Bowden C L, Singh V, Thompson P, Gonzalez J M, Katz M M, Dahl M, Prihoda T J, Chang X
Department of Psychiatry, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Acta Psychiatr Scand. 2007 Sep;116(3):189-94. doi: 10.1111/j.1600-0447.2006.00955.x.
Most rating scales for bipolar disorders (BDs) do not encompass the spectrum of symptomatology now established as characterizing the illness. We report the rationale, format, reliability and initial validity studies of the Bipolar Inventory of Symptoms Scale (BISS), a 44-item scale designed to encompass the spectrum of behavioral disturbances in BDs.
Structured video interviews of 20 patients representing four bipolar syndromal subtypes were rated by nine raters.
Generally, high inter-rater reliability and internal consistency were established for the depression and mania subscales and the BISS total score. The BISS discriminated across subtypes of bipolar patients with depressed, manic/hypomanic, mixed manic or recovered status.
The BISS has adequate reliability, concurrent validity and is capable of discriminating between bipolar subtypes. It also provides a comprehensive scale to assess discrete behavioral components of BD.
大多数双相情感障碍(BD)评定量表并未涵盖现已确定为该疾病特征的症状谱。我们报告了双相症状量表(BISS)的理论依据、形式、信度和初始效度研究,这是一个包含44个条目的量表,旨在涵盖双相情感障碍中的行为障碍谱。
由9名评定者对代表4种双相综合征亚型的20名患者进行结构化视频访谈评分。
总体而言,抑郁和躁狂分量表以及BISS总分具有较高的评定者间信度和内部一致性。BISS能够区分处于抑郁、躁狂/轻躁狂、混合躁狂或康复状态的双相情感障碍患者亚型。
BISS具有足够的信度、同时效度,能够区分双相情感障碍亚型。它还提供了一个综合量表来评估双相情感障碍的离散行为成分。