Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?

Detalhes bibliográficos
Autor(a) principal: Cheniaux,Elie
Data de Publicação: 2019
Outros Autores: Silva,Rafael de Assis da, Santana,Cristina M. T., Nardi,Antonio Egidio, Filgueiras,Alberto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Trends in Psychiatry and Psychotherapy
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892019000400401
Resumo: Abstract Introduction Although bipolar disorder (BD) is traditionally included among mood disorders, some authors believe that changes in energy and motor activity, rather than mood changes, represent the true cardinal symptoms in mania and depression. The aim of the current study was to identify which cluster of the Hamilton Depression Rating Scale (HAM-D) better distinguishes between mania, depression and euthymia. Method A group of 106 patients with BD were followed for 13 years and repeatedly assessed with the HAM-D as well as with other clinical scales. To perform a comparison, HAM-D items were classified according to clinical criteria into three clusters: energy/activity symptoms, mood symptoms, and other symptoms. Item response theory (IRT) analyses were performed to provide a test information curve for those three clusters. We measured the prevalence of one cluster of symptoms over the other two throughout the latent trait. Results Considering HAM-D items individually, the IRT analysis revealed that there was a mixture of mood and energy/activity symptoms among the most discriminative items, both in depression and in euthymia. However, in mania, only energy/activity symptoms – i.e., general somatic symptoms and retardation – were among the most informative items. Considering the classification of items, both in depression as in mania, the energy/activity cluster was more informative than the mood cluster according to the IRT analysis. Conclusion Our data reinforce the view of hyperactivity and motor retardation as cardinal changes of mania and depression, respectively.
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spelling Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?Bipolar disorderHamilton Depression Rating Scalemood changehyperactivityfactor analysisitem response theoryAbstract Introduction Although bipolar disorder (BD) is traditionally included among mood disorders, some authors believe that changes in energy and motor activity, rather than mood changes, represent the true cardinal symptoms in mania and depression. The aim of the current study was to identify which cluster of the Hamilton Depression Rating Scale (HAM-D) better distinguishes between mania, depression and euthymia. Method A group of 106 patients with BD were followed for 13 years and repeatedly assessed with the HAM-D as well as with other clinical scales. To perform a comparison, HAM-D items were classified according to clinical criteria into three clusters: energy/activity symptoms, mood symptoms, and other symptoms. Item response theory (IRT) analyses were performed to provide a test information curve for those three clusters. We measured the prevalence of one cluster of symptoms over the other two throughout the latent trait. Results Considering HAM-D items individually, the IRT analysis revealed that there was a mixture of mood and energy/activity symptoms among the most discriminative items, both in depression and in euthymia. However, in mania, only energy/activity symptoms – i.e., general somatic symptoms and retardation – were among the most informative items. Considering the classification of items, both in depression as in mania, the energy/activity cluster was more informative than the mood cluster according to the IRT analysis. Conclusion Our data reinforce the view of hyperactivity and motor retardation as cardinal changes of mania and depression, respectively.Associação de Psiquiatria do Rio Grande do Sul2019-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892019000400401Trends in Psychiatry and Psychotherapy v.41 n.4 2019reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/2237-6089-2018-0116info:eu-repo/semantics/openAccessCheniaux,ElieSilva,Rafael de Assis daSantana,Cristina M. T.Nardi,Antonio EgidioFilgueiras,Albertoeng2020-01-16T00:00:00Zoai:scielo:S2237-60892019000400401Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2020-01-16T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse
dc.title.none.fl_str_mv Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
title Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
spellingShingle Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
Cheniaux,Elie
Bipolar disorder
Hamilton Depression Rating Scale
mood change
hyperactivity
factor analysis
item response theory
title_short Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
title_full Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
title_fullStr Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
title_full_unstemmed Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
title_sort Mood versus energy/activity symptoms in bipolar disorder: which cluster of Hamilton Depression Rating Scale better distinguishes between mania, depression, and euthymia?
author Cheniaux,Elie
author_facet Cheniaux,Elie
Silva,Rafael de Assis da
Santana,Cristina M. T.
Nardi,Antonio Egidio
Filgueiras,Alberto
author_role author
author2 Silva,Rafael de Assis da
Santana,Cristina M. T.
Nardi,Antonio Egidio
Filgueiras,Alberto
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Cheniaux,Elie
Silva,Rafael de Assis da
Santana,Cristina M. T.
Nardi,Antonio Egidio
Filgueiras,Alberto
dc.subject.por.fl_str_mv Bipolar disorder
Hamilton Depression Rating Scale
mood change
hyperactivity
factor analysis
item response theory
topic Bipolar disorder
Hamilton Depression Rating Scale
mood change
hyperactivity
factor analysis
item response theory
description Abstract Introduction Although bipolar disorder (BD) is traditionally included among mood disorders, some authors believe that changes in energy and motor activity, rather than mood changes, represent the true cardinal symptoms in mania and depression. The aim of the current study was to identify which cluster of the Hamilton Depression Rating Scale (HAM-D) better distinguishes between mania, depression and euthymia. Method A group of 106 patients with BD were followed for 13 years and repeatedly assessed with the HAM-D as well as with other clinical scales. To perform a comparison, HAM-D items were classified according to clinical criteria into three clusters: energy/activity symptoms, mood symptoms, and other symptoms. Item response theory (IRT) analyses were performed to provide a test information curve for those three clusters. We measured the prevalence of one cluster of symptoms over the other two throughout the latent trait. Results Considering HAM-D items individually, the IRT analysis revealed that there was a mixture of mood and energy/activity symptoms among the most discriminative items, both in depression and in euthymia. However, in mania, only energy/activity symptoms – i.e., general somatic symptoms and retardation – were among the most informative items. Considering the classification of items, both in depression as in mania, the energy/activity cluster was more informative than the mood cluster according to the IRT analysis. Conclusion Our data reinforce the view of hyperactivity and motor retardation as cardinal changes of mania and depression, respectively.
publishDate 2019
dc.date.none.fl_str_mv 2019-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892019000400401
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2237-6089-2018-0116
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dc.publisher.none.fl_str_mv Associação de Psiquiatria do Rio Grande do Sul
publisher.none.fl_str_mv Associação de Psiquiatria do Rio Grande do Sul
dc.source.none.fl_str_mv Trends in Psychiatry and Psychotherapy v.41 n.4 2019
reponame:Trends in Psychiatry and Psychotherapy
instname:Sociedade de Psiquiatria do Rio Grande do Sul
instacron:APRGS
instname_str Sociedade de Psiquiatria do Rio Grande do Sul
instacron_str APRGS
institution APRGS
reponame_str Trends in Psychiatry and Psychotherapy
collection Trends in Psychiatry and Psychotherapy
repository.name.fl_str_mv Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul
repository.mail.fl_str_mv revista@aprs.org.br|| rodrigo_grassi@terra.com.br
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