USE OF PSYCHODIAGNOSTIC METHODS FOR DETECTION OF THE PRIMARY EPISODE OF BIPOLAR AFFECTIVE DISORDER IN THE HEALTHCARE PRACTICE
DOI:
https://doi.org/10.11603/1681-2786.2019.4.10948Keywords:
bipolar affective disorder, the primary episode, clinical phenomenology, psychodiagnostic methods, gender differencesAbstract
Purpose: to study the most common methods for diagnosing bipolar spectrum disorders in the primary episode of BAD.
Materials and Methods. 153 patients with a primary episode of BAD were clinically examined using a Mood Disorder Questionnaire (MDQ) (R.M. Hirschfield et al., 2001), bipolar spectrum diagnostic scale ((N. S. Ghaemi, C. J. Miller et al., 2005; G. Sachs, 2004, 2008) and the Hypomania Checklist-32.
Results. The peculiarities of the course of the primary episode of BAD were analyzed on the basis of clinical examination data of 153 patients. It was found that the highest diagnostic potential has the bipolar spectrum diagnostic scale in patients with depressive, manic and mixed variants of the primary episode of BAD, and lower predictive ability of the mood disorder questionnaire (MDQ) and Hypomania Checklist-32 self-questionnaire for the diagnosis pathologic affective symptoms of bipolar spectrum in patients with a manic and mixed variants of the primary episode of BAD, but were insensitive to the depressive variant. When using the bipolar spectrum diagnostic scale to detect signs of bipolarity in the primary episode of BAD, it should be kept in mind that the quantitative indicators for it are lower than in the examination of patients with clinically formed BAD, which should be taken into account in the diagnostic process.
Conclusions. Found peculiarities should be considered when using these psychodiagnostic tools to assess the risk of bipolarity in affective disorders in clinical practice.
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