Vieta E, Berk M, Schulze TG, et al. nonclinical group in emotional schemas. Comments Off on Bipolar Depression Rating Scale; For years I suffered from a mild depression. Iran were interviewed with the Structured Clinical Interview for DSM-IV axis I Disorders, Y, for Epidemiological Studies Depression Scale, and the Bipolar Depression Rating Scale. The groups were determined according to age of onset and current age categories. Would you like email updates of new search results? mood was rated by Young mania rating scale (YMRS) and Beck depression inventory (BDI). Epub 2015 Dec 29. Qual Life Res. AE = adverse event APN = advanced practice nurse BD = bipolar disorder BMI = body mass index BP = blood pressure BSDS = Bipolar Spectrum Diagnostic Scale CVD = cardiovascular disease D/C = discontinued DSM-5 = Diagnostic and Statistics Manual of Mental Disorders, 5th Edition ECT = electroconvulsive therapy EPS = extrapyramidal symptoms FDA = US Food and Drug Administration … Its capacity to differentiate between responders and non-responders to antidepressant treatment was better than the HRS, indicating greater sensitivity to change. Bipolar Depression. Compared to two clinical groups, the healthy group reported greater scores in adaptive Consequently, all the patients completed the CES-D 10 items questionnaire along with the interview. The best clinical cut of point The SCID was administered by trained interviewers. different from bipolar depression disorder base on both Each item is rated on a 7-point scale. Join ResearchGate to find the people and research you need to help your work. characteristics and has an acceptable power analysis for What I didn’t plan for or anticipate was how important meditation for depression would be. These four items are given twice the weight of the others to compensate for poor cooperation from severely ill patients. Although some bipolar, depressive features have received attention in the. Findings: A 7+ HAMD-6 cut-off score correctly identified six of eight depressed patients, indicating 75% sensitivity and 84% specificity. analysis. Averaged over four assessments, patients with current major depression were 15% less likely to be employed than those without significant depressive symptoms [odds ratio (OR) = 0.84, 95% confidence interval (CI): 0.76-0.92]. Ratings of 54 English and 52 Swedish patients on a 65 item comprehensive psychopathology scale were used to identify the 17 most commonly occurring symptoms in primary depressive illness in the combined sample. The inner-rater reliability of the new depression scale was high. to identify differences between patients with bipolar disorder, major depressive disorder, and A sample of 20 patients was evaluated to identify, viewed by one interviewer in the presence of anoth-, er interviewer, who was an observer (the concurrent, efcients between the two raters for the total BDRS, ndings (intraclass correlation coefcients for each, To the best of our knowledge, this is the rst pub-, lished psychometric study of a scale for rating bipo-, lar depressive symptoms on an Iranian sample. The validity of the Hamilton and Montgomery-Asberg depression rating scales as screening and diagnostic tools for depression in Parkinson's disease. The study included 141 patients (62 male and 79 female) who had been diagnosed with bipolar disorder, were currently experiencing symptoms of depression, and were interviewed using the K-BDRS. The correlation coefficients between the two raters for the total score of the Bipolar Depression Rating Scale according to the Pearson's correlation and intraclass correlation tests were 0.83 and 0.89, respectively. ing to the SCID-I by two trained researcher (M.S. To study the test-retest reliability, a second independent SCID interview was administered to 104 of the entire sample within 3 to 7 days of the first interviews. disorder, MDD and 121 healthy people) from Medical University ECNP consensus meeting. Ratings on these 17 items for 64 patients participating in studies of four different antidepressant drugs were used to create a depression scale consisting of the 10 items which showed the largest changes with treatment and the highest correlation to overall change. The practical and ethical implications in terms of smaller sample sizes in clinical trials are discussed. A 7+ HAMD-6 cut-off score correctly identified six of eight depressed patients, indicating 75% sensitivity and 84% specificity. Goodwin GM, Anderson I, Arango C, Bowden CL, Henry C, Mitchell PB, Nolen WA, Vieta E, Wittchen HU. I was in college, so I wasn’t entirely sure what was going on or why it was happening. At the baseline assessment, these subjects were also interviewed using the Structural Clinical Interview for DSM-IV (SCID IV) and were rated for the severity of symptomatology using the Clinical Global Impression Scale (CGI). b Bipolar depression, recovery: maintaining a MADRS total score at or below the cut‐off point for the number of days indicated. sion Rating Scale (BDRS): its development, valida-, of a Persian translation of the Structured Diagnostic, Salehi M. Standardization, reliability, and validity of. of 102 subjects (34 bipolar disorders, 34 with major depressive disorder, and 34 nonclinical) significantly different from the nonclinical groups. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. emotional schemas such as validation F(2,98)=21.03, p<0.0001, values F(2,97)=9.34, in bipolar than in unipolar affective illness: results, sessive-compulsive symptoms in patients with bipo-, of bipolar and unipolar affective comorbidity on ob-, Bipolar Spectrum Diagnostic Scale for detecting bi-, mi SN, Soleimani N. The Persian Bipolar Spectrum, Diagnostic Scale and Mood Disorder Questionnaire. Bipolar Depression Rating Scale (BDRS) _____ 4. This study has reevaluated the psychometric values of the Bipolar Depression Rating Scale through. Keywords: YMRS, Validity, Reliability, Factor structure, There are four items that are graded on a 0 to 8 scale (irritability, speech, thought content, and disruptive/aggressive behavior), while the remaining seven items are graded on a 0 to 4 scale. Bipolar depression (BD) is a prevalent condition, with poor therapeutic options and a high degree of refractoriness. Feasibility of the Korean version of the Bipolar Depression Rating Scale in Adolescents with Early-Onset Bipolar Disorder, Validity and test-retest reliability of the Persian version of the Montgomery-Asberg Depression Rating Scale (MADRS), Insight in Inpatients with Psychotic Mania; Demographic and Clinical Factors, Comparing Mental Health of School-Age Children of Parents With/Without Bipolar Disorders: A Case Control Study, Clinical assessment of bipolar depression: Validity, factor structure and psychometric properties of the Korean version of the Bipolar Depression Rating Scale (BDRS), A Comparison of Emotional Schemas in Patients with Bipolar Disorders and Major Depressive Disorder in Remission and Nonclinical Population, Transcranial Direct Current Stimulation for Treatment-Resistant Major Depression: A Double-Blind Randomized Sham-Controlled Trial, Reliability, Validity, Factor and Discrimination Power Analysis of Young Mania Rating Scale among Unipolar, Bipolar Depression and Healthy People, Short Depression Screening Test for Patients with Epilepsy: CES-D with 10 Items, Strategies for Decreasing False Negative and Positive Diagnoses of Bipolar Disorders, A New Depression Scale Designed to be Sensitive to Change, Brief major depressive episode as an essential predictor of the Bipolar Spectrum Disorder, The specific pattern of obsessive-compulsive symptoms in patients with bipolar disorder, Improving the Assessment of Severity of Depressive States: A Reduction of the Hamilton Depression Scale, Diagnostic and Statistical Manual of Mental Disorders: DSM-V, Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. Background: The Hamilton Depression Rating Scale (HAM-D) and the Montgomery-Asberg Depression Scale (MADRS) are used worldwide and considered standard scales for evaluating depressive symptoms. This study explores the feasibility and psychometric properties of the Korean version of the Bipolar Depression Rating Scale (BDRS) in adolescents with Early-onset bipolar disorders. Brief and effective screening measures are required to detect clinical depression in bipolar disorder (BD) patients. Modabbernia A, Yaghoubidoust M, Lin CY, Fridlund B, Michalak EE, Murray G, Pakpour AH. Among patients with bipolar disorder, depression is strongly and consistently associated with decreased probability of employment and more days missed from work due to illness. Diagnostic agreements between test and retest SCID administration were fair to good for most diagnostic categories. Using a cut-off score of 4 on the ACT scale resulted in 71% of patients being correctly classified as having BD or MDD (sensitivity = 0.67, specificity = 0.71). Validity and reliability of a new instrument for assessing mood symptomatology: The Structured Clini... [Phenomenological differences between adolescent and adult onset mania: a comparative study], Subsyndromal Depression Is Associated With Functional Impairment in Patients With Bipolar Disorder. ve or more depressive, episodes in 86% of the probands) with an extensive, history of this disorder (mean time interval from, the rst visit to a mental health professional was, Calculation of the Cronbach’s alpha coefcient in-, dicated that BDRS had a favorable internal consis-, Pearson’s correlation coefcient between each item, and the total BDRS score was identied (item-total, correlations). Individuals with less than 50% decrease in the intensity of depression after 8 weeks of treatment with selective serotonin reuptake inhibitors were recruited. The YMRS score is a widely-used clinician rating scale to assess mania symptoms based on a patient’s subjective reports of their condition and clinical observations made during interviews. c Bipolar depression, relapse: a MADRS total score ≥15 after qualifying for bipolar depression, recovery. To evaluate the inter-rater reliability and the test–retest reliability, an additional group of 30 subjects (10 non-psychiatric patients enrolled in an orthopaedic clinic, 10 unipolar patients and 10 bipolar patients) was given the SCI-MOODS at a baseline assessment and six to eight days later. AC, Hadzi-Pavlovic D, et al. The purpose of this study was to demonstrate the clinical utility of a six-item, self-report Hamilton Depression Rating Scale (HAMD-6). They were matched for sex, age, and educational level. Bipolar spectrum features were not more common among those with irritability. This supports the cross-cultural use of the instrument. Submit your manuscripts online on the Archives of, Please register only once for all your manuscripts. A Systematic Review of the Clinimetric Properties of the 6-Item Version of the Hamilton Depression Rating Scale (HAM-D6). Scores for the CDRS-R range from 17 to 113. Test–retest reliability was slightly lower in the manic (0.86 to 0.89) than in the depressive subdomains (0.95 to 0.96), but well within the acceptable range. that selected by convenience sampling. This paper aims to investigate the psychometric proprieties (reliability and validity) of these scales in a Brazilian sample, and to compare responses in bipolar and unipolar patients. The present study has tried to, reevaluate the psychometric values of the BDRS, through assessing an Iranian sample of patients with, bipolar depression by using a different rating scale, for depression against the BDRS. MADRS-S. A self-rating version of this scale (MADRS-S) is often used in clinical practice and correlates reasonably well with expert ratings. Subjects were diagnosed by Structured Clinical Interview for DSM disorders (SCID) and their tions during the natural course of the disorder. in screening the patients with bipolar disorder. The SUMD assesses awareness to each item using a three-point scale (1, aware; 2, somewhat aware; 3, unaware) . Eight follow-up interviews over 24 months included self-reported employment status, self-reported days missed from work due to illness, and assessment of current and interval mood symptoms using the Longitudinal Interval Follow-up Examination. Methods: The present research was a cross-sectional study. The present findings suggest that the K-BDRS has good psychometric properties and is a valid and reliable tool for assessing depressive symptoms in patients with bipolar disorder. The weakest corre-, correlations were seen in reduced motivation (item, 2, omission of some of the BDRS items changed the, Cronbach’s alpha coefcient (total minus item). Also, examining the MDE cases diagnosed with BD, type II or MDD has implied that mood swings could, be a predictor of BD type II with a sensitivity of, The weakest total-item correlation was for irrita-, bility (0.26); a key symptom of mania/hypomania, which has been cited as a diagnostic clue in the de-. Bipolar disorders. Perlis RH, Fava M, Trivedi MH, Alpert J, Luther JF, Wisniewski SR, et al. COVID-19 is an emerging, rapidly evolving situation. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Objective: Similarities and differences among mood disorders can help psychiatrics in Results The construction of a depression rating scale designed to be particularly sensitive to treatment effects is described. Additional measures by Eric Stice are here. Background The goal of this study was to determine General health questionnaire (GHQ) was also used for nonclinical population. Study 2: The intraclass correlation coefficient (test-retest reliability) was r=0.944 for the face-to-face interviews, and r=0.959 for the telephone interviews. 2000 Jul;15(7):644-9. doi: 10.1002/1099-1166(200007)15:7<644::aid-gps167>3.0.co;2-l. Timmerby N, Andersen JH, Søndergaard S, Østergaard SD, Bech P. Psychother Psychosom. Conclusion: Persian version of YMRS has good psychometric Rate of single (%51.7) and divorced patients (%21.7), rate of unemployment status (%70) were higher in adolescent-onset patients than adult-onsets. It includes items for rating mixed features, as well as being sensitive to many phenomenological elements found commonly in bipolar depression, such as hypersomnia and hyperphagia, which are not picked up by conventional depression measures. Int J Geriatr Psychiatry. Bipolar Spectrum Diagnostic Scale (BSDS), with bipolar disorder. Using a cut-off associated with delays in the initiation of mood stabilizers score of 4 on the ACT scale resulted in 71% of patients being (Goldberg and Ernst 2002). Keywords: Results: Ratings of 54 English and 52 Swedish patients on a 65 item comprehensive psychopathology scale were used to identify the 17 most commonly occurring symptoms in primary depressive illness in the combined sample. In this research, the BDRS showed good internal consistency, high reliability and validity similar to the results from previous studies performed with adult subjects with bipolar depression, 17,21. with specic obsessive-compulsive symptoms. Additionally, the internal consistency, concurrent validity, inter-rater reliability, and test-retest reliability of the K-BDRS were evaluated. In the current study, we tried to evaluate the effect of transcranial direct current stimulation (tDCS) on treatment-resistant major depression. Bipolar Spectrum Disorder (BSD). Mixed analysis of variance showed a significant difference in the mean scores for active group P = .010 and pattern of change during the study P < .001 in favor of active intervention. There was also a significant difference in favor of light therapy for clinical response (odds ratio [ OR ] = 2.32; 95% CI, 1.12 to 4.81; P = 0.024) but not for remission. Therefore, utiliz-. All rights reserved. The BDRS is utilized by psychiatrists or trained, personnel and includes 20 items that individually, edge, the only published study for the psychometric, evaluation of the BDRS is the study by Berk and, 78 females diagnosed with bipolar depression. I found a way to take the weight off … The prevalence and burden of bipolar disorder: findings from the Global Burden of Disease Study 2013. Light therapy was associated with a significant improvement in Hamilton Depression Rating Scale score (standardized mean difference = 0.43, 95% confidence interval [CI], 0.04 to 0.82, P = 0.03). Schaffer A, Cairney J, Cheung A, Veldhuizen S, Levitt A. The items 'increased motor drive' and 'increased speech' are items that belong in the mixed subscales, and previous studies have also shown that the correlations of these two items with the BDRS total score were low. CONCLUSIONS : The content of OC symptoms which is not traditionally considered a helpful factor for diagnosing a psychiatric disorder might be able to lead the clinician to the diagnosis of bipolarity in a depressed patient with OCD. NIH Test–retest reliability was also excellent, ranging from 0.93 to 0.94 for the four domains. Background and Objective: Unipolar depression disorder is Irritable depression is not a distinct subtype of MDD, but irritability is associated with greater overall severity, anxiety comorbidity and suicidality. This study explored the feasibility and psychometric properties of the Korean version of the BDRS in adolescents with Early-onset bipolar disorders. Using a softer definition of remission or remission with mild symptoms, cut-off scores < 7 on the YMRS score and < 10 on the MADRS are supported. Bipolar Inventory of Signs and Symptoms Scale (BISS) General Instructions Items are scored from 0 to 4, based on the most recent 7 day period, utilizing information from self report, and family and clinician observation both outside and during the interview. and beyond: misdiagnosis, antidepressant use, and. on patients diagnosed with unipolar depression. S, Bayart D, Akiskal HS. USA.gov. Current depressive symptoms were available for 95% (n = 587) of the participants using one or more measures: Patient Health Questionnaire-9 (Kroenke et al., 2001) (n = 188), Hamilton Depression Rating Scale (Hamilton, 1967) (n = 399), and/or Beck Depression Inventory, 2nd edition (Beck et al., 1988) (n = 131); cut-off scores to signify clinical depression were different for each measure so participants … Its capacity to differentiate between responders and non-responders to antidepressant treatment was better than the HRS, indicating greater sensitivity to change. The optimal cut-off score of 18 generated the best combination of sensitivity (0.52) and specificity (0.73) for the discrimination between BD and MDD . Methods The Bipolar Depression Rating Scale is a reliable and valid instrument to use in studies on Iranian clinical patients with bipolar depression. Hence, Berk and colleagues, introduced a new scale termed the Bipolar Depres-, depression severity and has been designed based on, the HDRS, by taking into consideration changes and, adaptations for patients with BD. Montgomery, S.A., & Åsberg, M. (1979). A lower score means fewer symptoms. For bipolar depression, remission is traditionally defined as a score of ≤7 on the 17‐item version of the Ham‐D or ≤12 on the Montgomery–Åsberg Depression Rating Scale , i.e. Among those employed, major depression was associated with 4.06 additional days of work missed per month (CI: 1.05-7.06) compared to those without significant depressive symptoms. The Hospital Anxiety and Depression scale is the most widely investigated and validated scale for screening; however, it is too long and difficult to score, making it less useful in clinical practice. Factor analysis showed three p<0.0001, acceptance F(2,93)=15.14, p<0.0001, and expression F(2,99)=8.19, p<0.001. HAMD-5 showed appropriate convergent validity, discriminant validity, internal consistency, and test-retest reliability. Correlations of each of the domains with the others ranged from 0.63 to 0.85, indicating a strong interrelationship among the domains. Objective: The Montgomery-Asberg Depression Rating Scale (MADRS) is an expert's rating tool to assess the severity and symptoms of depression. Conclusion: The present data suggest that the Persian MADRS has high validity and excellent test-retest reliability over a time interval of 3-14 days, irrespective of whether the second assessment was carried out face-to-face or via a telephone interview. A search for the best questions to screen bipolar de-, pression indicated that the correlation of the item de-. Eur Neuropsychopharmacol. Conclusion and positive diagnoses of bipolar disorders. psychotic symptoms, lability, and helplessness. sion with the potential of switching to BD type II. statistically signicant in all instances. Community survey of bipolar disorder in Canada: Lifetime prevalence and illness characteristics. he depressive picture is the common clinical, The Bipolar Depression Rating Scale is an instrument to measure depression severity in patients diagnosed, : The Cronbach’s alpha coefcient was 0.81. This paper aims to investigate the psychometric proprieties (reliability and validity) of these scales in a Brazilian sample, and to compare responses in bipolar and unipolar patients. Bipolar depression. Bipolar Inventory of Signs and Symptoms Scale, BISS. Given, that the CES-D and BDRS measures the severity of, severity, it was expected that the changes of the rst, Descriptive statistics, internal consistency (Cron-, relation and intraclass correlation), and Pearson’s. Study 1: The MADRS and HDRS scores between patients with MDD and healthy controls differed significantly. disorder. A total of 60 patients (36 males and 24 females) with bipolar depression referred to four medical centers in Tehran, Iran were interviewed with the Structured Clinical Interview for DSM-IV axis I Disorders, Young Mania Rating Scale, center for Epidemiological Studies Depression Scale, and the Bipolar Depression Rating Scale. However, lability had not been considered for the, HDRS versions but now it has been included in the, BDRS for adaptation with bipolar depression. 31 But Participants whose score equals or exceeds the cut-off are considered likely to be sufferers [ 3 ]. The mean age of the bipolar group was significantly lower than that of the non-bipolars (P < 0.05). Nice, March 2007. https://www.who.int/news-room/fact-sheets/detail/mental-disorders. in depression phase is a little difficult needing precise interview Internal consistency and inter-rater, reliability of the Bipolar Depression Rating Scale, and Pearson’s correlation coefcient between the Bipolar Depression Rating, Scale with the Center for Epidemiological Studies Depression Scale and Y, according to the Pearson’s correlation and intraclass correlation tests were 0.83 and 0.89, respectively, Health Research Center, Iran University of Medical Sciences, Research Center, Iran University of Medical Sciences and Health, Psychiatric Institute, Niayesh St., Sattarkhan A, Accepted for publication: 16 December 2009, one of the screening tests for BD, the instruments, provided for measuring the depression severity, have been designed without regard to the differenc-. Discriminant validity was higher for HAMD-5 than HAMD-21. pressive episode of BD by some researchers. Three factors (i.e., psychosomatic, mood, and mixed) were identified in the principal component analysis and hierarchical cluster analysis of the BDRS. The Self-rating Depression Scale (SDS) developed by Zung [ 4, 5] is a norm-referenced measure, used to screen adults for the potential presence of depressive disorders. a Remission: ≥1 MADRS total score at or below the cut‐off point. Thirty eight patients (39.2%: 18 males and 20 females) met the complete diagnostic criteria of BSD. "nResults: The optimal cut-off score of CES-D in the both group was .3. In the two groups, the CESD scale cut-off point was obtained using ROC analysis. Irritability is common during major depressive episodes, but its clinical significance and overlap with symptoms of anxiety or bipolar disorder remains unclear. World Health Organization (2018). Other measures included the Montgomery and Asberg Depression Scale (MADRS), the 17-item Hamilton Depression Scale (HAMD), and the Young Mania Rating Scale (YMRS). The Persian translation of the SCID yields diagnoses with acceptable to good reliability and validity in a clinical population in Iran. A strength of the BDRS is its ability to assess mixed symptoms and atypical symptoms of depression. The mean score of the Y-BOCS was not significantly different between the two groups.
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