ID
28611
Beskrivning
Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry Head of Registry: Mikael Landén Professor at the Sahlgrenska Academy, consultant at Sahlgrenska University Hospital, 411 18 Gothenburg Source: http://www.psykiatriregister.se/dokumentarkiv/bipolar S:t Göranprojekts (Making Projects) Anamnesis protocol for bipolar syndrom
Länk
http://www.psykiatriregister.se/dokumentarkiv/bipolar
Nyckelord
Versioner (2)
- 2018-01-03 2018-01-03 -
- 2018-01-24 2018-01-24 -
Rättsinnehavare
psykiatriregister.se (BipoläR)
Uppladdad den
24 januari 2018
DOI
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Licens
Creative Commons BY-NC 3.0
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Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry
Medical History for Bipolar Syndrome (Part 1)
- StudyEvent: ODM
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1. Social anamnesis
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Nationality
Datatyp
integer
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Country of birth
Datatyp
integer
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Age immigrated to Sweden
Datatyp
integer
Måttenheter
- Age
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Household
Datatyp
integer
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Members of household
Datatyp
integer
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Does the patient have children under 18 years of age regardless of custody?
Datatyp
integer
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Does the patient have custody of children under the age of 18?
Datatyp
integer
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Indicate the patient's main supply during the last six months?
Datatyp
integer
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What is the patient's highest level of education?
Datatyp
integer
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Profession
Datatyp
text
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2. DETERMINATE INCORPORATED INCREASING MODE (EVERYTHING LIFE)
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Has anyone in your family had or has manodepressive disease or bipolar disorder? Or has someone in your family had fluctuations in the mood treated with lithium (Lithionit), valproate (Ergenyl, Absenor, Orfiril) or lamotrigine (Lamictal)?
Datatyp
integer
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Comment
Datatyp
text
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The general criteria for mania / hypomania: Persistent abnormally elevated, expansive or irritable mood
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Has it ever happened that you felt so good or been so upset that others thought you were not yourself?
Datatyp
integer
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Has it ever happened that you have been so screwed up that you have been in trouble in any way?
Datatyp
boolean
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Persistent abnormally elevated, expansive mood
Datatyp
boolean
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Has it ever happened that you were so annoying that you bumped people out of trouble or bothered? Have you been in horror with strangers?
Datatyp
integer
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Persistent abnormal irritable mood
Datatyp
boolean
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Please exemplify (if multiple episodes, identify the worst) each of the items above
Datatyp
text
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For the most serious identified case above ...
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Associated symptoms under the most severe forest above (Code from -3 (much less), over 0 (no symptoms), to +3 (much more / increased) See also APPENDIX 1)
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During the times when you felt "high", "full of energy" or straightforward, "how was your self-esteem? (did you feel more confident than usual or that you were special, more talented, attractive or more intelligent than usual?)
Datatyp
float
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During the times when you felt "high", "full of energy" or easy-going "did you sleep less but still feel rested? (-3 = <2h or 5h less than usual; - 2 = sleep 1.5h less than normal without functioning worse; -1 = sleep less than normal; - 0.5 = discernible) (sleep need)
Datatyp
float
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During those times when you felt "high", "full of energy" or straightforward "were you more talkative than usual? (difficult to interrupt, or difficult to understand what you meant, difficult to keep up with) (Numeracy)
Datatyp
float
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During those times when you felt "high", "full of energy" or easy-going "did you have more ideas usually? Was it like the thoughts rushed in the head? Hard to shave your mind? (Idea racing)
Datatyp
float
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During the times when you felt "high", "full of energy" or straightforward "did you have trouble concentrating because the smallest event distracted you? Difficult to focus on a task? (Distractibility)
Datatyp
float
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During the times when you felt "high", "full of energy" or easy-going "what did you do on the days (work, friends, leisure time)? Were you active or made many things at the same time? Were you so active that people were worried about you? Were you restless and had trouble sitting still? (Targeted Activity / Psychomotor Agitation)
Datatyp
float
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During the times when you felt "high", "full of energy" or easy-to-do "did you do anything that could have worried you or your family (Bought things you did not need?) (Sexual contacts out of the ordinary for you? ) (Careless car driving?) Did you do anything that could have caused problems if you got caught? (Lust / risk behavior)
Datatyp
float
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What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice
Datatyp
integer
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Example for consequences
Datatyp
text
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FIRST EPISODE: How old were you the first time you had a hypomania?
Datatyp
float
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FIRST EPISODE: How old were you the first time you had a mania?
Datatyp
integer
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Determine psychotic symptoms during an attack of elevated mood
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Persecutory performances
Datatyp
boolean
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Delusions
Datatyp
boolean
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Hallucinations
Datatyp
boolean
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Mood-Congruent Psychotic Symptoms
Datatyp
boolean
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Mood-related psychotic symptoms
Datatyp
boolean
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Has any typical triggering stress factor for mania been identified
Datatyp
boolean
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Has any typical early sign been identified? (in form of some behavior that can be measured / counted)
Datatyp
boolean
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Patient fulfills criteria for:
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Determine the type of hypomania
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Euphoric type (Everything is interesting, amazing, expansive)
Datatyp
boolean
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Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)
Datatyp
boolean
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Can not determine / Not applicable
Datatyp
boolean
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Past depression
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Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?
Datatyp
boolean
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Have you experienced a period when you felt much less interested than usual most of your life or felt it difficult to enjoy what you usually like? (almost every day for two weeks?)
Datatyp
boolean
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If one of the general criteria is yes: Significant symptoms during the most severe episode
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....how was your night's sleep?
Datatyp
float
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....did you feel guilty of what you did or failed to do?
Datatyp
float
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... how was your self-esteem (worthlessness)?
Datatyp
float
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...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?
Datatyp
float
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... did you have trouble thinking or concentrating? Could you read the magazine or watch TV? Was it difficult to make decisions in everyday matters (ambivalence)?
Datatyp
float
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... did you decrease or increase weight? How was your appetite?
Datatyp
float
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... were you so worried or restless that you could not sit still? Or, conversely, you talked or moved more slowly than usual? If I was there, would I´ve noticed something was wrong?
Datatyp
float
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... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?
Datatyp
float
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... was it so hard you came to think of death or that it was better if you were dead?
Datatyp
boolean
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... did you think about taking your life or hurting yourself?
Datatyp
boolean
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...did you make any attempt to commit suicide?
Datatyp
boolean
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For the most serious identified case above ...
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The patient has at some time met the criteria for:
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FIRST DEPRESSION:
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Specification of melancholy
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Anhedonia
Datatyp
boolean
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Indelible
Datatyp
boolean
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Distinct quality of sadness
Datatyp
boolean
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Worst in the morning
Datatyp
boolean
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Early morning awakening (At least 2 hours before normal time)
Datatyp
boolean
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Strong psychomotor inhibition or agitation
Datatyp
boolean
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Significant weight loss
Datatyp
boolean
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Exaggerated, unjustified guilty feelings
Datatyp
boolean
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Melancholic depression
Datatyp
integer
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Specification of psychosis symptoms for depression relapse
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Persecutory performances
Datatyp
boolean
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If yes, please specify
Datatyp
text
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Delusions
Datatyp
boolean
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If yes, please specify
Datatyp
text
Beskrivning
Hallucinations
Datatyp
boolean
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If yes, please specify
Datatyp
text
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If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)
Datatyp
boolean
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If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms
Datatyp
boolean
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Has any depression typical triggering stress factor been identified?
Datatyp
boolean
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If yes, please specify depression typical triggering stress factor
Datatyp
text
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Determine the presence of MIXED EPISODES. Has the patient also had depressive symptoms during manic episodes, or hypomanic symptoms in depression?
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YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)
Datatyp
boolean
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YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)
Datatyp
boolean
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YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)
Datatyp
boolean
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NO
Datatyp
boolean
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Psychotic syndrom: These are questions in support of the differential diagnosis of schizophrenia or psychosis secondary to somatic disease or abuse. Non mandatory questions.
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Current or past delusions
Datatyp
boolean
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Current or past hallucinations
Datatyp
boolean
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Current or past formal mental disorders (incoherent numbers, escaped associations)
Datatyp
boolean
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Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes
Datatyp
boolean
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Current or past bizarre behavior, catatony, or disorganized behavior
Datatyp
boolean
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A markedly low level of functioning even before symptoms of affective disease began
Datatyp
boolean
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If one or more of the above symptoms are "yes"
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Has any of the psychotic symptoms occurred without serious mood?
Datatyp
boolean
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Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?
Datatyp
boolean
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If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?
Datatyp
boolean
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Have any of the above-mentioned positive symptoms lasted for a longer period (a month's time, or less if the patient has become successfully treated)?
Datatyp
boolean
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Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?
Datatyp
boolean
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Based on the above: psychiatric diagnosis
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Has the patient ever been psychotic?
Datatyp
integer
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If yes, please specify age of first psychosis
Datatyp
integer
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Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes
Datatyp
boolean
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Affective psychosis, mania - Psychosis associated with manic episodes
Datatyp
boolean
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Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction
Datatyp
boolean
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Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode
Datatyp
boolean
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Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis
Datatyp
boolean
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Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants
Datatyp
boolean
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Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.
Datatyp
boolean
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Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease
Datatyp
boolean
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Other type of psychosis
Datatyp
boolean
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If other type of psychosis please specify
Datatyp
text
Similar models
Medical History for Bipolar Syndrome (Part 1)
- StudyEvent: ODM