{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T22:41:28Z","timestamp":1648507288906},"reference-count":19,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":154,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Aims and method<\/jats:title><jats:p>The mean delay for bipolar disorder diagnosis is 10 years. Identification of patients with previous hypomania is challenging, sometimes resulting in misdiagnosis. The aims of this study were: (a) to estimate the proportion of primary care patients with depression currently taking antidepressants who have undiagnosed bipolar disorder and (b) to compare a brief 3-item manic features questionnaire with the Hypomania Checklist (HCL-13). The sample comprised patients with a recorded diagnosis of depression, either on long-term antidepressant therapy or with previous multiple courses of antidepressants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 149 participants assessed, 24 (16.1%) satisfied criteria for bipolar disorder. Areas under the curve (AUC) for the 3-item questionnaire and the HCL-13 were similar (0.79 and 0.72, respectively) but positive predictive values (PPV) were low.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical implications<\/jats:title><jats:p>Bipolar disorder may be underdiagnosed in primary care. A 3-item questionnaire could be used by general practitioners to screen for bipolar disorder in their patients with depression.<\/jats:p><\/jats:sec>","DOI":"10.1192\/pb.bp.116.054577","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T07:35:15Z","timestamp":1501572915000},"page":"187-191","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of the 13-item Hypomania Checklist and a brief 3-item manic features questionnaire in primary care"],"prefix":"10.1192","volume":"41","author":[{"given":"Sukhmeet","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Scouller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S2056469400003594_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2005.05.011"},{"key":"S2056469400003594_ref9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.083840"},{"key":"S2056469400003594_ref10","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp16X683437"},{"key":"S2056469400003594_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.06.018"},{"key":"S2056469400003594_ref16","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.1.7063747"},{"key":"S2056469400003594_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.07.015"},{"key":"S2056469400003594_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03450190043026"},{"key":"S2056469400003594_ref8","volume-title":"Bipolar Disorder: Assessment and Management","year":"2014"},{"key":"S2056469400003594_ref6","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.10m06504"},{"key":"S2056469400003594_ref14","volume-title":"Diagnostic and Statistical Manual of Mental Disorder, 5th Edition (DSM-5).","year":"2013"},{"key":"S2056469400003594_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euroneuro.2005.04.011"},{"key":"S2056469400003594_ref13","volume-title":"Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV).","author":"First","year":"1996"},{"key":"S2056469400003594_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.01.015"},{"key":"S2056469400003594_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.06.036"},{"key":"S2056469400003594_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-011-9561-x"},{"key":"S2056469400003594_ref4","doi-asserted-by":"crossref","unstructured":"Anderson IM , Haddad PM , Scott J . 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