Using the mood disorder questionnaire and bipolar spectrum diagnostic scale to detect bipolar disorder and borderline personality disorder among eating disorder patients

BMC Psychiatry

Irene van Vliet¹  Yuya Kodama⁴  Chiho Yoshimura²  Alan R Teo³  Hisashi Yamada²  Toshihiko Nagata⁴ 

[1] Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands;Department of Neuropsychiatry, Hyogo College of Medicine, Nishinomiya, Japan;Department of Internal Medicine and Department of Psychiatry, University of Michigan, Ann Arbor, USA;Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abunoku, Osaka 545-8585, Japan

关键词: Screening scale;    Comorbidity;    Eating disorder;    Borderline personality disorder;    Bipolar disorder;   

Others  :  1124124
DOI  :  10.1186/1471-244X-13-69

 received in 2012-07-31, accepted in 2013-02-14,  发布年份 2013

【 摘 要 】

Background

Screening scales for bipolar disorder including the Mood Disorder Questionnaire (MDQ) and Bipolar Spectrum Diagnostic Scale (BSDS) have been plagued by high false positive rates confounded by presence of borderline personality disorder. This study examined the accuracy of these scales for detecting bipolar disorder among patients referred for eating disorders and explored the possibility of simultaneous assessment of co-morbid borderline personality disorder.

Methods

Participants were 78 consecutive female patients who were referred for evaluation of an eating disorder. All participants completed the mood and eating disorder sections of the SCID-I/P and the borderline personality disorder section of the SCID-II, in addition to the MDQ and BSDS. Predictive validity of the MDQ and BSDS was evaluated by Receiver Operating Characteristic analysis of the Area Under the Curve (AUC).

Results

Fifteen (19%) and twelve (15%) patients fulfilled criteria for bipolar II disorder and borderline personality disorder, respectively. The AUCs for bipolar II disorder were 0.78 (MDQ) and 0.78 (BDSD), and the AUCs for borderline personality disorder were 0.75 (MDQ) and 0.79 (BSDS).

Conclusions

Among patients being evaluated for eating disorders, the MDQ and BSDS show promise as screening questionnaires for both bipolar disorder and borderline personality disorder.

【 授权许可】

   
2013 Nagata et al; licensee BioMed Central Ltd.

【 图 表 】

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