北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学精神卫生研究所  > 期刊论文
学科主题: 精神卫生
题名:
Screening for bipolar disorder with the Mood Disorders Questionnaire in patients diagnosed as major depressive disorder - The experience in China
作者: Hu, Chen2; Xiang, Yu-Tao1; Wang, Gang2; Ungvari, Gabor S.3; Dickerson, Faith B.4; Kilbourne, Amy M.5,6; Lai, Kelly Y. C.1; Si, Tian-Mei7; Fang, Yi-Ru8; Lu, Zheng9; Yang, Hai-Chen10; Hu, Jian11; Chen, Zhi-Yu12; Huang, Yi13; Sun, Jing14; Wang, Xiao-Ping15; Li, Hui-Chun16; Zhang, Jin-Bei17; Chiu, Helen F. K.1
关键词: Bipolar disorder ; Major depressive disorder ; Screening ; Diagnostic criteria
刊名: JOURNAL OF AFFECTIVE DISORDERS
发表日期: 2012-12-01
DOI: 10.1016/j.jad.2012.02.035
卷: 141, 期:1, 页:40-46
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Psychiatry
研究领域[WOS]: Neurosciences & Neurology ; Psychiatry
关键词[WOS]: INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW ; SPECTRUM DISORDER ; DSM-IV ; VALIDATION ; VERSION ; INSTRUMENT ; UNIPOLAR ; LIFETIME ; MINI ; MDQ
英文摘要:

Background: Bipolar disorder (BD) is often misdiagnosed as a major depressive disorder (MDD). This study aimed to test the usefulness of the screening tool, the Mood Disorders Questionnaire (MDQ), to identify BD patients misdiagnosed as MDD in Chinese clinical settings.

Methods: A total of 1487 patients treated for MDD were consecutively examined in 13 mental health centers in China. The patients′ socio-demographic and clinical characteristics were recorded using a standardized protocol and data collection procedure. The MDQ was completed by patients to identify symptoms characteristic of BD. DSM-IV diagnoses were established using the Mini International Neuropsychiatric Interview (MINI).

Results: Three hundred-nine of the 1487 patients (20.8%) satisfied DSM-IV criteria for BD; 118 (7.9%) for BD-I and 191 (12.8%) for BD-II on the MINI. The optimal cut-off point on the MDQ to differentiate BD from MDD was 3, while cut-off points of 5 and 3 differentiated BD-I and BD-II from MDD, respectively. The maximum sensitivity was 0.31, 0.45 and 0.22 for differentiating BD. BD-I and BD-II from MDD, respectively.

Conclusions: The optimal cutoff points of the MDQ for screening BD in Chinese patients originally diagnosed as MDD were considerably lower than those in earlier studies. The routine clinical use of the MDQ as a screening scale for BD in Chinese patients treated for MDD does not seem to be justified. (c) 2012 Elsevier B.V. All rights reserved.

语种: 英语
所属项目编号: 2007BAI17B05
项目资助者: National Key Scientific and Technological Projects for the 11th Five-Year from the Ministry of Science and Technology of China (Project Title: Early Diagnostic Assessment and Standardized Treatment Approach for Depression ; AstraZeneca China
WOS记录号: WOS:000309148500005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58699
Appears in Collections:北京大学精神卫生研究所_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Sheppard Pratt, Stanley Res Program, Baltimore, MD USA
2.Vet Adm Ann Arbor Ctr Clin Management Res, Ann Arbor, MI USA
3.Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong, Peoples R China
4.Capital Med Univ, Beijing Anding Hosp, Mood Disorders Ctr, Beijing, Peoples R China
5.Univ Western Australia, Dept Psychiat &Clin Neurosci, Perth, WA 6009, Australia
6.Univ Michigan, Sch Med, Dept Psychiat, Ann Arbor, MI USA
7.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
8.Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Div Mood Disorders, Shanghai 200030, Peoples R China
9.Tongji Univ, Sch Med, Shanghai Tongji Hosp, Shanghai 200092, Peoples R China
10.Shenzhen Mental Hlth Ctr, Div Mood Disorders, Shenzhen, Guangdong, Peoples R China
11.Harbin Med Univ, Hosp 1, Harbin, Heilongjiang Pr, Peoples R China
12.Hangzhou Seventh Peoples Hosp, Hangzhou, Zhejiang, Peoples R China
13.Sichuan Univ, W China Hosp, Chengdu, Sichuan Provinc, Peoples R China
14.Nanjing Med Univ, Affiliated Brain Hosp, Nanjing, Jiangsu, Peoples R China
15.Cent S Univ, Xiangya Hosp 2, Mental Hlth Inst, Changsha, Hunan, Peoples R China
16.Zhejiang Univ, Coll Med, Affiliated Hosp 2, Hangzhou, Zhejiang, Peoples R China
17.Sun Yat Sen Univ, Affiliated Hosp 3, Guangzhou, Guangdong, Peoples R China

Recommended Citation:
Hu, Chen,Xiang, Yu-Tao,Wang, Gang,et al. Screening for bipolar disorder with the Mood Disorders Questionnaire in patients diagnosed as major depressive disorder - The experience in China[J]. JOURNAL OF AFFECTIVE DISORDERS,2012,141(1):40-46.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Hu, Chen]'s Articles
[Xiang, Yu-Tao]'s Articles
[Wang, Gang]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Hu, Chen]‘s Articles
[Xiang, Yu-Tao]‘s Articles
[Wang, Gang]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace