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综合医院中双相情感障碍的筛查:波斯语版心境障碍问卷和双相谱诊断量表的心理测量学结果

Screening bipolar disorders in a general hospital: Psychometric findings for the Persian version of mood disorder questionnaire and bipolar spectrum diagnostic scale.

作者信息

Shabani Amir, Mirzaei Khoshalani Mosleh, Mahdavi Seyedreza, Ahmadzad-Asl Masoud

机构信息

Mental Health Research Center, Mood Disorders Research Group, Iran University of Medical Sciences, Tehran, Iran.

Tehran Institute of Psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Med J Islam Repub Iran. 2019 May 28;33:48. doi: 10.34171/mjiri.33.48. eCollection 2019.

Abstract

Mood Disorder Questionnaire (MDQ) and Bipolar Spectrum Diagnostic Scale (BSDS) are used to screen patients with bipolar disorders and have been examined in some psychiatric settings. The present study aimed to assess the validity and reliability of these 2 tools on inpatients in a general hospital. In a cross-sectional study in 2011, a total of 207 inpatients admitted to different wards of Rasoul Akram hospital, Tehran, were selected by systematic random sampling. Demographic questionnaire, MDQ, and BSDS were completed. Also, Structured Clinical Interview for DSM-IV axis I disorders (SCID-I) was performed for all participants within 72 hours. The SCID-I was used as the gold standard of psychiatric diagnoses to identify the predictive validity of the 2 screening tests. Sensitivity and specificity indices were identified using Roc curve. The 2 screening tools were recompleted by 20% of the patients (n=43) after 3-7 days to measure test-retest reliability using paired t test and correlation between measures in 2 separate occasions. In this study, 101 female and 106 male (m=36.9±15.5 yrs.) patients were entered the study, of them 56 (32 males) had bipolar disorder according to SCID-I. The most common bipolar disorder was bipolar disorder type II (9.7%). Pearson's test showed a high test-retest reliability for both MDQ (r=0.72, p<0.001) and BSDS (r=0.77, p<0.001). For MDQ, the scores 5 (sensitivity=0.60; specificity=0.73) and 6 (sensitivity=0.56; specificity=0.77) were the best cutoff points. Positive and negative predictive values for the mentioned cutoff points were 0.45 and 0.83 (for the score 5) and 0.48 and 0.82 (for the score 6), respectively. The best cutoff point for BSDS was 11 with the sensitivity, specificity, and positive and negative predictive values of 0.74, 0.69, 0.47, and 0.87. The Persian versions of MDQ and BSDS have acceptable validity and reliability to screen Persian patients with bipolar spectrum disorders in a general hospital.

摘要

心境障碍问卷(MDQ)和双相情感障碍谱系诊断量表(BSDS)用于筛查双相情感障碍患者,且已在一些精神科环境中进行过检验。本研究旨在评估这两种工具在综合医院住院患者中的有效性和可靠性。在2011年的一项横断面研究中,通过系统随机抽样选取了德黑兰拉苏勒·阿克拉姆医院不同病房收治的207名住院患者。完成了人口统计学调查问卷、MDQ和BSDS。此外,在72小时内对所有参与者进行了DSM-IV轴I障碍的结构化临床访谈(SCID-I)。SCID-I被用作精神疾病诊断的金标准,以确定这两种筛查测试的预测效度。使用Roc曲线确定敏感性和特异性指标。3至7天后,20%的患者(n = 43)重新完成了这两种筛查工具,以使用配对t检验和两次独立测量之间的相关性来测量重测信度。在本研究中,101名女性和106名男性(平均年龄36.9±15.5岁)患者进入研究,其中根据SCID-I有56名(32名男性)患有双相情感障碍。最常见的双相情感障碍类型是II型双相情感障碍(9.7%)。皮尔逊检验显示MDQ(r = 0.72,p < 0.001)和BSDS(r = 0.77,p < 0.001)均具有较高的重测信度。对于MDQ,分数5(敏感性 = 0.60;特异性 = 0.73)和6(敏感性 = 0.56;特异性 = 0.77)是最佳临界点。上述临界点的阳性预测值和阴性预测值分别为0.45和0.83(分数5)以及0.48和0.82(分数6)。BSDS的最佳临界点是11,其敏感性、特异性、阳性预测值和阴性预测值分别为0.74、0.69、0.47和0.87。MDQ和BSDS的波斯语版本在综合医院筛查波斯双相情感障碍谱系障碍患者方面具有可接受的有效性和可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b08/6708087/dafb171e917e/mjiri-33-48-g001.jpg

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