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Three Studies on Self-Report Scales to Detect Bipolar Disorder

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Thomas R. Kwapil, Associate Professor (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: Background-This study investigated the usefulness of self-report scales for detecting bipolar disorder in several settings. Methods-Study 1 developed a short form of the Hypomanic Personality Scale (the HPS-6) based on clinic/community and undergraduate samples. Study 2 used this scale for recruiting participants with bipolar disorder from the community. Study 3 administered the full-length Hypomanic Personality Scale, the Mood Disorder Questionnaire, and a short form of the General Behavior Inventory (the GBI-15) to an undergraduate sample. Each study featured a reference standard diagnostic interview. Results-In Study 2, about half of those responding to the advertisement (based on the HPS-6 developed in Study 1) reported a history of at least one hypomanic episode on a telephone-based SCID. In Study 3, the most robust findings emerged for the GBI-15: about one-third of participants screening positive on that measure met criteria for bipolar disorder using the Structured Clinical Interview for the DSM-IV (SCID). Limitations-Despite large sample sizes and stratified sampling, this study was limited by a low number of participants with bipolar I disorder. Conclusions-These three studies produced mixed findings regarding the detection of bipolar disorder via self-report. The HPS-6 was reasonably successful in recruiting participants with a history of at least one manic or hypomanic episode into a study on bipolar disorder. The GBI-15 showed some promise as a screening tool in an undergraduate setting, but there is a need for more sensitive and specific scales. Discussion focuses on potential strategies for developing such scales.

Additional Information

Publication
Journal of Affective Disorders, 128(3), 199-210
Language: English
Date: 2011
Keywords
bipolar disorder, mania screening, hypomanic personality scale, mood disorder questionnaire, general behavior inventory