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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Reliability of the Mood Disorder Questionnaire: comparison with the Structured Clinical Interview for the DSM-IV-TR in a population sample.
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Reliability of the Mood Disorder Questionnaire: comparison with the Structured Clinical Interview for the DSM-IV-TR in a population sample.

机译：情绪障碍问卷的可靠性：与人群样本中DSM-IV-TR的结构化临床访谈进行比较。

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OBJECTIVE: The Mood Disorder Questionnaire (MDQ) is a widely used self-report screening instrument for the detection of bipolar disorder in clinical populations. The aim of the present study was therefore to investigate the reliability of this instrument. METHODS: Screening results using the MDQ were compared with results obtained using the Structured Clinical Interview for DSM-IV-TR Research Version, Non-patient edition (SCID) in a community-based sample of 1066 women. Trained personnel, who were blind to the results of the MDQ screen, conducted clinical interviews. RESULTS: Using the MDQ, 21 women screened positive for bipolar disorder, and using the SCID diagnoses, 24 women were confirmed with a diagnosis of bipolar disorder. Six women were detected on both instruments. Compared to the SCID, the sensitivity for the MDQ was 25%, specificity 99%, positive predictive value 28%, negative predictive value 98%, and a demonstrated kappa of 0.25. The MDQ failed to detect any of the 11 participants in the study with bipolar II disorder and missed seven of 13 participants with bipolar I disorder or bipolar not otherwise specified. Of the 21 women who screened positive using the MDQ, 19 had current or past psychopathologies other than bipolar disorder. CONCLUSION: The MDQ has substantial limitations for detection of bipolar disorder, in particular bipolar II disorder, in non-clinical populations.
机译：目的：情绪障碍问卷（MDQ）是一种广泛用于临床人群中双相情感障碍检测的自我报告筛查工具。因此，本研究的目的是调查该仪器的可靠性。方法：在以社区为基础的1066名女性样本中，将使用MDQ进行筛查的结果与使用DSM-IV-TR研究版本（非患者版）的结构化临床访谈获得的结果进行了比较。对MDQ筛查结果视而不见的受过培训的人员进行了临床访谈。结果：使用MDQ，有21名女性双相情感障碍筛查为阳性，并通过SCID诊断，证实有24名女性患有双相情感障碍。两种仪器上均检测到六名妇女。与SCID相比，MDQ的敏感性为25％，特异性为99％，阳性预测值为28％，阴性预测值为98％，kappa值为0.25。 MDQ未能检测出研究中患有双相II型障碍的11位参与者中的任何一位，而错过了13位患有双相I型障碍或未特别指明的双相障碍的参与者中的7位。在使用MDQ筛查阳性的21名妇女中，有19名患有当前或过去的精神病理学而非双相情感障碍。结论：MDQ在非临床人群中检测双相情感障碍，特别是双相II型情感障碍有很大的局限性。

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