Screening for Bipolar Disorder Symptoms in Depressed Primary Care Attenders: Comparison between Mood Disorder Questionnaire and Hypomania Checklist (HCL-32)
Table 3
Frequencies of endorsed items to MDQ (standard cut-off*) and correlation with positive screening.
Item
MDQ
endorsed, %
Positive, %
Negative, %
Chi-sq
df
(1) You felt so good/hyper that other people thought you were not your normal self or you were so hyper that you got in trouble?
16.1
37.5
14.1
2.955
1
ns
(2) You were so irritable that you shouted at people or started fights or arguments?
30.1
62.5
27.1
4.365
1
.037
(3) You felt much more self-confident than usual?
43.0
100.0
37.6
11.598
1
<.001
(4) You got much less sleep than usual and found you did not really miss it?
29.0
87.5
23.5
14.523
1
<.001
(5) You were much more talkative or spoke much faster than usual?
23.7
75.0
18.8
12.777
1
<.001
(6) Thoughts raced through your head or you could not slow your mind down?
29.0
75.0
24.7
8.977
1
.003
(7) You were so easily distracted by things around you that you had trouble concentrating or staying on track?
38.7
75.0
35.3
4.859
1
.028
(8) You had much more energy than usual?
50.5
75.0
48.2
2.095
1
ns
(9) You were much more active or did many more things than usual?
48.4
87.5
44.7
5.362
1
.021
(10) You were much more social or outgoing than usual; for example, you telephoned friends in the middle of the night?
12.9
12.5
12.9
0.001
1
ns
(11) You were much more interested in sex than usual?
22.6
75.0
17.6
13.758
1
<.001
(12) You did things that were unusual for you or that other people might have thought were excessive, foolish, or risky?
11.8
25.0
10.6
1.456
1
ns
(13) Spending money got you or your family into trouble?
9.7
12.5
9.4
0.080
1
ns
Standard cut-off: endorsement of at least 7 or more symptoms items, cooccurrence of two or more symptoms and moderate or severe impairment. MDQ: mood disorder questionnaire; Chi-sq: chi-square test; df: degrees of freedom; ns: nonsignificant.
