心境障碍问卷有助于提高精神科护理中双相情感障碍的识别率。
The mood disorder questionnaire improves recognition of bipolar disorder in psychiatric care.
作者信息
Isometsä Erkki, Suominen Kirsi, Mantere Outi, Valtonen Hanna, Leppämäki Sami, Pippingsköld Marita, Arvilommi Petri
机构信息
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
出版信息
BMC Psychiatry. 2003 Jul 10;3:8. doi: 10.1186/1471-244X-3-8.
BACKGROUND
We investigated our translation of The Mood Disorder Questionnaire (MDQ) as a screening instrument for bipolar disorder in a psychiatric setting in Finland.
METHODS
In a pilot study for the Jorvi Bipolar Study (JoBS), 109 consecutive non-schizophrenic psychiatric out- and inpatients in Espoo, Finland, were screened for bipolar disorder using the Finnish translation of the MDQ, and 38 of them diagnostically interviewed with the SCID.
RESULTS
Forty subjects (37%) were positive in the MDQ screen. In the SCID interview, twenty patients were found to suffer from bipolar disorder, of whom seven (70%) of ten patients with bipolar I but only two (20%) of ten with bipolar II disorder had been previously clinically correctly diagnosed. The translated MDQ was found internally consistent (alpha 0.79) and a feasible screening tool.
CONCLUSIONS
Bipolar disorder, particularly type II, remains commonly unrecognized in psychiatric settings. The Mood Disorder Questionnaire is a feasible screen for bipolar disorder, which could well be integrated into psychiatric routine practice.
背景
我们在芬兰的一家精神病院研究了将心境障碍问卷（MDQ）作为双相情感障碍筛查工具的翻译版本。
方法
在约尔维双相情感障碍研究（JoBS）的一项试点研究中，使用MDQ的芬兰语翻译版本对芬兰埃斯波连续109名非精神分裂症的精神科门诊和住院患者进行双相情感障碍筛查，其中38人接受了用《精神障碍诊断与统计手册》第四版轴I障碍定式临床访谈量表（SCID）进行的诊断性访谈。
结果
40名受试者（37%）在MDQ筛查中呈阳性。在SCID访谈中，发现20名患者患有双相情感障碍，其中10名双相I型障碍患者中有7名（70%）、10名双相II型障碍患者中只有2名（20%）此前得到了临床正确诊断。发现翻译后的MDQ具有内部一致性（α系数为0.79），是一种可行的筛查工具。
结论
双相情感障碍，尤其是II型，在精神科环境中仍普遍未被识别。心境障碍问卷是双相情感障碍的一种可行筛查工具，很适合纳入精神科常规诊疗中。
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