Validation of the mood disorder questionnaire for bipolar disorders in adolescents

Karen Dineen Wagner, Robert M.A. Hirschfeld, Graham J. Emslie, Robert L. Findling, Barbara L. Gracious, Michael L. Reed

Research output: Contribution to journalArticle

Abstract

Objective: The study was designed to determine the validity of the Mood Disorder Questionnaire-Adolescent Version (MDQ-A) as a screening instrument for bipolar disorders (I, II, not otherwise specified, and cyclothymia) in an adolescent outpatient psychiatric population. Method: 104 adolescents and their parents completed the MDQ-A. Three versions of the MDQ-A were compared: (1) self report of symptoms by adolescent, (2) attributional report-how the adolescent believed teachers or friends would report his/her symptoms, and (3) parent report of adolescent's symptoms. DSM-IV diagnosis was made based upon the clinician-administered Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL), a semistructured diagnostic interview. MDQ-A items were summed, yielding a score for each adolescent ranging from 0 to 13 on each of the 3 MDQ-A versions. Each possible scoring threshold, in combination with co-occurrence of symptoms and behaviors and with moderate to serious problems caused by symptoms, was crossed with the results of the K-SADS-PL diagnostic interview to assess sensitivity and specificity. The study was conducted from April 2002 to September 2003. Results: A score of 5 or more items on the parent version yielded a sensitivity of 0.72 and specificity of 0.81, which were superior to self and attributional versions. Conclusions: The MDQ-A completed by parents about their adolescents' symptoms may be a useful screening instrument for bipolar disorders in an adolescent psychiatric outpatient population.

Original languageEnglish (US)
Pages (from-to)827-830
Number of pages4
JournalJournal of Clinical Psychiatry
Volume67
Issue number5
DOIs
StatePublished - May 2006
Externally publishedYes

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ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Wagner, K. D., Hirschfeld, R. M. A., Emslie, G. J., Findling, R. L., Gracious, B. L., & Reed, M. L. (2006). Validation of the mood disorder questionnaire for bipolar disorders in adolescents. Journal of Clinical Psychiatry, 67(5), 827-830. https://doi.org/10.4088/JCP.v67n0518