ID
28611
Descrizione
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
collegamento
http://www.psykiatriregister.se/dokumentarkiv/bipolar
Keywords
versioni (2)
- 03/01/18 03/01/18 -
- 24/01/18 24/01/18 -
Titolare del copyright
psykiatriregister.se (BipoläR)
Caricato su
24 gennaio 2018
DOI
Per favore, per richiedere un accesso.
Licenza
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
Descrizione
1. Social anamnesis
Descrizione
Nationality
Tipo di dati
integer
Descrizione
Country of birth
Tipo di dati
integer
Descrizione
Age immigrated to Sweden
Tipo di dati
integer
Unità di misura
- Age
Descrizione
Household
Tipo di dati
integer
Descrizione
Members of household
Tipo di dati
integer
Descrizione
Does the patient have children under 18 years of age regardless of custody?
Tipo di dati
integer
Descrizione
Does the patient have custody of children under the age of 18?
Tipo di dati
integer
Descrizione
Indicate the patient's main supply during the last six months?
Tipo di dati
integer
Descrizione
What is the patient's highest level of education?
Tipo di dati
integer
Descrizione
Profession
Tipo di dati
text
Descrizione
2. DETERMINATE INCORPORATED INCREASING MODE (EVERYTHING LIFE)
Descrizione
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)?
Tipo di dati
integer
Descrizione
Comment
Tipo di dati
text
Descrizione
The general criteria for mania / hypomania: Persistent abnormally elevated, expansive or irritable mood
Descrizione
Has it ever happened that you felt so good or been so upset that others thought you were not yourself?
Tipo di dati
integer
Descrizione
Has it ever happened that you have been so screwed up that you have been in trouble in any way?
Tipo di dati
boolean
Descrizione
Persistent abnormally elevated, expansive mood
Tipo di dati
boolean
Descrizione
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?
Tipo di dati
integer
Descrizione
Persistent abnormal irritable mood
Tipo di dati
boolean
Descrizione
Please exemplify (if multiple episodes, identify the worst) each of the items above
Tipo di dati
text
Descrizione
For the most serious identified case above ...
Descrizione
Were you hospitalized during this time?
Tipo di dati
integer
Descrizione
Has the patient ever ...
Tipo di dati
integer
Descrizione
Overall, how long did this period last?
Tipo di dati
integer
Descrizione
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)
Descrizione
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?)
Tipo di dati
float
Descrizione
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)
Tipo di dati
float
Descrizione
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)
Tipo di dati
float
Descrizione
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)
Tipo di dati
float
Descrizione
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)
Tipo di dati
float
Descrizione
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)
Tipo di dati
float
Descrizione
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)
Tipo di dati
float
Descrizione
What consequences have the worst-case episodes / episodes received in terms of relationship problems, work, study problems, economic problems, violence, clammy with justice
Tipo di dati
integer
Descrizione
Example for consequences
Tipo di dati
text
Descrizione
FIRST EPISODE: How old were you the first time you had a hypomania?
Tipo di dati
float
Descrizione
FIRST EPISODE: How old were you the first time you had a mania?
Tipo di dati
integer
Descrizione
Determine psychotic symptoms during an attack of elevated mood
Descrizione
Persecutory performances
Tipo di dati
boolean
Descrizione
Delusions
Tipo di dati
boolean
Descrizione
Hallucinations
Tipo di dati
boolean
Descrizione
Mood-Congruent Psychotic Symptoms
Tipo di dati
boolean
Descrizione
Mood-related psychotic symptoms
Tipo di dati
boolean
Descrizione
Has any typical triggering stress factor for mania been identified
Tipo di dati
boolean
Descrizione
Has any typical early sign been identified? (in form of some behavior that can be measured / counted)
Tipo di dati
boolean
Descrizione
Patient fulfills criteria for:
Descrizione
Determine the type of hypomania
Descrizione
Euphoric type (Everything is interesting, amazing, expansive)
Tipo di dati
boolean
Descrizione
Dysphoric or mixed mania (mania with at least 2 depressive symptoms, and dysphoria, filled with negative energy, agitated, guilt and SU thoughts)
Tipo di dati
boolean
Descrizione
Can not determine / Not applicable
Tipo di dati
boolean
Descrizione
Past depression
Descrizione
Have you experienced any period when you felt depressed or depressed most throughout the day, almost every day for two weeks?
Tipo di dati
boolean
Descrizione
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?)
Tipo di dati
boolean
Descrizione
If one of the general criteria is yes: Significant symptoms during the most severe episode
Descrizione
....how was your night's sleep?
Tipo di dati
float
Descrizione
....did you feel guilty of what you did or failed to do?
Tipo di dati
float
Descrizione
... how was your self-esteem (worthlessness)?
Tipo di dati
float
Descrizione
...how was your energy? Were there things you would have done but did not do due to bad energy and fatigue?
Tipo di dati
float
Descrizione
... 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)?
Tipo di dati
float
Descrizione
... did you decrease or increase weight? How was your appetite?
Tipo di dati
float
Descrizione
... 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?
Tipo di dati
float
Descrizione
... or on the contrary so you spoke or moved more slowly than usual? If I were there, would I´ve noticed something was wrong?
Tipo di dati
float
Descrizione
... was it so hard you came to think of death or that it was better if you were dead?
Tipo di dati
boolean
Descrizione
... did you think about taking your life or hurting yourself?
Tipo di dati
boolean
Descrizione
...did you make any attempt to commit suicide?
Tipo di dati
boolean
Descrizione
For the most serious identified case above ...
Descrizione
Were you hospitalized during this time?
Tipo di dati
integer
Descrizione
Has the patient ever ...
Tipo di dati
integer
Descrizione
Overall, how long did this period last?
Tipo di dati
integer
Descrizione
The patient has at some time met the criteria for:
Descrizione
FIRST DEPRESSION:
Descrizione
Specification of melancholy
Descrizione
Anhedonia
Tipo di dati
boolean
Descrizione
Indelible
Tipo di dati
boolean
Descrizione
Distinct quality of sadness
Tipo di dati
boolean
Descrizione
Worst in the morning
Tipo di dati
boolean
Descrizione
Early morning awakening (At least 2 hours before normal time)
Tipo di dati
boolean
Descrizione
Strong psychomotor inhibition or agitation
Tipo di dati
boolean
Descrizione
Significant weight loss
Tipo di dati
boolean
Descrizione
Exaggerated, unjustified guilty feelings
Tipo di dati
boolean
Descrizione
Melancholic depression
Tipo di dati
integer
Descrizione
Specification of psychosis symptoms for depression relapse
Descrizione
Persecutory performances
Tipo di dati
boolean
Descrizione
If yes, please specify
Tipo di dati
text
Descrizione
Delusions
Tipo di dati
boolean
Descrizione
If yes, please specify
Tipo di dati
text
Descrizione
Hallucinations
Tipo di dati
boolean
Descrizione
If yes, please specify
Tipo di dati
text
Descrizione
If yes, at any psychosis symptoms: Mood-Congruent Psychotic Symptoms (includes depression, debt, illness, death, punishment)
Tipo di dati
boolean
Descrizione
If yes, at any psychosis symptoms: Mood-Incongruent Psychotic Symptoms
Tipo di dati
boolean
Descrizione
Has any depression typical triggering stress factor been identified?
Tipo di dati
boolean
Descrizione
If yes, please specify depression typical triggering stress factor
Tipo di dati
text
Descrizione
Determine the presence of MIXED EPISODES. Has the patient also had depressive symptoms during manic episodes, or hypomanic symptoms in depression?
Descrizione
YES Mixed episodes (During the same week, the criteria [in addition to duration] met on depression and mania)
Tipo di dati
boolean
Descrizione
YES Dysphonic mania (mania with at least 2 depressive symptoms, such as guilt and SU thoughts)
Tipo di dati
boolean
Descrizione
YES Agitated depression (Depression with at least 2 hypomanal symptoms, such as severe restlessness, idea-reflection)
Tipo di dati
boolean
Descrizione
NO
Tipo di dati
boolean
Descrizione
Psychotic syndrom: These are questions in support of the differential diagnosis of schizophrenia or psychosis secondary to somatic disease or abuse. Non mandatory questions.
Descrizione
Current or past delusions
Tipo di dati
boolean
Descrizione
Current or past hallucinations
Tipo di dati
boolean
Descrizione
Current or past formal mental disorders (incoherent numbers, escaped associations)
Tipo di dati
boolean
Descrizione
Current or past negative symptoms (excluded effects, initiativeless) in addition to depression episodes
Tipo di dati
boolean
Descrizione
Current or past bizarre behavior, catatony, or disorganized behavior
Tipo di dati
boolean
Descrizione
A markedly low level of functioning even before symptoms of affective disease began
Tipo di dati
boolean
Descrizione
If one or more of the above symptoms are "yes"
Descrizione
Has any of the psychotic symptoms occurred without serious mood?
Tipo di dati
boolean
Descrizione
Have any of the above symptoms occurred without intoxication, medication (eg steroids) or neurological or metabolic disease?
Tipo di dati
boolean
Descrizione
If misconduct has occurred, has this lasted briefly compared with the positive or negative symptoms?
Tipo di dati
boolean
Descrizione
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)?
Tipo di dati
boolean
Descrizione
Has disorganization been conducted for at least 6 months (shorter time if successfully treated)?
Tipo di dati
boolean
Descrizione
Based on the above: psychiatric diagnosis
Descrizione
Has the patient ever been psychotic?
Tipo di dati
integer
Descrizione
If yes, please specify age of first psychosis
Tipo di dati
integer
Descrizione
Fill in an appropriate psychosis diagnosis below: affective psychosis, depression - psychosis associated with depressive episodes
Tipo di dati
boolean
Descrizione
Affective psychosis, mania - Psychosis associated with manic episodes
Tipo di dati
boolean
Descrizione
Cycloid Psychosis - Significant confusion, acute debut, such as insomnia, dramatic mood swings, such as postpartum dysfunction
Tipo di dati
boolean
Descrizione
Schizoaffective disease - Psychosis Symptoms That Persist > 2 weeks after the end of the affective episode
Tipo di dati
boolean
Descrizione
Schizophrenia - The affective disease symptoms duration is significantly shorter than the psychosis
Tipo di dati
boolean
Descrizione
Psychosis secondary to psychiatric drugs - All psychotic symptoms can be attributed to prescribed treatment with antidepressant or central stimulants
Tipo di dati
boolean
Descrizione
Psychosis secondary to addiction - All psychotic symptoms can be attributed to substance abuse. Either during use or during withdrawal phase.
Tipo di dati
boolean
Descrizione
Psychosis secondary to somatic disease - All psychotic symptoms can be attributed to somatic disease
Tipo di dati
boolean
Descrizione
Other type of psychosis
Tipo di dati
boolean
Descrizione
If other type of psychosis please specify
Tipo di dati
text
Similar models
Medical History for Bipolar Syndrome (Part 1)
- StudyEvent: ODM