본문 바로가기
KERD
논문KCI 등재

Clinical Correlates of False Positive Assignment in Bipolar Screening Measures Across Psychiatric Diagnoses among Patients without Bipolar Disorder

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective In this study, we aimed to determine clinical correlates of false positive assignment (FPA) on commonly used bipolar screening questionnaires.Methods A retrospective chart review was conducted to a total of 3885 psychiatric outpatients. After excluding patients who have bipolar spectrum illnesses, patients who were assigned as having hypomania on the mood disorder questionnaire (MDQ) or the hypomania checklist-32 (HCL-32) were identified as patients who had FPA. Psychiatric diagnoses and severity of emotional symptoms were compared between patients with and without FPA.Results Patients with FPA on the MDQ showed significant associations with presence of major depressive disorder, generalized anxiety disorder, and alcohol-use disorder, while patients with FPA on the HCL-32 showed associations with presence of panic disorder and agoraphobia. FPA on the MDQ was also associated with greater emotional symptoms and lifetime history of suicide attempts. Logistic regression analysis showed that male sex, younger age, presence of alcohol-use disorder, and severity of depression and obsessive-compulsive symptoms were significantly associated with FPA on the MDQ.Conclusion The FPA for the MDQ was associated with clinical factors linked to trait impulsivity, and the FPA for both the MDQ and the HCL-32 could be related to increased anxiety.

Abstract

Objective In this study, we aimed to determine clinical correlates of false positive assignment (FPA) on commonly used bipolar screening questionnaires.Methods A retrospective chart review was conducted to a total of 3885 psychiatric outpatients. After excluding patients who have bipolar spectrum illnesses, patients who were assigned as having hypomania on the mood disorder questionnaire (MDQ) or the hypomania checklist-32 (HCL-32) were identified as patients who had FPA. Psychiatric diagnoses and severity of emotional symptoms were compared between patients with and without FPA.Results Patients with FPA on the MDQ showed significant associations with presence of major depressive disorder, generalized anxiety disorder, and alcohol-use disorder, while patients with FPA on the HCL-32 showed associations with presence of panic disorder and agoraphobia. FPA on the MDQ was also associated with greater emotional symptoms and lifetime history of suicide attempts. Logistic regression analysis showed that male sex, younger age, presence of alcohol-use disorder, and severity of depression and obsessive-compulsive symptoms were significantly associated with FPA on the MDQ.Conclusion The FPA for the MDQ was associated with clinical factors linked to trait impulsivity, and the FPA for both the MDQ and the HCL-32 could be related to increased anxiety.

참고문헌 (44)

  1. Hirschfeld RM, "The mood disorder questionnaire : a simple, patientrated screening instrument for bipolar disorder", Prim Care Companion J Clin Psychiatry, 4, pp.9~11 (2002)
  2. Angst J, "The HCL-32 : towards a self-assessment tool for hypomanic symptoms in outpatients", J Affect Disord, 88, pp.217~233 (2005)
  3. Wang YY, "Comparison of the screening ability between the 32-item Hypomania Checklist(HCL-32)and the Mood Disorder Questionnaire(MDQ)for bipolar disorder : a meta-analysis and systematic review", Psychiatry Res, 273, pp.461~466 (2019)
  4. Carvalho AF, "Screening for bipolar spectrum disorders : a comprehensive meta-analysis of accuracy studies", J Affect Disord, 172, pp.337~346 (2015)
  5. Mason L, "I want it now! Neural correlates of hypersensitivity to immediate reward in hypomania", Biol Psychiatry, 71, pp.530~537 (2012)
  6. O’Sullivan N, "fMRI evidence of a relationship between hypomania and both increased goalsensitivity and positive outcome-expectancy bias", Neuropsychologia, 49, pp.2825~2835 (2011)
  7. Glaus J, "Factorial structure and familial aggregation of the Hypomania Checklist-32(HCL-32) : Results of the NIMH Family Study of Affective Spectrum Disorders", Compr Psychiatry, 84, pp.7~14 (2018)
  8. Bae M, "Lifetime experiences of hypomanic symptoms are associated with delayed and irregular sleep-wake cycle and seasonality in non-clinical adult samples", Compr Psychiatry, 55, pp.1111~1115 (2014)
  9. Lee K, "Investigation of the clinical utility of the hypomania checklist 32(HCL-32)for the screening of bipolar disorders in the non-clinical adult population", BMC Psychiatry, 16, pp.124~ (2016)
  10. Zimmerman M., "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", Depress Anxiety, 34, pp.779~785 (2017)
  11. Parker G, "A diagnostic profile of those who return a false positive assignment on bipolar screening measures", J Affect Disord, 141, pp.34~39 (2012)
  12. 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)
  13. 전덕인, "한국형 기분장애 질문지의 타당화 연구", 신경정신의학, 44(5), pp.583~590 (2005), 대한신경정신의학회
  14. Yoo S, "Validity of Korean version of the mini-international neuropsychiatric interview", Anxiety Mood, 2, pp.50~55 (2006)
  15. 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)
  16. Beck AT, "The measurement of pessimism : the hopelessness scale", J Consult Clin Psychol, 42, pp.861~865 (1974)
  17. Hamilton M, "The assessment of anxiety states by rating", Br J Med Psychol, 32, pp.50~55 (1959)
  18. Beck AT, "An inventory for measuring clinical anxiety : psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
  19. Taylor S, "Robust dimensions of anxiety sensitivity : development and initial validation of the Anxiety Sensitivity Index-3", Psychol Assess, 19, pp.176~188 (2007)
  20. Rapee RM, "Assessment instrument for panic disorder that includes fear of sensation-producing activities : the Albany Panic and Phobia Questionnaire", Anxiety, 1, pp.114~122 (1994)
  21. Meyer TJ, "Development and validation of the Penn State Worry Questionnaire", Behav Res Ther, 28, pp.487~495 (1990)
  22. Liebowitz MR, "Social phobia", Mod Probl Pharmacopsychiatry, 22, pp.141~173 (1987)
  23. Foa EB, "The Obsessive-Compulsive Inventory : development and validation of a short version", Psychol Assess, 14, pp.485~496 (2002)
  24. Mbaba M, "Prevalence, diagnosis, and treatment rates of mood disorders among opioid users under criminal justice supervision", Subst Use Misuse, 53, pp.1519~1528 (2018)
  25. Kivilcim Y, "Screening for bipolar disorder among migraineurs : the impact of migraine-bipolar disorder comorbidity on disease characteristics", Neuropsychiatr Dis Treat, 13, pp.631~641 (2017)
  26. de Sousa Gurgel W, "Prevalence of bipolar disorder in a HIV-infected outpatient population", AIDS Care, 25, pp.1499~1503 (2013)
  27. Goodday SM, "The association between self-reported and clinically determined hypomanic symptoms and the onset of major mood disorders", BJPsych Open, 3, pp.71~77 (2017)
  28. Cyprien F, "Impact of axis-I comorbidity and suicidal behavior disorders on sensitivity and specificity of the Mood Disorder Questionnaire in complex depressed inpatients", Compr Psychiatry, 55, pp.876~882 (2014)
  29. Rybakowski JK, "Use of the Hypomania Checklist-32 and the Mood Disorder Questionnaire for detecting bipolarity in 1051 patients with major depressive disorder", Eur Psychiatry, 27, pp.577~581 (2012)
  30. Park YM, "Treatment response in relation to subthreshold bipolarity in patients with major depressive disorder receiving antidepressant monotherapy : a post hoc data analysis(KOMDD study)", Neuropsychiatr Dis Treat, 12, pp.1221~1227 (2016)
  31. Amin-Esmaeili M, "Bipolar features in major depressive disorder : results from the Iranian mental health survey(IranMHS)", J Affect Disord, 241, pp.319~324 (2018)
  32. Dick DM, "Understanding the construct of impulsivity and its relationship to alcohol use disorders", Addict Biol, 15, pp.217~226 (2010)
  33. Grassi G, "Impulsivity and decision-making in obsessive-compulsive disorder after effective deep brain stimulation or treatment as usual", CNS Spectr, 23, pp.333~339 (2018)
  34. Liu RT, "A behavioral and cognitive neuroscience perspective on impulsivity, suicide, and nonsuicidal self-injury : Meta-analysis and recommendations for future research", Neurosci Biobehav Rev, 83, pp.440~450 (2017)
  35. Peluso MA, "Trait impulsivity in patients with mood disorders", J Affect Disord, 100, pp.227~231 (2007)
  36. Ng TH, "Impulsivity predicts the onset of DSM-IV-TR or RDC hypomanic and manic episodes in adolescents and young adults with high or moderate reward sensitivity", J Affect Disord, 198, pp.88~95 (2016)
  37. 박영민, "Relationship between Childhood Maltreatment, Suicidality, and Bipolarity: A Retrospective Study", PSYCHIATRY INVESTIGATION, 14(2), pp.136~140 (2017), 대한신경정신의학회[DOI]
  38. IsHak WW, "Patient-reported outcomes of quality of life, functioning, and depressive symptom severity in major depressive disorder comorbid with panic disorder before and after SSRI treatment in the star*d trial", Depress Anxiety, 31, pp.707~716 (2014)
  39. Simon NM, "Anxiety disorder comorbidity in bipolar disorder patients : data from the first 500 participants in the Systematic Treatment Enhancement Program for Bipolar Disorder(STEP-BD)", Am J Psychiatry, 161, pp.2222~2229 (2004)
  40. Olfson M, "Reexamining associations between mania, depression, anxiety and substance use disorders : results from a prospective national cohort", Mol Psychiatry, 22, pp.235~241 (2017)
  41. Hofmann SG, "Emotion dysregulation model of mood and anxiety disorders", Depress Anxiety, 29, pp.409~416 (2012)
  42. Ward J, "The genomic basis of mood instability : identification of 46 loci in 363, 705 UK Biobank participants, genetic correlation with psychiatric disorders, and association with gene expression and function", Mol Psychiatry, 25, pp.3091~3099 (2020)
  43. Miller S, "The prevalence and diagnostic validity of short-duration hypomanic episodes and major depressive episodes", Curr Psychiatry Rep, 18, pp.27~ (2016)
  44. Court H, "Improving the psychometric utility of the hypomania checklist(HCL32) : a Rasch analysis approach", J Affect Disord, 152-154, pp.448~453 (2014)

관련 논문AI추천

The Influence of Current Mood States on Screening Accuracy of the Mood Disorder Questionnaire박원명, 우영섭, 윤보현, 홍정완, Hee Ryung Wang, Kyung Joon Min, Moon Doo Kim, Young-Eun Jung대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2020 · 제18권 제1호Psychometric Properties of the Hypomania Checklist-32 in Korean Patients with Mood DisordersBo-Hyun Yoon, Duk-In Jon, Hee Ryung Wang, Hwang-Bin Lee, Jeongwan Hong, Jules Angst, Kyung Joon Min, Moon Doo Kim, Myong Su Choi, Seunghee Won, Seung-Oh Bae, Won-Myong Bahk, Young-Eun Jung, Young Sup Woo대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2017 · 제15권 제4호Improving the Screening Instrument of Bipolar Spectrum Disorders: Weighted Korean Version of the Mood Disorder QuestionnaireBo-Hyun Yoon, Duk-In Jon, Kyung Joon Min, Narei Hong, Won-Myong Bahk, Young Chul Shin대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2018 · 제16권 제3호Clinical Correlates of Alcohol Use Disorder in Depressed Patients with Unipolar and Bipolar Disorder명우재, Minseok Hong, Sunghee Oh, Suyeon Lee, Tae Hyon Ha대한신경정신의학회 · PSYCHIATRY INVESTIGATION2019 · 제16권 제12호관해기 양극성 외래 환자에서 한국형 기분장애 질문지 위음성군의 특성함웅, 남범우, 민경준, 박종영, 손인기대한신경정신의학회 · 신경정신의학2011 · 제50권 제3호Polarity of the First Episode and Time to Diagnosis of Bipolar I Disorder김정현, 장재승, 차보석, 하규섭, 하태현대한신경정신의학회 · PSYCHIATRY INVESTIGATION2009 · 제6권 제2호

이 간행물의 다른 논문 (14건)