Accuracy of the number of previous episodes reported by patients with bipolar disorder

Autores
Martino, Diego Javier; Marengo, Eliana; Igoa, Ana; Scápola, María; Urtueta Baamonde, Mariana; Strejilevich, Sergio
Año de publicación
2016
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background The number of previous episodes in patients with BD is a variable widely used for both clinical and research purposes. The aim of this study was to compare the number of episodes retrospectively reported by euthymic BD subjects with that registered by their psychiatrists during a follow-up period. Methods Fifty euthymic patients with BD and more than 2 years of follow-up were retrospectively asked in a standardized fashion about the number of hypomanic/manic and depressive episodes suffered during that period. Patient-reported outcomes were compared with the number of episodes registered by psychiatrists in a life chart during the same period. Results The mean follow-up of patients was 66.70 months. There was a mean difference of 2.74 episodes between reports of patients´ and psychiatrists´ reports during the complete follow-up period; Intraclass correlation coefficient was 0.40 (CI95% = 0.15-0.61). This difference increased with the duration of the follow-up period (R = 0.33, p = 0.023) and with the number of episodes occurred during that (R = 0.32, p = 0.023). The difference between patient-reported and clinician-rated in the number of depressive during the follow-up period was more pronounced in BDII than in BDI (Z = -2.47, p = 0.014), and it correlated with the number of previous depressive episodes at baseline (R = 0.28, p = 0.047) and subclinical depressive symptoms (R = 0.41, p = 0.003). Conclusions The number of previous episodes referred by patients with BD is not an accurate measure of the true number of episodes suffered. The theoretical and practical implications of these findings are discussed.
Fil: Martino, Diego Javier. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Favaloro; Argentina
Fil: Marengo, Eliana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Favaloro; Argentina
Fil: Igoa, Ana. Universidad Favaloro; Argentina
Fil: Scápola, María. Universidad Favaloro; Argentina
Fil: Urtueta Baamonde, Mariana. Universidad Favaloro; Argentina
Fil: Strejilevich, Sergio. Universidad Favaloro; Argentina. Instituto de Neurología Cognitiva; Argentina
Materia
Bipolar Disorder
Reported Episodes
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/43731

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network_name_str CONICET Digital (CONICET)
spelling Accuracy of the number of previous episodes reported by patients with bipolar disorderMartino, Diego JavierMarengo, ElianaIgoa, AnaScápola, MaríaUrtueta Baamonde, MarianaStrejilevich, SergioBipolar DisorderReported Episodeshttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background The number of previous episodes in patients with BD is a variable widely used for both clinical and research purposes. The aim of this study was to compare the number of episodes retrospectively reported by euthymic BD subjects with that registered by their psychiatrists during a follow-up period. Methods Fifty euthymic patients with BD and more than 2 years of follow-up were retrospectively asked in a standardized fashion about the number of hypomanic/manic and depressive episodes suffered during that period. Patient-reported outcomes were compared with the number of episodes registered by psychiatrists in a life chart during the same period. Results The mean follow-up of patients was 66.70 months. There was a mean difference of 2.74 episodes between reports of patients´ and psychiatrists´ reports during the complete follow-up period; Intraclass correlation coefficient was 0.40 (CI95% = 0.15-0.61). This difference increased with the duration of the follow-up period (R = 0.33, p = 0.023) and with the number of episodes occurred during that (R = 0.32, p = 0.023). The difference between patient-reported and clinician-rated in the number of depressive during the follow-up period was more pronounced in BDII than in BDI (Z = -2.47, p = 0.014), and it correlated with the number of previous depressive episodes at baseline (R = 0.28, p = 0.047) and subclinical depressive symptoms (R = 0.41, p = 0.003). Conclusions The number of previous episodes referred by patients with BD is not an accurate measure of the true number of episodes suffered. The theoretical and practical implications of these findings are discussed.Fil: Martino, Diego Javier. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Favaloro; ArgentinaFil: Marengo, Eliana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Favaloro; ArgentinaFil: Igoa, Ana. Universidad Favaloro; ArgentinaFil: Scápola, María. Universidad Favaloro; ArgentinaFil: Urtueta Baamonde, Mariana. Universidad Favaloro; ArgentinaFil: Strejilevich, Sergio. Universidad Favaloro; Argentina. Instituto de Neurología Cognitiva; ArgentinaW B Saunders Co-Elsevier Inc2016-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/43731Martino, Diego Javier; Marengo, Eliana; Igoa, Ana; Scápola, María; Urtueta Baamonde, Mariana; et al.; Accuracy of the number of previous episodes reported by patients with bipolar disorder; W B Saunders Co-Elsevier Inc; Comprehensive Psychiatry; 65; 2-2016; 122-1270010-440XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.comppsych.2015.11.005info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0010440X15300948info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:01:44Zoai:ri.conicet.gov.ar:11336/43731instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:01:44.58CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Accuracy of the number of previous episodes reported by patients with bipolar disorder
title Accuracy of the number of previous episodes reported by patients with bipolar disorder
spellingShingle Accuracy of the number of previous episodes reported by patients with bipolar disorder
Martino, Diego Javier
Bipolar Disorder
Reported Episodes
title_short Accuracy of the number of previous episodes reported by patients with bipolar disorder
title_full Accuracy of the number of previous episodes reported by patients with bipolar disorder
title_fullStr Accuracy of the number of previous episodes reported by patients with bipolar disorder
title_full_unstemmed Accuracy of the number of previous episodes reported by patients with bipolar disorder
title_sort Accuracy of the number of previous episodes reported by patients with bipolar disorder
dc.creator.none.fl_str_mv Martino, Diego Javier
Marengo, Eliana
Igoa, Ana
Scápola, María
Urtueta Baamonde, Mariana
Strejilevich, Sergio
author Martino, Diego Javier
author_facet Martino, Diego Javier
Marengo, Eliana
Igoa, Ana
Scápola, María
Urtueta Baamonde, Mariana
Strejilevich, Sergio
author_role author
author2 Marengo, Eliana
Igoa, Ana
Scápola, María
Urtueta Baamonde, Mariana
Strejilevich, Sergio
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Bipolar Disorder
Reported Episodes
topic Bipolar Disorder
Reported Episodes
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background The number of previous episodes in patients with BD is a variable widely used for both clinical and research purposes. The aim of this study was to compare the number of episodes retrospectively reported by euthymic BD subjects with that registered by their psychiatrists during a follow-up period. Methods Fifty euthymic patients with BD and more than 2 years of follow-up were retrospectively asked in a standardized fashion about the number of hypomanic/manic and depressive episodes suffered during that period. Patient-reported outcomes were compared with the number of episodes registered by psychiatrists in a life chart during the same period. Results The mean follow-up of patients was 66.70 months. There was a mean difference of 2.74 episodes between reports of patients´ and psychiatrists´ reports during the complete follow-up period; Intraclass correlation coefficient was 0.40 (CI95% = 0.15-0.61). This difference increased with the duration of the follow-up period (R = 0.33, p = 0.023) and with the number of episodes occurred during that (R = 0.32, p = 0.023). The difference between patient-reported and clinician-rated in the number of depressive during the follow-up period was more pronounced in BDII than in BDI (Z = -2.47, p = 0.014), and it correlated with the number of previous depressive episodes at baseline (R = 0.28, p = 0.047) and subclinical depressive symptoms (R = 0.41, p = 0.003). Conclusions The number of previous episodes referred by patients with BD is not an accurate measure of the true number of episodes suffered. The theoretical and practical implications of these findings are discussed.
Fil: Martino, Diego Javier. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Favaloro; Argentina
Fil: Marengo, Eliana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Favaloro; Argentina
Fil: Igoa, Ana. Universidad Favaloro; Argentina
Fil: Scápola, María. Universidad Favaloro; Argentina
Fil: Urtueta Baamonde, Mariana. Universidad Favaloro; Argentina
Fil: Strejilevich, Sergio. Universidad Favaloro; Argentina. Instituto de Neurología Cognitiva; Argentina
description Background The number of previous episodes in patients with BD is a variable widely used for both clinical and research purposes. The aim of this study was to compare the number of episodes retrospectively reported by euthymic BD subjects with that registered by their psychiatrists during a follow-up period. Methods Fifty euthymic patients with BD and more than 2 years of follow-up were retrospectively asked in a standardized fashion about the number of hypomanic/manic and depressive episodes suffered during that period. Patient-reported outcomes were compared with the number of episodes registered by psychiatrists in a life chart during the same period. Results The mean follow-up of patients was 66.70 months. There was a mean difference of 2.74 episodes between reports of patients´ and psychiatrists´ reports during the complete follow-up period; Intraclass correlation coefficient was 0.40 (CI95% = 0.15-0.61). This difference increased with the duration of the follow-up period (R = 0.33, p = 0.023) and with the number of episodes occurred during that (R = 0.32, p = 0.023). The difference between patient-reported and clinician-rated in the number of depressive during the follow-up period was more pronounced in BDII than in BDI (Z = -2.47, p = 0.014), and it correlated with the number of previous depressive episodes at baseline (R = 0.28, p = 0.047) and subclinical depressive symptoms (R = 0.41, p = 0.003). Conclusions The number of previous episodes referred by patients with BD is not an accurate measure of the true number of episodes suffered. The theoretical and practical implications of these findings are discussed.
publishDate 2016
dc.date.none.fl_str_mv 2016-02
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/43731
Martino, Diego Javier; Marengo, Eliana; Igoa, Ana; Scápola, María; Urtueta Baamonde, Mariana; et al.; Accuracy of the number of previous episodes reported by patients with bipolar disorder; W B Saunders Co-Elsevier Inc; Comprehensive Psychiatry; 65; 2-2016; 122-127
0010-440X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/43731
identifier_str_mv Martino, Diego Javier; Marengo, Eliana; Igoa, Ana; Scápola, María; Urtueta Baamonde, Mariana; et al.; Accuracy of the number of previous episodes reported by patients with bipolar disorder; W B Saunders Co-Elsevier Inc; Comprehensive Psychiatry; 65; 2-2016; 122-127
0010-440X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.comppsych.2015.11.005
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0010440X15300948
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv W B Saunders Co-Elsevier Inc
publisher.none.fl_str_mv W B Saunders Co-Elsevier Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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