scholarly journals Impulsivity in adolescent bipolar disorder

2011 ◽  
Vol 23 (2) ◽  
pp. 57-61 ◽  
Author(s):  
Kirsten E. Gilbert ◽  
Jessica H. Kalmar ◽  
Fay Y. Womer ◽  
Philip J. Markovich ◽  
Brian Pittman ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Mood State ◽  
The Self ◽  
Self Report ◽  
Rapid Cycling ◽  
Mood Symptoms ◽  
Barratt Impulsiveness Scale ◽  
Course Features ◽  
Report Measure ◽  
Motor Subscale

Objective: Increased impulsivity has been shown to be a trait feature of adults with bipolar disorder (BD), yet impulsivity has received little study in adolescents with BD. Thus, it is unknown whether it is a trait feature that is present early in the course of the disorder. We tested the hypotheses that self-reported impulsiveness is increased in adolescents with BD, and that it is present during euthymia, supporting impulsiveness as an early trait feature of the disorder.Methods: Impulsiveness was assessed in 23 adolescents with BD and 23 healthy comparison (HC) adolescents using the self-report measure of impulsivity, the Barratt Impulsiveness Scale (BIS), comprised by attentional, motor and non-planning subscale scores. Effects of subscale scores and associations of scores with mood state and course features were explored.Results: Total and subscale BIS scores were significantly higher in adolescents with BD than HC adolescents. Total, attentional and motor subscale BIS scores were also significantly higher in the subset of adolescents with BD who were euthymic, compared to HC adolescents. Adolescents with BD with rapid-cycling and chronic mood symptoms had significantly higher total and motor subscale BIS scores than adolescents with BD without these course features.Conclusion: These results suggest increased self-reported impulsiveness is a trait feature of adolescents with BD. Elevated impulsivity may be especially prominent in adolescents with rapid-cycling and chronic symptoms.

Rapid Cycling in Children

CNS Spectrums ◽  
2004 ◽  
Vol 9 (S2) ◽  
pp. 5-6
Author(s):  
Kiki D. Chang
Keyword(s):  
Bipolar Disorder ◽  
Pediatric Patients ◽  
Mood State ◽  
Rapid Cycling ◽  
Mixed States ◽  
Clinical Interviews ◽  
Mood Symptoms ◽  
Younger Age ◽  
The Difference ◽  
Bipolar Patients

Presence of rapid cycling appears to be the rule rather that the exception in children with bipolar disorder, although there is not much data to support this clinical notion. Geller and colleagues studied 93 pediatric patients with bipolar disorder, mean age 10.9 years. They found that 87% had rapid cycling defined as ≥4 episodes/year and 77% had ultradian cycling, defined as >365 episodes/year. In addition, Findling and colleagues studied 90 bipolar patients with a mean age of 10.8 years and found that 50% had rapid cycling by veteran CV criteria. (The study did not look at ultra-rapid or ultradian cycling.) Finally, using clinical interviews to study children with affective illness, Schraufnagel and colleagues found that 41% experienced >365 cycles/year (Slide 6).It is difficult to figure out the difference between a cycle and an episode when children are cycling so quickly. Tillman and Geller proposed that any kind of mood switching constitutes a cycle. An episode, they proposed, is defined as having ≥2 weeks of mood symptoms with either onset and offset of one mood state within that 2 weeks, or onset and offset of a period of ultra-rapid or ultradian cycling. It appears that with younger age comes more rapid cycling and more mixed states, which can be confused with ultra-rapid cycling. In turn, the older the child gets, the less rapid cycling occurs, and the more episodic the disorder becomes with more euphoria and less irritability. However, this tendency has not been well studied.

scholarly journals The course of bipolar disorder in pregnant versus non-pregnant women

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Anja W. M. M. Stevens ◽  
Stasja Draisma ◽  
Peter J. J. Goossens ◽  
Birit F. P. Broekman ◽  
Adriaan Honig ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Pregnant Women ◽  
Symptom Severity ◽  
Mood State ◽  
Daily Basis ◽  
Childbearing Age ◽  
Mood Symptoms ◽  
Severity Scores ◽  
And Cluster Analysis ◽  
Course Variables

Abstract Background and rationale Although it has been suggested that pregnancy may influence the course of bipolar disorder (BD), studies show contradictory results. Until now, no studies included a finegrained validated method to report mood symptoms on a daily basis, such as the lifechart method (LCM). The aim of the present study is to investigate the course of BD during pregnancy by comparing LCM scores of pregnant and non-pregnant women. Methods Study design: Comparison of LCM scores of two prospective observational BD cohort studies, a cohort of pregnant women (n = 34) and a cohort of non-pregnant women of childbearing age (n = 52). Main study parameters are: (1) proportions of symptomatic and non-symptomatic days; (2) symptom severity, frequency, and duration of episodes; (3) state sequences, longitudinal variation of symptom severity scores. Results No differences in clinical course variables (symptomatic days, average severity scores, frequency, and duration of episodes in BD were found between pregnant and non-pregnant women. With a combination of State Sequence Analysis (SSA) and cluster analysis on the sequences of daily mood scores three comparable clusters were found in both samples: euthymic, moderately ill and severely ill. The distribution differences between pregnant and non-pregnant women were significant, with a majority of the pregnant women (68%) belonging to the moderately ill cluster and a majority of the non-pregnant women (46%) to the euthymic cluster. In pregnant women the average daily variation in mood symptoms as assessed with Shannon’s entropy was less than in non-pregnant women (respectively 0.43 versus 0.56). Conclusions Although the use of daily mood scores revealed no difference in overall course of BD in pregnant versus non-pregnant women, more pregnant than non-pregnant women belonged to the moderately ill cluster, and during pregnancy the variation in mood state was less than in non-pregnant women. Further research is necessary to clarify these findings.

Who is Gelotophobic? Assessment Criteria for the Fear of Being Laughed at

2008 ◽  
Vol 67 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Willibald Ruch ◽  
René T. Proyer
Keyword(s):  
Individual Differences ◽  
Preliminary Evidence ◽  
The Self ◽  
Self Report ◽  
Assessment Criteria ◽  
Normal Individuals ◽  
Report Measure ◽  
Normal Controls

Ruch and Proyer (2008) provided preliminary evidence for the validity of gelotophobia (the fear of being laughed at) by showing that a group of individuals diagnosed as gelotophobic could be discriminated from groups of shame-based neurotics, non shame-based neurotics, and normal controls by means of a self-report measure. The present study reanalyzes data aimed at identifying the set of items best suited for measuring gelotophobia and estimates the prevalence of gelotophobia in the four groups (N = 863). The application of several criteria led to a final list of 15 statements. Cut-off points for a slight, pronounced, and extreme expression of gelotophobia were defined. In the group of those clinically assessed as having gelotophobia, the cut-off points were exceeded by approximately 31%, 39%, and 22%, respectively. Only 7.1% did not exceed the cut-off point, suggesting that the self-report measure validly determines the presence of and measures the intensity of gelotophobia. Close to 12% of the normal controls exceeded the cut-off points, suggesting that gelotophobia can be studied as an individual differences variable among normal individuals.

scholarly journals Real-world clinical predictors of manic/hypomanic episodes among outpatients with bipolar disorder

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0262129
Author(s):  
Keita Tokumitsu ◽  
Yasui-Furukori Norio ◽  
Naoto Adachi ◽  
Yukihisa Kubota ◽  
Yoichiro Watanabe ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Abuse ◽  
Clinical Practice ◽  
Personality Disorder ◽  
Real World ◽  
Mood State ◽  
Rapid Cycling ◽  
Bipolar I Disorder ◽  
Antidepressant Prescription ◽  
One Year

Background Bipolar disorder is a mental illness in which manic and depressive states are repeated, causing psychosocial dysfunction. Manic/hypomanic episodes cause problems with interpersonal, social and financial activities, but there is limited evidence regarding the predictors of manic/hypomanic episodes in real-world clinical practice. Methods The multicenter treatment survey on bipolar disorder (MUSUBI) in Japanese psychiatric clinics was administered in an observational study that was conducted to accumulate evidence regarding bipolar disorder in real-world clinical practice. Psychiatrists were asked to complete a questionnaire about patients with bipolar disorder who visited 176 member clinics of the Japanese Association of Neuro-Psychiatric Clinics by conducting a retrospective medical record survey. Our study extracted baseline patient characteristics from September to October 2016, including comorbidities, mental status, duration of treatment, Global Assessment of Functioning (GAF) score, and pharmacological treatment details. We investigated the presence or absence of manic/hypomanic episodes over the course of one year from baseline to September-October 2017. Results In total, 2231 participants were included in our study, 29.1% of whom had manic/hypomanic episodes over the course of one year from baseline. Binomial logistic regression analysis revealed that the presence of manic/hypomanic episodes was correlated with lower baseline GAF scores, rapid cycling, personality disorder, bipolar I disorder, and a mood state with manic or mixed features. Substance abuse was also a risk factor for manic episodes. There was no significant association between a baseline antidepressant prescription and manic/hypomanic episodes. Conclusions In Japan, 29.1% of outpatients with bipolar disorder had manic/hypomanic episodes over the course of one year. Our study suggested that a low GAF score, rapid cycling, personality disorder, bipolar I disorder, substance abuse, and baseline mood state could be predictors of manic/hypomanic episodes. Based on our findings, an antidepressant prescription is not a predictor of manic/hypomanic episodes.

Development of a Scale to Measure Interpersonal Sensitivity

1989 ◽  
Vol 23 (3) ◽  
pp. 341-351 ◽  
Author(s):  
Philip Boyce ◽  
Gordon Parker
Keyword(s):  
Separation Anxiety ◽  
Mood State ◽  
Interpersonal Sensitivity ◽  
Self Report ◽  
Clinical Group ◽  
Inner Self ◽  
Need For Approval ◽  
Scale Scores ◽  
High Internal Consistency ◽  
Report Measure

We describe the development of a self-report measure (the Interpersonal Sensitivity Measure or IPSM). The IPSM generates a total score as well as five sub-scale scores: interpersonal awareness, need for approval, separation anxiety, timidity and fragile inner-self. Its reliability is demonstrated by high internal consistency in two separate groups, and by stability in scores over time in a non-clinical group. Studies of a clinical group of depressives showed change in scale scores following improvement in the depressive state, suggesting some sensitivity of the measure to mood state. The IPSM appears related to measures of neuroticism and to low self-esteem but not to a modified concept of neuroticism, emotional arousability. The constructs contributing to interpersonal sensitivity and their relevance to depression are considered. Some preliminary findings of higher scores in depressives compared to non-depressives are reported.

An Interpersonal Analysis of Rorschach Aggression Variables in a Normal Sample

2001 ◽  
Vol 89 (3) ◽  
pp. 617-623 ◽  
Author(s):  
Joni L. Mihura ◽  
Elizabeth Nathan-Montano
Keyword(s):  
Stepwise Regression ◽  
The Self ◽  
The Other ◽  
Self Report ◽  
Normal Sample ◽  
Regression Analyses ◽  
Forward Stepwise ◽  
Interpersonal Control ◽  
The Relationship ◽  
Report Measure

This study investigated the relationship between Rorschach aggression variables and a self-report measure of interpersonal control and aggression (Structural Analysis of Social Behavior), rated for best and worst states, with 50 college students using forward stepwise regression analyses Aggressive Movement (AG) was related to the report of self-attack for the best state ratings The following findings were significant for the worst state ratings. AG was related to viewing the other as reacting as if attacked but the self as acting more affiliatively to the other. Aggressive Past (AgPast) was related to reacting to the other more submissively. A combined Aggressive Potential (AgPot)/Aggressive Content (AgC) variable was related to viewing the other as reacting less submissively and acting more dominantly. AgC was related to viewing the other as reacting less submissively. Methodological limitations are discussed, including potential problems regarding social desirability for the self-report aggression measure.

scholarly journals Assessing the readability of the self-reported Strengths and Difficulties Questionnaire

BJPsych Open ◽  
2018 ◽  
Vol 4 (2) ◽  
pp. 55-57 ◽  
Author(s):  
Praveetha Patalay ◽  
Daniel Hayes ◽  
Miranda Wolpert
Keyword(s):  
Young People ◽  
Reading Ability ◽  
Measure Development ◽  
The Self ◽  
Strengths And Difficulties Questionnaire ◽  
Self Report ◽  
Community Based ◽  
Strengths And Difficulties ◽  
Report Measure ◽  
Practice Community

The Strengths and Difficulties Questionnaire (SDQ) is one of the most widely used measures in child and adolescent mental health in clinical practice, community-based screening and research. Assessing the readability of such questionnaires is important as young people may not comprehend items above their reading ability when self-reporting. Analyses of readability in the present study indicate that the self-report SDQ might not be suitable for young people with a reading age below 13–14 years and highlight differences in readability between subscales. The findings suggest a need for caution in using the SDQ as a self-report measure for children below the age of 13, and highlight considerations of readability in measure development, selection and interpretation.Declaration of interestNone.

Agreement between Functional and Electrophysiologic Measures in Patients with Unilateral Peripheral Vestibular System Impairment

2003 ◽  
Vol 14 (05) ◽  
pp. 231-238 ◽  
Author(s):  
Gary P. Jacobson ◽  
Devin L. McCaslin
Keyword(s):  
Functional Recovery ◽  
Vestibular System ◽  
The Self ◽  
Self Report ◽  
Balance Function ◽  
Test Results ◽  
Functional Measures ◽  
Henry Ford ◽  
System Compensation ◽  
Report Measure

This investigation was conducted to determine whether there was congruence between "physiology-based" definitions of compensated and uncompensated unilateral peripheral vestibular system impairment and "functional" measures of self-perceived dizziness disability/handicap. A retrospective analysis was performed on data obtained from 122 patients evaluated in the Balance Function Laboratory at Henry Ford Hospital over a 4-year period. Both electronystagmography and rotational test data were tabulated. Additionally, results of a self-report measure of dizziness disability/handicap were tabulated. Patients were placed into four groups, with one group representing normal vestibulometric test results, one group representing compensated unilateral peripheral vestibular system impairment, and two groups representing increasing magnitudes of uncompensated unilateral peripheral vestibular system impairment. The total and subscale scores on the self-report measure served as the dependent variable. Results showed a lack of congruence between the physiologic and functional measures. We interpret these findings as evidence that factors other than semiobjective evidence of vestibular system compensation probably impact functional recovery following unilateral peripheral vestibular system impairment.

scholarly journals Description of the Process to Validate the Mexican Nurse Informatics Competency Self-Assessment Scale

2021 ◽  
Author(s):  
Erika Lozada-Perezmitre ◽  
Erick Landeros-Olvera ◽  
Rosa Maria Galicia-Aguilar ◽  
Laura-Maria Peltonen ◽  
Raji Nibber ◽  
...  
Keyword(s):  
The Self ◽  
Assessment Scale ◽  
Self Report ◽  
Ongoing Study ◽  
Nursing Informatics ◽  
Self Assessment ◽  
Efficient Care ◽  
Report Measure

Nurses need to have sufficient competencies in nursing informatics to be able to provide safe and efficient care. The Self-Assessment of Nursing Informatics Competencies Scale (SANICS) has been developed and validated as a self-report measure of informatics competencies in Western settings. In this work, we describe the ongoing study that aims to validate and translate SANICS into the Mexican setting.

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