Hirschfeld et al reported the Mood Disorder Questionnaire for screening a patient for a bipolar spectrum disorder. The authors are from the University of Texas at Galveston, Columbia University, the New York State Psychiatric Institute, Case Western Reserve University, Harvard Medical School, Rush-Presbyterian-St. Luke's Medical Center, and NIMH.
Lead in: Has there ever been a period of time when you were not your usual self AND.....
(1) you felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?
(2) you were so irritable that you shouted at people or started fights or arguments?
(3) you felt much more self-confident than usual?
(4) you got much less sleep than usual and found you didn't miss it?
(5) you were much more talkative or spoke faster than usual?
(6) thoughts raced through you head or you couldn't slow you mind down?
(7) you were so easily distracted by things around you that you had trouble concentrating or staying on track?
(8) you had much more energy than usual?
(9) you were much more active or did many more things than usual?
(10) you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night?
(11) you were much more interested in sex than usual?
(12) you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?
(13) spending money got you or your family in trouble?
Response
|
Points
|
no
|
0
|
yes
|
1
|
total score =
= SUM(points for all of the items)
Interpretation:
• minimum score: 0
• maximum score: 13
• A score >= 7 has a sensitivity of 0.73 and specificity of 0.90.
The patient can also rate how much of a problem these finings have been:
(1) no problem
(2) minor
(3) moderate
(4) serious