지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives The Mood Disorder Questionnaire (MDQ) has been validated as a diagnostic screening instrument for the detection of patients with bipolar disorder, but some patients with bipolar disorder obtain false negative screens. So we investigated demographic and clinical characteristics in false-negative MDQ in bipolar patients.
Methods The participants were 60 DSM-IV bipolar outpatients in remission. All completed the Korean version of the Mood Disorder Questionnaire (K-MDQ) and the Korean version of the Beck Cognitive Insight Scale (K-BCIS) and were assessed by a trained clinician on the Young Mania Rating Scale, the Hamilton Depression Rating Scale and the Global Assessment of Functioning scale. The patients were categorized into two groups according to their K-MDQ score excluding further two questions (MDQ ≥7 : K-MDQ-positives and MDQ <7 : K-MDQ-negatives). Differences in demographic and clinical characteristics between these two groups were analyzed.
Results There were no statistically significant differences between K-MDQ-positives and K-MDQ-negatives on the demographic and clinical variables, except on the K-BCIS where K-MDQ-negatives reported significantly lower scores on the K-BCIS composite index and self-reflectiveness subscale.
Conclusion These results suggest that lack of insight is a confounding factor in screening for bipolar disorder using the K-MDQ.
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참고문헌 (25)
참고문헌 신청
Akiskal HS / 1999 / The evolving bipolar spectrum. Prototypes I, II, III, and IV / Psychiatr Clin North Am 22 : 517 ~ 534
Akiskal HS / 2000 / Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders / J Affect Disord 59 (1) : 5 ~ 30
Angst J / 2003 / Recurrence of bipolar disorders and major depression. A life-long perspective / Eur Arch Psychiatry Clin Neurosci 253 : 236 ~ 240
Baethge C / 2003 / Does prophylaxis-delay in bipolar disorder influence outcome? Results from a long-term study of 147 patients / Acta Psychiatr Scand 107 : 260 ~ 267
Beck AT / 2004 / A new instrument for measuring insight: the Beck Cognitive Insight Scale / Schizophr Res 68 : 319 ~ 329
Akiskal HS / 2000 / Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders / J Affect Disord 59 (1) : 5 ~ 30
Angst J / 2003 / Recurrence of bipolar disorders and major depression. A life-long perspective / Eur Arch Psychiatry Clin Neurosci 253 : 236 ~ 240
Baethge C / 2003 / Does prophylaxis-delay in bipolar disorder influence outcome? Results from a long-term study of 147 patients / Acta Psychiatr Scand 107 : 260 ~ 267
Beck AT / 2004 / A new instrument for measuring insight: the Beck Cognitive Insight Scale / Schizophr Res 68 : 319 ~ 329
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