CAJ | 학술논문

目的应用心境障碍问卷(MDQ)对诊断为抑郁障碍的精神专科住院患者进行双相障碍的筛查,评估MDQ的应用价值.方法应用MDQ对48例抑郁障碍住院患者进行评定,以美国精神障碍诊断与统计手册第4版轴Ⅰ障碍定式检查-病人研究版( SCID- Ⅰ/P)为标准对患者进行重新诊断,并与MDQ筛查结果进行比较.结果 48例患者中,以MDQ得分≥7分判断为双相障碍者13例(27.1％)；SCID- Ⅰ/P诊断为双相障碍者17例(35.4％),其中MDQ得分≥7分者11例.操作特征曲线分析显示,MDQ筛查双相障碍的敏感性为0.647,特异性为0.935.结论住院诊断为抑郁障碍的患者中未被识别的双相障碍比例较高,采用MDQ有助于从抑郁障碍中筛查出双相障碍.
목적 응용심경장애문권(MDQ)대진단위억욱장애적정신전과주원환자진행쌍상장애적사사,평고MDQ적응용개치.방법 응용MDQ대48례억욱장애주원환자진행평정,이미국정신장애진단여통계수책제4판축Ⅰ장애정식검사-병인연구판( SCID- Ⅰ/P)위표준대환자진행중신진단,병여MDQ사사결과진행비교.결과 48례환자중,이MDQ득분≥7분판단위쌍상장애자13례(27.1％)；SCID- Ⅰ/P진단위쌍상장애자17례(35.4％),기중MDQ득분≥7분자11례.조작특정곡선분석현시,MDQ사사쌍상장애적민감성위0.647,특이성위0.935.결론 주원진단위억욱장애적환자중미피식별적쌍상장애비례교고,채용MDQ유조우종억욱장애중사사출쌍상장애.
Objective To investigate the feasibility of using the Mood Disorder Questionnaire (MDQ) to screen bipolar disorder in hospitalized patients with depression.Methods Forty-eight hospitalized patients with depression were firstly assessed with MDQ and then reassessed with the SCID- Ⅰ/P (Structured Clinical Interview for DSM-Ⅳ Axis Ⅰ Disorders,Research Version for Patients).Comparison was made between the diagnostic results from two assessments.Results Of all the 48 patients,13 (27.1％ ) were identified as bipolar disorder by MDQ with cutoff score of 7,and 17 ( 35.4％ ) were diagnosed as bipolar disorder by SCID- Ⅰ/P in which 11 cases had MDQ score of no less than 7. ROC ( Receiver Operating Characteristic Curve) result showed that the sensitivity and specificity of MDQ were 0.647 and 0.935 respectively.Conclusion There is a relatively high proportion of unidentified bipolar disorder patients in hospitalized depressed patients.MDQ may be helpful for clinicians to screen the bipolar disorder in the patients with depression.