ID
28611
Beschreibung
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
Link
http://www.psykiatriregister.se/dokumentarkiv/bipolar
Stichworte
Versionen (2)
- 03.01.18 03.01.18 -
- 24.01.18 24.01.18 -
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psykiatriregister.se (BipoläR)
Hochgeladen am
24. Januar 2018
DOI
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Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry
Medical History for Bipolar Syndrome (Part 1)
- StudyEvent: ODM
Beschreibung
1. Social anamnesis
Beschreibung
Nationality
Datentyp
integer
Beschreibung
Country of birth
Datentyp
integer
Beschreibung
Age immigrated to Sweden
Datentyp
integer
Maßeinheiten
- Age
Beschreibung
Household
Datentyp
integer
Beschreibung
Members of household
Datentyp
integer
Beschreibung
Does the patient have children under 18 years of age regardless of custody?
Datentyp
integer
Beschreibung
Does the patient have custody of children under the age of 18?
Datentyp
integer
Beschreibung
Indicate the patient's main supply during the last six months?
Datentyp
integer
Beschreibung
What is the patient's highest level of education?
Datentyp
integer
Beschreibung
Profession
Datentyp
text
Beschreibung
2. DETERMINATE INCORPORATED INCREASING MODE (EVERYTHING LIFE)
Beschreibung
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)?
Datentyp
integer
Beschreibung
Comment
Datentyp
text
Beschreibung
The general criteria for mania / hypomania: Persistent abnormally elevated, expansive or irritable mood
Beschreibung
Has it ever happened that you felt so good or been so upset that others thought you were not yourself?
Datentyp
integer
Beschreibung
Has it ever happened that you have been so screwed up that you have been in trouble in any way?
Datentyp
boolean
Beschreibung
Persistent abnormally elevated, expansive mood
Datentyp
boolean
Beschreibung
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?
Datentyp
integer
Beschreibung
Persistent abnormal irritable mood
Datentyp
boolean
Beschreibung
Please exemplify (if multiple episodes, identify the worst) each of the items above
Datentyp
text
Beschreibung
For the most serious identified case above ...
Beschreibung
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)
Beschreibung
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?)
Datentyp
float
Beschreibung
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)
Datentyp
float
Beschreibung
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)
Datentyp
float
Beschreibung
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)
Datentyp
float
Beschreibung
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)
Datentyp
float
Beschreibung
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)
Datentyp
float
Beschreibung
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)
Datentyp
float
Beschreibung
What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice
Datentyp
integer
Beschreibung
Example for consequences
Datentyp
text
Beschreibung
FIRST EPISODE: How old were you the first time you had a hypomania?
Datentyp
float
Beschreibung
FIRST EPISODE: How old were you the first time you had a mania?
Datentyp
integer
Beschreibung
Determine psychotic symptoms during an attack of elevated mood
Beschreibung
Persecutory performances
Datentyp
boolean
Beschreibung
Delusions
Datentyp
boolean
Beschreibung
Hallucinations
Datentyp
boolean
Beschreibung
Mood-Congruent Psychotic Symptoms
Datentyp
boolean
Beschreibung
Mood-related psychotic symptoms
Datentyp
boolean
Beschreibung
Has any typical triggering stress factor for mania been identified
Datentyp
boolean
Beschreibung
Has any typical early sign been identified? (in form of some behavior that can be measured / counted)
Datentyp
boolean
Beschreibung
Patient fulfills criteria for:
Beschreibung
Determine the type of hypomania
Beschreibung
Euphoric type (Everything is interesting, amazing, expansive)
Datentyp
boolean
Beschreibung
Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)
Datentyp
boolean
Beschreibung
Can not determine / Not applicable
Datentyp
boolean
Beschreibung
Past depression
Beschreibung
Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?
Datentyp
boolean
Beschreibung
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?)
Datentyp
boolean
Beschreibung
If one of the general criteria is yes: Significant symptoms during the most severe episode
Beschreibung
....how was your night's sleep?
Datentyp
float
Beschreibung
....did you feel guilty of what you did or failed to do?
Datentyp
float
Beschreibung
... how was your self-esteem (worthlessness)?
Datentyp
float
Beschreibung
...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?
Datentyp
float
Beschreibung
... 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)?
Datentyp
float
Beschreibung
... did you decrease or increase weight? How was your appetite?
Datentyp
float
Beschreibung
... 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?
Datentyp
float
Beschreibung
... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?
Datentyp
float
Beschreibung
... was it so hard you came to think of death or that it was better if you were dead?
Datentyp
boolean
Beschreibung
... did you think about taking your life or hurting yourself?
Datentyp
boolean
Beschreibung
...did you make any attempt to commit suicide?
Datentyp
boolean
Beschreibung
For the most serious identified case above ...
Beschreibung
The patient has at some time met the criteria for:
Beschreibung
FIRST DEPRESSION:
Beschreibung
Specification of melancholy
Beschreibung
Anhedonia
Datentyp
boolean
Beschreibung
Indelible
Datentyp
boolean
Beschreibung
Distinct quality of sadness
Datentyp
boolean
Beschreibung
Worst in the morning
Datentyp
boolean
Beschreibung
Early morning awakening (At least 2 hours before normal time)
Datentyp
boolean
Beschreibung
Strong psychomotor inhibition or agitation
Datentyp
boolean
Beschreibung
Significant weight loss
Datentyp
boolean
Beschreibung
Exaggerated, unjustified guilty feelings
Datentyp
boolean
Beschreibung
Melancholic depression
Datentyp
integer
Beschreibung
Specification of psychosis symptoms for depression relapse
Beschreibung
Persecutory performances
Datentyp
boolean
Beschreibung
If yes, please specify
Datentyp
text
Beschreibung
Delusions
Datentyp
boolean
Beschreibung
If yes, please specify
Datentyp
text
Beschreibung
Hallucinations
Datentyp
boolean
Beschreibung
If yes, please specify
Datentyp
text
Beschreibung
If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)
Datentyp
boolean
Beschreibung
If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms
Datentyp
boolean
Beschreibung
Has any depression typical triggering stress factor been identified?
Datentyp
boolean
Beschreibung
If yes, please specify depression typical triggering stress factor
Datentyp
text
Beschreibung
Determine the presence of MIXED EPISODES. Has the patient also had depressive symptoms during manic episodes, or hypomanic symptoms in depression?
Beschreibung
YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)
Datentyp
boolean
Beschreibung
YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)
Datentyp
boolean
Beschreibung
YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)
Datentyp
boolean
Beschreibung
NO
Datentyp
boolean
Beschreibung
Psychotic syndrom: These are questions in support of the differential diagnosis of schizophrenia or psychosis secondary to somatic disease or abuse. Non mandatory questions.
Beschreibung
Current or past delusions
Datentyp
boolean
Beschreibung
Current or past hallucinations
Datentyp
boolean
Beschreibung
Current or past formal mental disorders (incoherent numbers, escaped associations)
Datentyp
boolean
Beschreibung
Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes
Datentyp
boolean
Beschreibung
Current or past bizarre behavior, catatony, or disorganized behavior
Datentyp
boolean
Beschreibung
A markedly low level of functioning even before symptoms of affective disease began
Datentyp
boolean
Beschreibung
If one or more of the above symptoms are "yes"
Beschreibung
Has any of the psychotic symptoms occurred without serious mood?
Datentyp
boolean
Beschreibung
Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?
Datentyp
boolean
Beschreibung
If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?
Datentyp
boolean
Beschreibung
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)?
Datentyp
boolean
Beschreibung
Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?
Datentyp
boolean
Beschreibung
Based on the above: psychiatric diagnosis
Beschreibung
Has the patient ever been psychotic?
Datentyp
integer
Beschreibung
If yes, please specify age of first psychosis
Datentyp
integer
Beschreibung
Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes
Datentyp
boolean
Beschreibung
Affective psychosis, mania - Psychosis associated with manic episodes
Datentyp
boolean
Beschreibung
Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction
Datentyp
boolean
Beschreibung
Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode
Datentyp
boolean
Beschreibung
Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis
Datentyp
boolean
Beschreibung
Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants
Datentyp
boolean
Beschreibung
Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.
Datentyp
boolean
Beschreibung
Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease
Datentyp
boolean
Beschreibung
Other type of psychosis
Datentyp
boolean
Beschreibung
If other type of psychosis please specify
Datentyp
text
Ähnliche Modelle
Medical History for Bipolar Syndrome (Part 1)
- StudyEvent: ODM