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Desarrollo de una escala de auto-reporte para medición de síntomas maníacos
Development of a self-report scale to measure manic symptoms
Palabras clave:
Autoinforme, cuestionarios, trastornos afectivos, trastorno bipolar, adulto (es)Selfreport, questionnaires, mood disorders, bipolar disorder, adult (en)
Antecedentes. No existen instrumentos de auto-reporte en español para medir síntomas de trastorno bipolar. La perspectiva del paciente puede dar información complementaria de utilidad para el diagnóstico y manejo de la enfermedad.
Objetivo. Desarrollar una escala de auto-reporte para medir síntomas maníacos, a partir de la escala EMUN.
Materiales y métodos. Los ítems de la escala EMUN se transformaron a un lenguaje en primera persona por parte de dos psiquiatras. Esta versión preliminar en primera persona fue analizada en un estudio piloto y ajustada de acuerdo con los resultados de la evaluación. Se realizó un segundo estudio piloto con 20 pacientes con enfermedad bipolar, aplicando la versión ajustada.
Resultados. Se generó una escala con 26 ítems que incorporan síntomas del episodio mixto. La escala mide tres dimensiones de importancia clínica en salud mental: frecuencia, intensidad y grado de desadaptación producido por los síntomas.
Conclusión. El instrumento desarrollado puede ser de utilidad en áreas de investigación y en escenarios clínicos para intervenciones psicoeducativas y seguimiento del paciente.
Background. In Spanish language, no self-report instruments have been specifically developed to measure symptoms of bipolar disorder. The patient's perspective provides valuable information useful to diagnose and treat the disorder.
Objective. Develop a self-report scale for measuring manic symptoms making use of the EMUN scale.
Materials and methods. The items of the EMUN scale were transformed into a first person language by two psychiatrists. This preliminary version was evaluated in a pilot testing and adjusted according to this evaluation. A second pilot study applying the adjusted version to 20 patients having bipolar disorder was performed.
Results. A 26 items scale including symptoms of mixed episode was developed. This scale measures three clinical relevant dimensions in mental health: frequency, severity and maladaptive effect of symptoms.
Conclusions. The instrument developed can be a useful tool for researchers and in clinical settings to support educational interventions and patient's follow-up.
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Raskin A, Schulterbrandt JG, Reatig N, McKeon JJ. Differential response to chlorpromazine, imipramine, and placebo. A study of subgroups of hospitalized depressed patients. Arch Gen Psychiatry. 1970;23:164-73.
Goodwin FK, Jamison KR, Ghaemi SN. Manic-depressive illness: bipolar disorders and recurrent depression. 2nd ed. New York, NY: Oxford University Press; 2007.
Snaith RP. Rating scales. British Journal of Psychiatry. 1981;138:512-4.
Prusoff BA, Klerman GL, Paykel ES. Pitfalls in the self-report assessment of depression. Can Psychiatr Assoc J. 1972;17 Suppl 2:SS101.
Prusoff BA, Klerman GL, Paykel ES. Concordance between clinical assessments and patients' self-report in depression. Arch Gen Psychiatry. 1972;26:546-52.
Plutchik R, Platman SR, Tilles R, Fieve RR. Construction and evaluation of a test for measuring mania and depression. J Clin Psychol. 1970;26:499-503.
Eckblad M, Chapman LJ. Development and validation of a scale for hypomanic personality. J Abnorm Psychol. 1986;95:214-22.
Depue RA, Krauss S, Spoont MR, Arbisi P. General behavior inventory identification of unipolar and bipolar affective conditions in a nonclinical university population. J Abnorm Psychol. 1989;98:117-26.
Braunig P, Shugar G, Kruger S. An investigation of the Self-Report Manic Inventory as a diagnostic and severity scale for mania. Compr Psychiatry. 1996;37:52-5.
Altman EG, Hedeker D, Peterson JL, Davis JM. The Altman Self-Rating Mania Scale. Biol Psychiatry. 1997;15;42:948-55.
Angst J, Adolfsson R, Benazzi F, Gamma A, Hantouche E, Meyer TD, et al. The HCL-32: towards a self-assessment tool for hypomanic symptoms in outpatients. J Affect Disord. 2005;88:217-33.
Hirschfeld RM, Holzer C, Calabrese JR, Weissman M, Reed M, Davies M, et al. Validity of the mood disorder questionnaire: a general population study. Am J Psychiatry. 2003;160:178-80.
Akiskal HS, Mendlowicz MV, Jean-Louis G, Rapaport MH, Kelsoe JR, Gillin JC, et al. TEMPS-A: validation of a short version of a self-rated instrument designed to measure variations in temperament. J Affect Disord. 2005;85:45-52.
Akiskal HS, Akiskal KK, Haykal RF, Manning JS, Connor PD. TEMPS-A: progress towards validation of a self-rated clinical version of the Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego Autoquestionnaire. J Affect Disord. 2005;85:3-16.
Akiskal HS, Akiskal KK. TEMPS: Temperament Evaluation of Memphis, Pisa, Paris and San Diego. J Affect Disord. 2005;85:1-2.
Nassir Ghaemi S, Miller CJ, Berv DA, Klugman J, Rosenquist KJ, Pies RW. Sensitivity and specificity of a new bipolar spectrum diagnostic scale. J Affect Disord. 2005;84:273-7.
Vazquez GH, Romero E, Fabregues F, Pies R, Ghaemi N, Mota-Castillo M. Screening for bipolar disorders in Spanish-speaking populations: sensitivity and specificity of the Bipolar Spectrum Diagnostic Scale-Spanish Version. Compr Psychiatry. 2010;51:552-6.
Sanchez R, Velasquez J, Navarro A. Validation by Rasch analysis of the Mania Scale (EMUN) for measuring manic symptoms. Biomedica. 2011;31:410-8.
Perugi G, Akiskal HS, Micheli C, Musetti L, Paiano A, Quilici C, et al. Clinical subtypes of bipolar mixed states: validating a broader European definition in 143 cases. J Affect Disord. 1997;43:169-80.
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Derechos de autor 2013 Revista de la Facultad de Medicina
Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.
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