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

BMC Psychiatry

Research Article

Alan R Teo¹  Chiho Yoshimura²  Hisashi Yamada²  Yuya Kodama³  Toshihiko Nagata³  Irene van Vliet⁴ 

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

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

DOI  :  10.1186/1471-244X-13-69

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

来源: Springer

【 摘 要 】

BackgroundScreening 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.MethodsParticipants 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).ResultsFifteen (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).ConclusionsAmong 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】

CC BY   
© Nagata et al.; licensee BioMed Central Ltd. 2013