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Early warning signs checklists for relapse in bipolar depression and mania: utility, reliability and validity

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Early warning signs checklists for relapse in bipolar depression and mania : utility, reliability and validity. / Lobban, Fiona; Solis-Trapala, Ivonne L.; Symes, Wendy; Morriss, Richard; ERP Group, University of Liverpool; Sellwood, William.

In: Journal of Affective Disorders, Vol. 133, No. 3, 2011, p. 413-422.

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Lobban, Fiona ; Solis-Trapala, Ivonne L. ; Symes, Wendy ; Morriss, Richard ; ERP Group, University of Liverpool ; Sellwood, William. / Early warning signs checklists for relapse in bipolar depression and mania : utility, reliability and validity. In: Journal of Affective Disorders. 2011 ; Vol. 133, No. 3. pp. 413-422.

Bibtex

@article{28b65b41b7b440e2ba1f6f6e902e30a9,
title = "Early warning signs checklists for relapse in bipolar depression and mania: utility, reliability and validity",
abstract = "Background Recognising early warning signs (EWS) of mood changes is a key part of many effective interventions for people with Bipolar Disorder (BD). This study describes the development of valid and reliable checklists required to assess these signs of depression and mania.MethodsChecklists of EWS based on previous research and participant feedback were designed for depression and mania and compared with spontaneous reporting of EWS. Psychometric properties and utility were examined in 96 participants with BD.ResultsThe majority of participants did not spontaneously monitor EWS regularly prior to use of the checklists. The checklists identified most spontaneously generated EWS and led to a ten fold increase in the identification of EWS for depression and an eight fold increase for mania. The scales were generally reliable over time and responses were not associated with current mood. Frequency of monitoring for EWS correlated positively with social and occupational functioning for depression (beta = 3.80, p = 0.015) and mania (beta = 3.92, p = 0.008).LimitationsThe study is limited by a small sample size and the fact that raters were not blind to measures of mood and function.ConclusionsEWS checklists are useful and reliable clinical and research tools helping to generate enough EWS for an effective EWS intervention.",
author = "Fiona Lobban and Solis-Trapala, {Ivonne L.} and Wendy Symes and Richard Morriss and {ERP Group}, {University of Liverpool} and William Sellwood",
year = "2011",
doi = "10.1016/j.jad.2011.04.026",
language = "English",
volume = "133",
pages = "413--422",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "Elsevier",
number = "3",

}

RIS

TY - JOUR

T1 - Early warning signs checklists for relapse in bipolar depression and mania

T2 - utility, reliability and validity

AU - Lobban, Fiona

AU - Solis-Trapala, Ivonne L.

AU - Symes, Wendy

AU - Morriss, Richard

AU - ERP Group, University of Liverpool

AU - Sellwood, William

PY - 2011

Y1 - 2011

N2 - Background Recognising early warning signs (EWS) of mood changes is a key part of many effective interventions for people with Bipolar Disorder (BD). This study describes the development of valid and reliable checklists required to assess these signs of depression and mania.MethodsChecklists of EWS based on previous research and participant feedback were designed for depression and mania and compared with spontaneous reporting of EWS. Psychometric properties and utility were examined in 96 participants with BD.ResultsThe majority of participants did not spontaneously monitor EWS regularly prior to use of the checklists. The checklists identified most spontaneously generated EWS and led to a ten fold increase in the identification of EWS for depression and an eight fold increase for mania. The scales were generally reliable over time and responses were not associated with current mood. Frequency of monitoring for EWS correlated positively with social and occupational functioning for depression (beta = 3.80, p = 0.015) and mania (beta = 3.92, p = 0.008).LimitationsThe study is limited by a small sample size and the fact that raters were not blind to measures of mood and function.ConclusionsEWS checklists are useful and reliable clinical and research tools helping to generate enough EWS for an effective EWS intervention.

AB - Background Recognising early warning signs (EWS) of mood changes is a key part of many effective interventions for people with Bipolar Disorder (BD). This study describes the development of valid and reliable checklists required to assess these signs of depression and mania.MethodsChecklists of EWS based on previous research and participant feedback were designed for depression and mania and compared with spontaneous reporting of EWS. Psychometric properties and utility were examined in 96 participants with BD.ResultsThe majority of participants did not spontaneously monitor EWS regularly prior to use of the checklists. The checklists identified most spontaneously generated EWS and led to a ten fold increase in the identification of EWS for depression and an eight fold increase for mania. The scales were generally reliable over time and responses were not associated with current mood. Frequency of monitoring for EWS correlated positively with social and occupational functioning for depression (beta = 3.80, p = 0.015) and mania (beta = 3.92, p = 0.008).LimitationsThe study is limited by a small sample size and the fact that raters were not blind to measures of mood and function.ConclusionsEWS checklists are useful and reliable clinical and research tools helping to generate enough EWS for an effective EWS intervention.

UR - http://www.scopus.com/inward/record.url?scp=80052136037&partnerID=8YFLogxK

U2 - 10.1016/j.jad.2011.04.026

DO - 10.1016/j.jad.2011.04.026

M3 - Journal article

VL - 133

SP - 413

EP - 422

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

IS - 3

ER -