Title of the article Early diagnosis of bipolar II disorder
Authors Fedchenko Viktoriya
Year 2020 Issue Volume 28, issue 4 (105) Pages 46-50
Type of article Scientific article Index UDK 616.895.1-036.4-071 Index BBK -

The materials of the article are devoted to the study of the possibilities of early detection of bipolar affective disorder (BAD) type II using a screening questionnaire in patients diagnosed with dysthymia. The reasons of late diagnosis of bipolar spectrum disorders, difficulties in detecting episodes of hypomania, consequences of incorrect diagnosis, screening systems for early detection of BAD are considered. The effectiveness of using The Bipolar Spectrum Diagnostic Scale (BSDS) to establish the possibility of BAD in patients with dysthymia has been substantiated. Indicators obtained by the BSDS scale show that 27.78 % of patients with dysthymia have a moderate probability of bipolar spectrum disorders, 16.67 % of patients in this category — low probability and 8.33 % of subjects — high probability. It was found that a high and moderate probability of bipolar spectrum disorders is associated with the early onset of dysthymia (r = 0.421 and r = 0.396, respectively).
Key words bipolar spectrum disorders, bipolar affective disorder type II, dysthymia, screening questionnaires
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1. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication / Merikangas K. R., Akiskal H. S., Angst J. [et al.] // Arch Gen Psychiatry. 2007. Vol. 64. P. 543—552. DOI: 10.1001/archpsyc.64.5.543.
2. Diagnostic and statistical manual of mental disorders (5th version). Washington : American Psychiatric Association, 2013. URL: https://www.psychiatry.org/psychiatrists/practice/dsm.
3. Lifetime Prevalence and age-of-onset distribution of DSM-IV disorders in the National Comorbidity Survey Replication / Kessler R. C., Berglund P., Demler O. [et al.] // Arch Gen Psychiatry. 2005; 62(6): 593—602. DOI: 10.1001/archpsyc.62.6.593.
4. Innovative approaches to bipolar disorder and its treatment / Harrison P. J., Cipriani A., Harmer, C. J. [et al.] // Annals of the New-York Academy of Sciences. 2016. Vol. 1366, No. 1. P. 76—79. DOI: 10.1111/nyas.13048.
5. Weber-Rouget B., Aubry J. M. Screening for bipolar disorders: a review of the literature // Encephale. 2009; 35(6): 570—76. DOI: 10.1016/j.encep.2008.06.017.
6. Costs of bipolar disorder / Kleinman L. S., Lowin A., Flood E. [et al.] // Pharmacoeconomics. 2003. Vol. 21 (9). P. 601—622. DOI: 10.2165/00019053-200321090-00001.
7. Impact of bipolar disorder on a U.S. community sample / Calabrese J. R., Hirschfeld R. M., Reed M. [et al.] // J Clin Psychiatry. 2003. Vol. 64 (4). P. 425—432. DOI: 10.4088/jcp.v64n0412.
8. Dunner D. L. Clinical consequences of under-recognized bipolar spectrum disorder // Bipolar Disord. 2003. Vol. 5 (6). P. 456—463. DOI: 10.1046/j.1399-5618.2003.00073.x.
9. Berk M., Dodd S. Bipolar II disorder: a review // Bipolar Disord. 2005. Vol. 7 (1). P. 11—21. DOI: https://doi.org/10.1111/j.1399-5618.2004.00152.x.
10. Scott J., Leboyer M. Consequences of delayed diagnosis of bipolar disorders // Encephale. 2011. Vol. 3 (3). P. 173—175. DOI: https://doi.org/10.1016/S0013-7006(11)70048-3.
11. Benazzi F. Bipolar II disorder: epidemiology, diagnosis and management // CNS Drugs 2007; 21(9): 727—40. DOI: 10.2165/00023210-200721090-00003.
12. Angst J., Sellaro R., Stassen H. H., Gamma A. Diagnostic conversion from depression to bipolar disorders: results of a long-term prospective study of hospital admissions // J Affect Disord 2005. Vol. 84, Issues 2—3. P. 149—57. DOI: 10.1016/S0165-0327(03)00195-2.
13. Grunze H., Kasper S., Goodwin G. [et al.] The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders. Part I: Treatment of Bipolar Depression // World J Biol Psychiatry. 2002; 3: 115—24. DOI: 10.3109/15622975.2013.770551.
14. Bowden C. L. A different depression: clinical distinctions between bipolar and unipolar depression // J Affect Disord. 2005; 84 (2—3): 117—25. DOI: 10.1016/S0165-0327(03)00194-0.
15. Mitchell P. B., Goodwin G. M., Johnson G. F., Hirschfeld R. M. Diagnostic guidelines for bipolar depression: a probabilistic approach // Bipolar Disord. 2008; 10: 144—52. DOI: 10.1111/j.1399-5618.2007.00559.x.
16. Smith D. J., Ghaemi S. N. Hypomania in clinical practice // Advances in Psychiatric Treatment. 2006; 12: 110—120. DOI: https://doi.org/10.1192/apt.12.2.110.
17. McElroy S. L. Diagnosing and treating comorbid (complicated) bipolar disorder // J Clin Psychiatry. 2004; 65 (suppl. 15): 35—44. DOI: 10.1016/s0165-0327(02)00322-1
18. Toward a redefinition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania / Angst J., Gamma A., Bennazzi F. [et al.] // J Affect Disord. 2003; 73 (1—2): 133—46. DOI: 10.1016/s0165-0327(02)00322-1.
19. Kraepelin E. Manic-Depressive Insanity and Paranoia. Edinburgh : E & S Livingstone, 1921. 280 p. 20. Akiskal H. S., Akiskal K. Cyclothymic, hyperthymic and depressive temperaments as subaffective variants of mood disorders // Annual Review of Psychiatry. 1992. Vol. 11. P. 43—62.
21. The distinct temperament profiles of bipolar I, bipolar II and unipolar patients / Akiskal H. S., Kilzieh N., Maser J. D. [et al.] // J Affect Disord. 2006. Vol. 92. P. 19—33. DOI: 10.1016/j.jad.2005.12.033.
22. Zhislin S. G. K differentsialnoy diagnostike psihozov pozdnego vozrasta // Zhurnal nevrologii i psihiatrii im. S. S. Korsakova. 1960. T. 60. S. 707—714.
23. The HCL-32: Towards a self-assessment tool for hypomanic symptoms in outpatients / Angst J., Adolfsson R., Bennazzi F. [et al.] // J Affect Disord. 2005. Vol. 88, No. 22. P. 217—233. DOI: 10.1016/j.jad.2005.05.011.
24. Sensitivity and specificity of a new bipolar spectrum diagnostic scale / Ghaemi S. N., Miller C. J., Berv D. A. [et al.] // J Affect Disord. 2005. Vol. 84, No. 2—3. P. 273—277. DOI: 10.1016/S0165-0327(03)00196-4.
25. Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire / Hirschfeld R. M. A., Williams J. B., Spitzer R. L. [et al.] // American Journal of Psychiatry. 2000. Vol. 157, No. 11. P. 1873—1875. DOI: 10.1176/appi.ajp.157.11.1873.
26. Picardi A. Rating scales in bipolar disorder // Curr Opin Psychiatry. 2009; 22 (1): 42—9. DOI: 10.1097/YCO.0b013e328315a4d2.
27. Simutkin G. G. Sovremennyie instrumentyi skrininga bipolyarnyih affektivnyih rasstroystv (obzor literaturyi) // Obozrenie psihiatrii i med. psihologii. 2012. # 3. S. 34—41.
28. Smulevich A. B. Depressii pri somaticheskih i psihicheskih zabolevaniyah. M. : Med. inform. agentstvo. 2003. 209 s.