کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6232320 1608153 2015 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Screening for bipolar spectrum disorders: A comprehensive meta-analysis of accuracy studies
ترجمه فارسی عنوان
غربالگری برای اختلالات طیف دو قطبی: یک متاآنالیز جامع از مطالعات دقت
کلمات کلیدی
اختلال دو قطبی، غربالگری، مطالعات دقیق، بررسی سیستماتیک، متاآنالیز،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی

BackgroundBipolar spectrum disorders are frequently under-recognized and/or misdiagnosed in various settings. Several influential publications recommend the routine screening of bipolar disorder. A systematic review and meta-analysis of accuracy studies for the bipolar spectrum diagnostic scale (BSDS), the hypomania checklist (HCL-32) and the mood disorder questionnaire (MDQ) were performed.MethodsThe Pubmed, EMBASE, Cochrane, PsycINFO and SCOPUS databases were searched. Studies were included if the accuracy properties of the screening measures were determined against a DSM or ICD-10 structured diagnostic interview. The QUADAS-2 tool was used to rate bias.ResultsFifty three original studies met inclusion criteria (N=21,542). At recommended cutoffs, summary sensitivities were 81%, 66% and 69%, while specificities were 67%, 79% and 86% for the HCL-32, MDQ, and BSDS in psychiatric services, respectively. The HCL-32 was more accurate than the MDQ for the detection of type II bipolar disorder in mental health care centers (P=0.018). At a cutoff of 7, the MDQ had a summary sensitivity of 43% and a summary specificity of 95% for detection of bipolar disorder in primary care or general population settings.LimitationsMost studies were performed in mental health care settings. Several included studies had a high risk of bias.ConclusionsAlthough accuracy properties of the three screening instruments did not consistently differ in mental health care services, the HCL-32 was more accurate than the MDQ for the detection of type II BD. More studies in other settings (for example, in primary care) are necessary.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 172, 1 February 2015, Pages 337-346
نویسندگان
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