Comparison of the validity of different self-rated tools for identifying (Hypo-) manic episodes mixed features: based on Date from the Second Phase of the National Bipolar Mania Clinical Pathway Survey
10.3760/cma.j.cn113661-20231013-00138
- VernacularTitle:（轻）躁狂发作伴混合特征不同自评工具识别效度比较：基于中国双相躁狂临床路径二期调研数据
- Author:
Zuowei WANG
1
;
Yuncheng ZHU
;
Chuangxin WU
;
Guiyun XU
;
Miao PAN
;
Zhiyu CHEN
;
Xiaohong LI
;
Wenfei LI
;
Zhian JIAO
;
Mingli LI
;
Yong ZHANG
;
Jingxu CHEN
;
Xiuzhe CHEN
;
Na LI
;
Jing SUN
;
Jian ZHANG
;
Shaohua HU
;
Haishan WU
;
Zhaoyu GAN
;
Yan QIN
;
Yumei WANG
;
Yantao MA
;
Xiaoping WANG
;
Yiru FANG
Author Information
1. 上海市虹口区精神卫生中心 上海大学医学院精神卫生临床研究中心，上海200083
- Publication Type:Journal Article
- Keywords:
Bipolar disorder;
Manic episode;
Mixed features;
MINI-M;
CUDOS-M;
Validity
- From:
Chinese Journal of Psychiatry
2024;57(7):426-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective:A nationwide multi-center and large sample survey was conducted to compare the validity of the Mini International Neuropsychiatric Interview (Hypo-) Manic Episode with Mixed Features-DSM-5 Module (MINI-M) questionnaire and the Clinically Useful Depression Outcome Scale Supplemented with Questions for the DSM-5 Mixed Features Specifier (CUDOS-M) depression subscale in identifying mixed features in patients experiencing (hypo-) manic episodes.Methods:Using a convenience sampling method, 366 patients with bipolar disorder experiencing acute (hypo-) manic episodes who met the inclusion and exclusion criteria were recruited. The diagnosis of "with mixed features" was based on the DSM-5 criteria for mixed features. The predictive validity of the MINI-M questionnaire and the CUDOS-M depression subscale to screen mixed features was analyzed using the receiver operating characteristic (ROC) curve. Additionally, the difference in area under the ROC curve (AUC) between the two instruments was compared.Results:The AUC for the MINI-M questionnaire and the CUDOS-M depression subscale in screening mixed features were 0.79 (95 %CI=0.75-0.84) and 0.81 (95 %CI=0.77-0.86), respectively. There was no statistically significant difference in AUC between the two measurements ( Z=-1.19, P>0.05). Among patients with acute (hypo-) manic episodes, 45.9% (168/366) presented with mixed features according to the DSM-5 criteria, while the corresponding figures were 43.7% (160/366) using the MINI-M questionnaire (total score≥3) and 42.1% (154/366) using the CUDOS-M depression subscale (total score≥20). Screening results were comparable among the three measures. Conclusion:Mixed features are common among patients experiencing acute (hypo-) manic episodes. The MINI-M questionnaire and the CUDOS-M depression subscale demonstrate equivalent validity in identifying mixed features.
