Systematic Review of Symptom Assessment Measures for Use in Measurement-Based Care of Bipolar Disorders
Abstract
Objective:
Methods:
Results:
Conclusions:
Methods
Search Strategy
Eligibility and Exclusion
Data Abstraction
Results
Measure and study | Study population and clinical setting | N of items | Time frame of symptoms or findings | Response format | Clinical utility scorea |
---|---|---|---|---|---|
Manic symptoms (patient-reported) | |||||
Self-Report Manic Inventory | 4.9 | ||||
Shugar et al., 1992 (24) | 25 hospitalized patients with mania, 82 patients without mania | 48 | 1 month prior to admission | Yes/no for each item | |
Bräunig et al., 1996 (25) | 38 hospitalized patients with mania, 66 patients without mania | 47 | Preceding week | Yes/no for each item | |
Cooke et al., 1996 (26) | 155 outpatients with bipolar disorder | 47 | Preceding week | Yes/no for each item | |
Altman Self-Rating Mania Scale | 9.6 | ||||
Altman et al., 1997 (27) | 34 hospitalized patients with mania, 71 patients without mania | 5 | Preceding week | Each item scored 0 to 4 | |
Interactive Computer Interview for mania | 3 | ||||
Reilly-Harrington et al., 2010 (28) | 100 nonhospitalized individuals with diagnosis of bipolar disorder | Variable | Preceding week | Each item has five grades of severity | |
Computerized Adaptive Testing–Mania | 4 | ||||
Achtyes et al., 2015 (29) | 25 outpatients with bipolar disorder | Average of 18 items (from 89-item bank) | Preceding 2 weeks | Each item scored from –2 to 2 | |
Manic symptoms (clinician-observed) | |||||
Modified Manic State Rating Scale | 3 | ||||
Blackburn et al., 1977 (30) | 16 hospitalized patients with current mania | 28 | At time of exam | Each item scored from 0 to 5 | |
Bech-Rafaelsen Mania Rating Scale | 6.55 | ||||
Bech et al., 1978 (31) | 38 hospitalized patients with current mania | 11 | At time of exam | Each item scored from 0 to 4 | |
Bech et al., 2001 (32) | 80 hospitalized patients with mania, goal of assessing rapid effect of antipsychotic medication | 11 | At time of exam | Each item scored from 0 to 4 | |
Bech-Rafaelsen Mania Rating Scale– Modified | 100 hospitalized patients with mania | 10 | At time of exam | Each item scored from 0 to 4 | 5.6 |
Licht and Jensen, 1997 (33) | |||||
Young Mania Rating Scale | 4 | ||||
Young et al., 1978 (34) | 20 hospitalized patients with current mania | 11 | At time of exam, no indicated duration for retrospective items, such as sleep | Each item has 5 grades of severity | |
Clinician-Administered Rating Scale for Mania | 4 | ||||
Altman et al., 1994 (35) | 14 videotaped hospitalized patients | 14 | At time of exam | Each item scored from 0 to 5 or 0 to 4 | |
Observer-Rated Scale for Maniab | 4.75 | ||||
Krüger et al., 2010 (36) | 113 hospitalized patients with bipolar disorder | 49 items | Preceding week | Each item scored true or false | |
Depressive symptoms (patient-reported) | |||||
Inventory of Depressive Symptomatology–Self-Report (SR) | 4 | ||||
Rush et al., 2000 (37) | 141 patients with bipolar disorder from outpatient public-sector settings | 30 | Preceding week | Each item scored from 0 to 3 | |
Carrol Depression Scale | 2.8 | ||||
Cassidy et al., 2009 (38) | 94 hospitalized patients with bipolar disorder with current mania or mixed symptoms | 52 | At time of exam | Each item scored yes or no | |
Quick Inventory of Depressive Symptomatology–SR | 6.75 | ||||
Bernstein et al., 2010 (39) | 141 patients with bipolar disorder from outpatient public-sector settings | 16 | Preceding week | Each item scored from 0 to 3 | |
Depressive symptoms (clinician-observed) | |||||
Inventory of Depressive Symptomatology | |||||
Trivedi et al., 2004 (40) | 402 outpatients with bipolar disorder from 19 public-sector mental health clinics | 30 | Preceding week | Each item scored from 0 to 3 | 7 |
Quick Inventory of Depressive Symptomatology | |||||
Trivedi et al., 2004 (40) | 402 outpatients with bipolar disorder from 19 public-sector mental health clinics | 16 | Preceding week | Each item scored 0 to 3 | 10 |
Bernstein et al., 2009 (41) | 405 outpatients with bipolar disorder from 19 public-sector mental health clinics | 16 | Preceding week | Each item scored 0 to 3 | |
Bipolar Depression Rating Scale | 5.5 | ||||
Berk et al., 2007 (42) | 122 patients with bipolar disorder from inpatient, outpatient, private, and public settings | 24 | Preceding several days | Each item scored from 0 to 3 | |
Hamilton Depression Rating Scale (HAMD) | |||||
Kolodziej et al., 2008 (43) | 105 outpatients with bipolar disorder and concurrent substance use | 27 | Preceding week | Each item scored from 0 to 2, 3, or 4 | 6 |
HAMD-5 | 8.3 | ||||
González-Pinto et al., 2009 (44) | 173 hospitalized patients or from day hospital with bipolar disorder with current mixed symptoms | 5 | Preceding week | Not reported | |
Depressive and manic symptoms (patient-reported) | |||||
Internal State Scale | 7.73 | ||||
Bauer et al., 1991 (45) | 89 patients with bipolar disorder or major depression from academic inpatient and outpatient settings; 24 control group participants | 17 | Past 24 hours | Each item scored from 0 to 100 | |
Cooke et al., 1996 (26) | 155 outpatients with bipolar disorder | 15 | Preceding week | Each item scored from 0 to 100 | |
Bauer et al., 2000 (46) | 86 outpatients with bipolar disorder at 4 VA clinics | 15 | Past 24 hours | Each item scored from 0 to 100 | |
ChronoRecord | 4.2 | ||||
Bauer et al., 2004 (47) | 80 outpatients with bipolar disorder at academic mood disorder specialty clinic | 6 | Past 24 hours | Mood item scored from 0 to 100 | |
Bauer et al., 2008 (48) | 27 hospitalized patients with current mania | 6 | Past 24 hours | Mood item scored 0 to 100 | |
Affective Self-Rating Scale | 7.15 | ||||
Adler et al., 2008 (49) | 53 outpatients with bipolar disorder | 18 | Preceding week | Each item scored from 0 to 4 | |
Adler et al., 2011 (50) | 231 outpatients with bipolar disorder | 18 | Preceding week | Each item scored from 0 to 4 | |
Multidimensional Assessment of Thymic States | 3.5 | ||||
Henry et al., 2008 (51) | 152 outpatients with bipolar disorder, 44 individuals without bipolar disorder | 20 | Preceding week | Each item scored from 0 to 10 | |
Henry et al., 2013 (52) | 141 individuals with bipolar disorder (combination of inpatient and outpatient) | 20 | Preceding week | Each item scored from 0 to 10 | |
NIMH Prospective Life Chart Methodology–Self | 5.2 | ||||
Born et al., 2014 (53) | 108 outpatients with bipolar disorder | 2 | Past 24 hours | Mood item scored from –4 to 4 | |
Schärer et al., 2015 (54) | 54 outpatients with bipolar disorder | 2 | Past 24 hours | Mood item scored from –4 to 4 | |
Daily Mood Monitoring | 1.4 | ||||
Schwartz et al., 2016 (55) | 10 outpatients with bipolar disorder | 6 | Past 24 hours | Symptom items scored from 0 to 100. Social stress items scored from 1 to 7 | |
Depressive and manic symptoms (clinician-observed) | |||||
NIMH Prospective Life Chart Methodology–Clinician | 7.6 | ||||
Denicoff et al., 1997 (56) | 30 outpatients with bipolar disorder | 2 | Over time since last appointment | Likert scale from 0 to 25 | |
Denicoff et al., 2000 (57) | 270 outpatients with bipolar disorder | 2 | Over time since last appointment | Likert scale from 0 to 25 | |
Clinical Monitoring Form | 5.65 | ||||
Sachs et al., 2002 (58) | 58 outpatients with bipolar disorder | 18 | Over time since last appointment | Each section scored differently; also used as progress note | |
Brief Bipolar Disorder Symptom Scale | 6.5 | ||||
Dennehy et al., 2004 (59) | 409 outpatients with bipolar disorder treated in 13 mental health clinics | 10 | At time of examination | Each item scored from 1 to 7 | |
Bipolar Inventory of Symptoms Scale | 8 | ||||
Bowden et al., 2007 (60) | 20 outpatients with bipolar disorder | 44 | Preceding week | Each item scored from 0 to 4 | |
Gonzalez et al., 2008 (61) | 224 outpatients with bipolar disorder | 44 | Preceding week | Each item scored from 0 to 4 | |
Singh et al., 2013 (62) | 116 outpatients with bipolar disorder | 44 | Preceding week | Each item scored from 0 to 4 |
Measures Assessing Manic Symptoms
Itema | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Measure | Study | Brief (<18 items) | Assesses suicidal thoughts | Easy to score | Public clinical use | Remission indicator | Internal consistency and interrater reliabilityb | Test-retest reliabilityc | Content validity with DSMd | Concurrent validityb | Convergent or discriminant validityb | Sensitivity to changeb | Totale |
Manic symptoms (patient-reported) | |||||||||||||
Self-Report Manic Inventory | Shugar et al., 1992 (24); Bräunig et al., 1996 (25); Cooke et al., 1996 (26) | 0 | 0 | 1 | 1 | 0 | .5 | .5 | .9 | .25 | .5 | .25 | 4.9 |
Altman Self-Rating Mania Scale | Altman et al., 1997, (27) | 1 | 0 | 1 | 1 | 1 | 1 | 1 | .6 | 1 | 1 | 1 | 9.6 |
Interactive Computer Interview for Mania–Young Mania Rating Scale | Reilly-Harrington et al., 2010 (28) | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 3 |
Computerized Adaptive Testing–Mania | Achtyes et al., 2015 (29) | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 4 |
Manic symptoms (clinician-observed) | |||||||||||||
Modified Manic State Rating Scale | Blackburn et al., 1977 (30) | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 |
Bech-Rafaelsen Mania Rating Scale | Bech et al., 1978 (31); Bech et al., 2001 (32) | 1 | 0 | 1 | 1 | 1 | 1 | 0 | .8 | 0 | 0 | .75 | 6.55 |
Bech-Rafaelsen Mania Rating Scale–Modified | Licht and Jensen, 1997 (33) | 1 | 0 | 1 | 1 | 0 | 0 | 0 | .6 | 1 | 0 | 1 | 5.6 |
Young Mania Rating Scale | Young et al., 1978 (34) | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 |
Clinician-Administered Rating Scale for Mania | Altman et al., 1994 (35) | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 4 |
Observer-Rated Scale for Mania | Krüger et al., 2010 (36) | 0 | 1 | 1 | 1 | 0 | .25 | 0 | 1 | .25 | .25 | 0 | 4.75 |
Depressive symptoms (patient-reported) | |||||||||||||
Inventory of Depressive Symptomatology–Self-Report (SR) | Rush et al., 2000 (37) | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 4 |
Carrol Depression Scale | Cassidy et al., 2009 (38) | 0 | 1 | 1 | 0 | 0 | 0 | 0 | .8 | 0 | 0 | 0 | 2.8 |
Quick Inventory of Depressive Symptomatology–SR | Bernstein et al., 2010 (39) | 1 | 1 | 1 | 1 | 0 | .25 | 0 | 1 | .75 | .75 | 0 | 6.75 |
Depressive symptoms (clinician-observed) | |||||||||||||
Inventory of Depressive Symptomatology | Trivedi et al., 2004 (40) | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 7 |
Quick Inventory of Depressive Symptomatology | Trivedi et al., 2004 (40); Bernstein et al., 2009 (41) | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 10 |
Bipolar Depression Rating Scale | Berk et al., 2007 (42) | 0 | 1 | 1 | 1 | 0 | .75 | 0 | 1 | .75 | 0 | 0 | 5.5 |
Hamilton Depression Rating Scale (HAMD) | Kolodziej et al., 2008 (43) | 1 | 0 | 1 | 1 | 0 | .5 | 0 | 1 | 0 | .5 | 0 | 6 |
HAMD-5 | González-Pinto et al., 2009 (44) | 1 | 1 | 0 | 1 | 0 | 1 | 1 | .3 | 1 | 1 | 1 | 8.3 |
Depressive and manic symptoms (patient-reported) | |||||||||||||
Internal State Scale | Cooke et al., 1996 (26); Bauer et al., 1991 (45); Bauer et al., 2000 (46) | 1 | 0 | 0 | 1 | 1 | .75 | .375 | .6 | 1 | 1 | 1 | 7.73 |
ChronoRecord | Bauer et al., 2004 (47); Bauer et al., 2008 (48) | 1 | 0 | 0 | 1 | 1 | 0 | 0 | .2 | 1 | 0 | 0 | 4.2 |
Affective Self-Rating Scale | Adler et al., 2008 (49); Adler and Brodin, 2011 (50) | 1 | 1 | 1 | 1 | 1 | 1 | 0 | .9 | .25 | 0 | 0 | 7.15 |
Multidimensional Assessment of Thymic States | Henry et al., 2008 (51); Henry et al., 2013 (52) | 0 | 0 | 0 | 1 | 0 | 1 | 0 | .5 | .25 | 0 | .75 | 3.5 |
NIMH Prospective Life Chart Methodology–Self | Born et al., 2014 (53); Schärer et al., 2015 (54) | 1 | 0 | 1 | 1 | 1 | 0 | 0 | .2 | 1 | 0 | 0 | 5.2 |
Daily Mood Monitoring | Schwartz et al., 2016 (55) | 1 | 0 | 0 | 0 | 0 | 0 | 0 | .4 | 0 | 0 | 0 | 1.4 |
Depressive and manic symptoms (clinician-observed) | |||||||||||||
NIMH Prospective Life Chart Methodology–Clinician | Denicoff et al., 1997 (56); | 1 | 0 | 1 | 1 | 1 | 1 | 0 | .6 | 1 | 0 | 1 | 7.6 |
Denicoff et al., 2000 (57) | |||||||||||||
Clinical Monitoring Form | Sachs et al., 2002 (58) | 0 | 1 | 1 | 1 | 1 | 0 | 0 | .9 | .75 | 0 | 0 | 5.65 |
Brief Bipolar Disorder Symptom Scale | Dennehy et al., 2004 (59) | 1 | 0 | 1 | 0 | 1 | 1 | 0 | .5 | 1 | 0 | 1 | 6.5 |
Bipolar Inventory of Symptoms Scale | Bowden et al., 2007 (60); Gonzalez et al., 2008 (61); Singh et al., 2013 (62) | 0 | 1 | 1 | 1 | 1 | .75 | .75 | 1 | .75 | .75 | 0 | 8 |
Measures Assessing Depressive Symptoms
Measures Assessing Both Manic and Depressive Symptoms
Discussion and Conclusions
Acknowledgments
Supplementary Material
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