suggested a new formula for K-MDQ using 11 of its items. The W-K-MDQ can be easily applied with good sensitivity to screen for bipolar disorders in clinical settings in Korea. Further evaluations with larger samples are needed to establish the usefulness of the W-K-MDQ.
Abstract
Objective: It is not easy to diagnose bipolar disorders accurately in the clinical setting. Although Korean version of the Mood Disorder Questionnaire (K-MDQ) is easily administered, it still has weakness regarding case finding. In this study, we suggest a new weighted version of the K-MDQ to increase its screening power. Methods: Ninety-five patients with bipolar disorders and 346 controls (patients with schizophrenia, patients with depressive disorders, patients with anxiety disorders, and subjects without any psychiatric disease) were enrolled in this study. The subjects received brief information on the K-MDQ, and then independently completed the questionnaire. Results: Using odds ratios, we constructed a new weighted K-MDQ (W-K-MDQ). Item 1 (feel so good or hyper) was weighted 7 times and item 4 (less sleep) 3.5 times. Item 7 (easily distracted) and item 11 (more interested in sex) were excluded. Part 2 (simultaneity) and 3 (functional impairment) were also excluded as in the original K-MDQ. The sensitivity of the W-K-MDQ with a cutoff value of 10 was enhanced to 0.789. The area under the receiver operating characteristic curve was increased to 0.837. Conclusion: We suggested a new formula for K-MDQ using 11 of its items. The W-K-MDQ can be easily applied with good sensitivity to screen for bipolar disorders in clinical settings in Korea. Further evaluations with larger samples are needed to establish the usefulness of the W-K-MDQ.
참고문헌 (31)
- Akiskal HS, "Psychiatry update: the American Psychiatric Association Annual Review, Vol II", pp.271~292 (1983), American Psychiatric Press
- Akiskal HS, "Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders", J Affect Disord, 59(Suppl 1), pp.S5~S30 (2000)[DOI]
- American Psychiatric Association, "Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5", American Psychiatric Association, ~ (2013)
- Matza LS, "Misdiagnosed patients with bipolar disorder: comorbidities, treatment patterns, and direct treatment costs", J Clin Psychiatry, 66, pp.1432~1440 (2005)[DOI]
- Hirschfeld RM, "Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire", Am J Psychiatry, 157, pp.1873~1875 (2000)[DOI]
- Meyer F, "The misdiagnosis of bipolar disorder as a psychotic disorder: some of its causes and their influence on therapy", J Affect Disord, 112, pp.174~183 (2009)[DOI]
- Zimmerman M, "Screening for bipolar disorder: lessons not yet learned", Evid Based Ment Health, 19, pp.e16~ (2016)[DOI]
- Leboyer M, "Bipolar disorder: new perspectives in health care and prevention", J Clin Psychiatry, 71, pp.1689~1695 (2010)[DOI]
- Ather Muneer, "Staging Models in Bipolar Disorder: A Systematic Review of the Literature", Clinical Psychopharmacology and Neuroscience, 14(2), pp.117~130 (2016), 대한정신약물학회
- Angst J, "The HCL-32: towards a self-assessment tool for hypomanic symptoms in outpatients", J Affect Disord, 88, pp.217~233 (2005)[DOI]
- Nassir Ghaemi S, "Sensitivity and specificity of a new bipolar spectrum diagnostic scale", J Affect Disord, 84, pp.273~277 (2005)[DOI]
- Bo-Hyun Yoon, "Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood Disorders", Clinical Psychopharmacology and Neuroscience, 15(4), pp.352~360 (2017), 대한정신약물학회[DOI]
- Carvalho AF, "Screening for bipolar spectrum disorders: A comprehensive meta-analysis of accuracy studies", J Affect Disord, 172, pp.337~346 (2015)[DOI]
- Hardoy MC, "Validation of the Italian version of the "Mood Disorder Questionnaire" for the screening of bipolar disorders", Clin Pract Epidemiol Ment Health, 1, pp.8~ (2005)[DOI]
- Weber Rouget B, "Screening for bipolar disorders using a French version of the Mood Disorder Questionnaire (MDQ)", J Affect Disord, 88, pp.103~108 (2005)[DOI]
- Jon DI, "Validity and reliability of the Korean version of the Mood Disorder Questionnaire", Compr Psychiatry, 50, pp.286~291 (2009)[DOI]
- Hu C, "Screening for bipolar disorder with the Mood Disorders Questionnaire in patients diagnosed as major depressive disorder - the experience in China", J Affect Disord, 141, pp.40~46 (2012)[DOI]
- Yang HC, "Evaluation of Mood Disorder Questionnaire (MDQ) in patients with mood disorders: a multicenter trial across China", PLoS One, 9, pp.e91895~ (2014)[DOI]
- Carta MG, "MDQ positive people's searching for effective and ineffective treatments for bipolar disorders: a screening study in France", J Affect Disord, 149, pp.84~92 (2013)[DOI]
- Zimmerman M, "Psychiatric diagnoses in patients who screen positive on the Mood Disorder Questionnaire: implications for using the scale as a case-finding instrument for bipolar disorder", Psychiatry Res, 185, pp.444~449 (2011)[DOI]
- Zimmerman M, "Are screening scales for bipolar disorder good enough to be used in clinical practice?", Compr Psychiatry, 52, pp.600~606 (2011)[DOI]
- Zimmerman M, "Screening for bipolar disorder with the Mood Disorders Questionnaire: a review", Harv Rev Psychiatry, 19, pp.219~228 (2011)[DOI]
- van Zaane J, "Screening for bipolar disorders in patients with alcohol or substance use disorders: performance of the mood disorder questionnaire", Drug Alcohol Depend, 124, pp.235~241 (2012)[DOI]
- Zimmerman M, "Misuse of the Mood Disorders Questionnaire as a case-finding measure and a critique of the concept of using a screening scale for bipolar disorder in psychiatric practice", Bipolar Disord, 14, pp.127~134 (2012)[DOI]
- Kung S, "Screening for bipolar disorders: clinical utilization of the Mood Disorders Questionnaire on an inpatient mood disorders unit", J Affect Disord, 188, pp.97~100 (2015)[DOI]
- Wang HR, "The validity of the Mood Disorder Questionnaire for screening bipolar disorder: a meta-analysis", Depress Anxiety, 32, pp.527~538 (2015)[DOI]
- Hong N, "Characteristics of bipolar symptoms in psychiatric patients: pattern of responses to the Korean version of the Mood Disorder Questionnaire", Asia Pac Psychiatry, 6, pp.120~126 (2014)[DOI]
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR", American Psychiatric Association, ~ (2000)
- Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- Zhou X, "Extending a structural model of somatization to South Koreans: Cultural values, somatization tendency, and the presentation of depressive symptoms", J Affect Disord, 176, pp.151~154 (2015)[DOI]
- Sang Won Jeon, "Measurement-based Treatment of Residual Symptoms Using Clinically Useful Depression Outcome Scale: Korean Validation Study", Clinical Psychopharmacology and Neuroscience, 15(1), pp.28~34 (2017), 대한정신약물학회[DOI]