Department of Psychology, University of Colorado, Boulder, CO, USA.
Bipolar Disord. 2010 May;12(3):327-34. doi: 10.1111/j.1399-5618.2010.00807.x.
To examine the feasibility of collecting course of illness data from patients with bipolar I and II disorder, using weekly text-messaged mood ratings, and to examine the time trajectory of symptom ratings based on this method of self-report.
A total of 62 patients with bipolar I (n = 47) or II (n = 15) disorder provided mood data in response to weekly cell phone text messages (n = 54) or e-mail prompts (n = 8). Participants provided weekly ratings using the Altman Self-Rating Mania Scale and the Quick Inventory of Depressive Symptoms-Self Report. Patients with bipolar I and II disorder, and men and women, were compared on percentages of time in depressive or manic mood states over up to two years.
Participants provided weekly ratings over an average of 36 (range 1-92) weeks. Compliance with the procedure was 75%. Overall, participants reported depressive symptoms 47.7% of the time compared to 7% of entries reflecting manic symptoms, 8.8% reflecting both depressive and manic symptoms, and 36.5% reflecting euthymic mood. Participants with bipolar I disorder reported more days of depression and were less likely to improve with time than participants with bipolar II disorder. Gender differences observed at the beginning of the study were not observed at follow-up.
The results are similar to those of other longitudinal studies of bipolar disorder that use traditional retrospective, clinician-gathered mood data. Text-message-based symptom monitoring during routine follow-up may be a reliable alternative to in-person interviews.
考察通过每周短信自评情绪，从双相 I 型和 II 型障碍患者处收集疾病过程数据的可行性，并基于此方法评估自我报告的症状评分的时间轨迹。
共有 62 名双相 I 型（n = 47）或 II 型（n = 15）障碍患者对每周手机短信（n = 54）或电子邮件提示（n = 8）做出情绪数据响应。参与者使用 Altman 自我评定躁狂量表和快速抑郁症状清单-自我报告每周进行自评。比较了双相 I 型和 II 型障碍、男性和女性患者在长达两年的时间内处于抑郁或躁狂情绪状态的时间百分比。
参与者平均提供了 36 周（范围 1-92 周）的每周评分。该程序的遵守率为 75%。总体而言，参与者报告了 47.7%的时间存在抑郁症状，而反映躁狂症状的条目为 7%，反映抑郁和躁狂症状的条目为 8.8%，反映心境良好的条目为 36.5%。双相 I 型障碍患者报告的抑郁天数更多，且随时间改善的可能性低于双相 II 型障碍患者。在研究开始时观察到的性别差异在随访时并未出现。
这些结果与使用传统回顾性、临床医生收集的情绪数据的其他双相障碍纵向研究相似。在常规随访期间，基于短信的症状监测可能是面对面访谈的可靠替代方法。
