Screening for bipolar disorders: Clinical utilization of the Mood Disorders Questionnaire on an inpatient mood disorders unit

Journal of Affective Disorders
Simon KungMark A Frye

Abstract

The Mood Disorders Questionnaire (MDQ) is a widely used screening instrument for bipolar disorders. The MDQ has seldom been used in the inpatient setting, and we report a clinical, real-world inpatient validation. Between April 2011 and August 2013, patients admitted to the inpatient Mood Disorders Unit completed an MDQ as part of their admission process. Patients with a discharge diagnosis of unipolar or bipolar disorders were included. The sensitivity and specificity were calculated for each number of questionnaire items checked positive, as well as the symptoms clustered around the same time and with moderate impairment in functioning. A total of 1330 patient MDQ's were identified, and after excluding incomplete MDQ's and non-unipolar or bipolar diagnoses (e.g. anxiety, adjustment, or schizoaffective diagnoses), 860 MDQ's remained. One hundred fifty four patients (18%) were diagnosed with bipolar disorder, and 706 (82%) with unipolar depressive disorder. The average length of stay was 7.6 days. The optimal cutoff score was 8, resulting in a sensitivity/specificity of 86%/71%, compared to 92%/64% with a cutoff of 7. Retrospective study using clinical diagnoses instead of research instrument diagnoses. The sensitivity of the M...Continue Reading

References

Aug 13, 2004·Journal of Affective Disorders·Christopher J MillerS Nassir Ghaemi
Aug 30, 2005·Journal of Affective Disorders·Jules AngstJan Scott
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Jan 8, 2013·The Journal of Clinical Psychiatry·Joseph F GoldbergSigurd H Ackerman

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Citations

Aug 21, 2018·Clinical Psychopharmacology and Neuroscience : the Official Scientific Journal of the Korean College of Neuropsychopharmacology·Narei HongDuk-In Jon
Dec 5, 2017·Indian Journal of Psychological Medicine·Jasmin GargShikha Goel

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