Assessment of depression in bipolar disorder

  • Eduard Vieta

Abstract

Up to 60% of bipolar patients initially present with depression [1], and the majority of bipolar patients will experience a major depressive episode at some stage in their lives. Depressive symptoms have the greatest negative impact on the lives of patients with bipolar disease [2,3]. If depression is suspected, the use of rating scales can aid the diagnosis (by ensuring that all key symptoms are addressed), quantify the severity of depression and assist in monitoring the response to treatment. Their use also optimizes a consistent therapeutic approach in successive evaluations.

Keywords

Bipolar Disorder Beck Depression Inventory Major Depressive Episode Bipolar Patient Beck Depression Inventory Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Perugi G, Micheli C, Akiskal HS, et al. Polarity of the first episode, clinical characteristics, and course of manic depressive illness: a systematic retrospective investigation of 320 bipolar I patients. Compr Psychiatry 2000; 41:13–8.PubMedCrossRefGoogle Scholar
  2. 2.
    Judd LL, Akiskal HS, Schettler PJ, et al. The long-term natural history of the weekly symptomatic status of bipolar I disorder. Arch Gen Psychiatry 2002; 59:530–7.PubMedCrossRefGoogle Scholar
  3. 3.
    Judd LL, Akiskal HS, Schettler PJ, et al. A prospective investigation of the natural history of the long-term weekly symptomatic status of bipolar II disorder. Arch Gen Psychiatry 2003; 60:261–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4:561–71.PubMedCrossRefGoogle Scholar
  5. 5.
    Demyttenaere K, De Fruyt J. Getting what you ask for: on the selectivity of depression rating scales. Psychother Psychosom 2003; 72:61–70.PubMedCrossRefGoogle Scholar
  6. 6.
    Snaith P. Depression: detection and diagnosis. Br J Psychiatry 2002; 181:165.PubMedGoogle Scholar
  7. 7.
    Richter P, Werner J, Heerlein A, et al. On the validity of the Beck Depression Inventory. A review. Psychopathology 1998; 31:160–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Kumar G, Rissmiller DJ, Steer RA, et al. Mean Beck Depression Inventory-II total scores by type of bipolar episode. Psychol Rep 2006; 98:836–40.PubMedCrossRefGoogle Scholar
  9. 9.
    Montgomery SA, Asberg M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134:382–9.PubMedCrossRefGoogle Scholar
  10. 10.
    Snaith RP, Harrop FM, Newby DA, et al. Grade scores of the Montgomery-Asberg Depression and the Clinical Anxiety Scales. Br J Psychiatry 1986; 148:599–601.PubMedCrossRefGoogle Scholar

Copyright information

© Current Medicine Group Ltd, a part of Springer Science+Business Media 2010

Authors and Affiliations

  • Eduard Vieta
    • 1
  1. 1.Hospital ClinicUniversity of BarcelonaSpain

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