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首页> 外文期刊>The journal of clinical psychiatry >Validation of the Mood Disorder Questionnaire for bipolar disorders in adolescents.
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Validation of the Mood Disorder Questionnaire for bipolar disorders in adolescents.

机译：验证青少年双相情感障碍的情绪问卷。

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OBJECTIVE: The study was designed to determine the validity of the Mood Disorder Questionnaire-Adolescent Version (MDQ-A) as a screening instrument for bipolar disorders (I, II, not otherwise specified, and cyclothymia) in an adolescent outpatient psychiatric population. METHOD: 104 adolescents and their parents completed the MDQ-A. Three versions of the MDQ-A were compared: (1) self report of symptoms by adolescent, (2) attributional report-how the adolescent believed teachers or friends would report his/her symptoms, and (3) parent report of adolescent's symptoms. DSM-IV diagnosis was made based upon the clinician-administered Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL), a semistructured diagnostic interview. MDQ-A items were summed, yielding a score for each adolescent ranging from 0 to 13 on each of the 3 MDQ-A versions. Each possible scoring threshold, in combination with co-occurrence of symptoms and behaviors and with moderate to serious problems caused by symptoms, was crossed with the results of the K-SADS-PL diagnostic interview to assess sensitivity and specificity. The study was conducted from April 2002 to September 2003. RESULTS: A score of 5 or more items on the parent version yielded a sensitivity of 0.72 and specificity of 0.81, which were superior to self and attributional versions. CONCLUSIONS: The MDQ-A completed by parents about their adolescents' symptoms may be a useful screening instrument for bipolar disorders in an adolescent psychiatric outpatient population.
机译：目的：本研究旨在确定青少年情绪障碍问卷（MDQ-A）作为青少年门诊精神病患者双相情感障碍（I，II（未另作说明）和胸腺炎）的筛查工具的有效性。方法：104名青少年及其父母完成了MDQ-A。比较了三种版本的MDQ-A：（1）青少年的自我报告，（2）归因报告-青少年如何相信老师或朋友会报告他/她的症状，以及（3）父母报告青少年的症状。 DSM-IV诊断是根据临床医师管理的“情感障碍和学龄前儿童精神分裂症-现成及终生版本”（K-SADS-PL）进行的，该问卷是半结构化诊断访谈。对MDQ-A项目进行汇总，得出3个MDQ-A版本中每个青少年的得分从0到13。将每个可能的得分阈值与症状和行为的共同出现以及症状引起的中度到严重的问题相结合，与K-SADS-PL诊断性访谈的结果相交叉，以评估敏感性和特异性。该研究于2002年4月至2003年9月进行。结果：母本版本的5项或以上得分得分为0.72，特异性为0.81，优于自我版本和归因版本。结论：由父母完成的有关其青少年症状的MDQ-A可能是筛查青少年精神病门诊患者双相情感障碍的有用工具。

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