Screening for a false unipolarity in patients treated for a major depressive disorder
Introduction The early diagnosis of bipolar II disorder remains difficult in clinical practice, hence the importance of psychometric tests. Objectives To detect hypomania in patients followed for a major depressive disorder (MDD) and to determine factors which are correlated with it. Methods...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821005332/type/journal_article |
| _version_ | 1797617232765779968 |
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| author | N. Regaieg I. Baati F. Ben Amor M. Kallel S. Hentati J. Masmoudi |
| author_facet | N. Regaieg I. Baati F. Ben Amor M. Kallel S. Hentati J. Masmoudi |
| author_sort | N. Regaieg |
| collection | DOAJ |
| description |
Introduction
The early diagnosis of bipolar II disorder remains difficult in clinical practice, hence the importance of psychometric tests.
Objectives
To detect hypomania in patients followed for a major depressive disorder (MDD) and to determine factors which are correlated with it.
Methods
This was a cross-sectional, descriptive and analytical study. It involved 40 psychiatric outpatients, who were followed for MDD (isolated or recurrent episode) at the Hedi Chaker University Hospital in Sfax (Tunisia), from January 26 to February 10, 2020. The study was conducted using a questionnaire and the Angst Hypomania Checklist-20 (HCL-20).
Results
The sex ratio (M/F) was 0.66 with an average age of 54.8 years. MDD started at an average age of 41.45 years. According to HCL-20, half of our sample had hypomania. The presence of hypomania was correlated with young age (p = 0.022), academic failure (p = 0.038) and smoking (p = 0.003). In addition, there was a statistically significant relationship between the presence of hypomania and the characteristics of the disease: number of depressive episodes ≥ 2 (p = 0.013), psychotic features (p = 0.038), melancholic features (p=0,025) and premature discontinuation of treatment (p = 0.003).
Conclusions
Our study confirmed that bipolar depression is still underdiagnosed and poorly treated. Questioning a patient about a history of hypomania would be a delicate task and would require the help of a scale, in particular the HCL -20.
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| first_indexed | 2024-03-11T07:52:56Z |
| format | Article |
| id | doaj.art-d1bef807080747c194870cf38f37e963 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:52:56Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-d1bef807080747c194870cf38f37e9632023-11-17T05:06:28ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S200S20110.1192/j.eurpsy.2021.533Screening for a false unipolarity in patients treated for a major depressive disorderN. Regaieg0I. Baati1F. Ben Amor2M. Kallel3S. Hentati4J. Masmoudi5Psychiatry “a” Department, Hedi Chaker UHC, Sfax, TunisiaPsychiatry “a” Department, Hedi Chaker University Hospital, Sfax, TunisiaPsychiatry “a” Department, Hedi Chaker University Hospital, Sfax, TunisiaPsychiatry “a” Department, Hedi Chaker UHC, Sfax, TunisiaPsychiatry “a” Department, Hedi Chaker University Hospital, Sfax, TunisiaPsychiatrie “a” Department, Hedi Chaker Hospital University -Sfax - Tunisia, sfax, Tunisia Introduction The early diagnosis of bipolar II disorder remains difficult in clinical practice, hence the importance of psychometric tests. Objectives To detect hypomania in patients followed for a major depressive disorder (MDD) and to determine factors which are correlated with it. Methods This was a cross-sectional, descriptive and analytical study. It involved 40 psychiatric outpatients, who were followed for MDD (isolated or recurrent episode) at the Hedi Chaker University Hospital in Sfax (Tunisia), from January 26 to February 10, 2020. The study was conducted using a questionnaire and the Angst Hypomania Checklist-20 (HCL-20). Results The sex ratio (M/F) was 0.66 with an average age of 54.8 years. MDD started at an average age of 41.45 years. According to HCL-20, half of our sample had hypomania. The presence of hypomania was correlated with young age (p = 0.022), academic failure (p = 0.038) and smoking (p = 0.003). In addition, there was a statistically significant relationship between the presence of hypomania and the characteristics of the disease: number of depressive episodes ≥ 2 (p = 0.013), psychotic features (p = 0.038), melancholic features (p=0,025) and premature discontinuation of treatment (p = 0.003). Conclusions Our study confirmed that bipolar depression is still underdiagnosed and poorly treated. Questioning a patient about a history of hypomania would be a delicate task and would require the help of a scale, in particular the HCL -20. https://www.cambridge.org/core/product/identifier/S0924933821005332/type/journal_articleHCL-20bipolar depressionbipolar II disorderhypomania |
| spellingShingle | N. Regaieg I. Baati F. Ben Amor M. Kallel S. Hentati J. Masmoudi Screening for a false unipolarity in patients treated for a major depressive disorder European Psychiatry HCL-20 bipolar depression bipolar II disorder hypomania |
| title | Screening for a false unipolarity in patients treated for a major depressive disorder |
| title_full | Screening for a false unipolarity in patients treated for a major depressive disorder |
| title_fullStr | Screening for a false unipolarity in patients treated for a major depressive disorder |
| title_full_unstemmed | Screening for a false unipolarity in patients treated for a major depressive disorder |
| title_short | Screening for a false unipolarity in patients treated for a major depressive disorder |
| title_sort | screening for a false unipolarity in patients treated for a major depressive disorder |
| topic | HCL-20 bipolar depression bipolar II disorder hypomania |
| url | https://www.cambridge.org/core/product/identifier/S0924933821005332/type/journal_article |
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