Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments

Background: Early detection of prodromal symptoms may contribute to improving the prognosis of patients with bipolar disorder (BD). The main objective of this systematic review is to present the different procedures for the identification of initial and relapse prodromes in these patients. Methods:...

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Autores: Álvarez Cadenas, Laura, García Vázquez, Paula, Ezquerra, Berta, Stiles, Bryan, J., Lahera, Guillermo, Andrade González, Nelson, Vieta i Pascual, Eduard, 1963-
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/208405
Acceso en línea:https://hdl.handle.net/2445/208405
Access Level:acceso abierto
Palabra clave:Diagnòstic
Trastorn bipolar
Ressenyes sistemàtiques (Investigació mèdica)
Diagnosis
Manic-depressive illness
Systematic reviews (Medical research)
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spelling Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instrumentsÁlvarez Cadenas, LauraGarcía Vázquez, PaulaEzquerra, BertaStiles, Bryan, J.Lahera, GuillermoAndrade González, NelsonVieta i Pascual, Eduard, 1963-DiagnòsticTrastorn bipolarRessenyes sistemàtiques (Investigació mèdica)DiagnosisManic-depressive illnessSystematic reviews (Medical research)Background: Early detection of prodromal symptoms may contribute to improving the prognosis of patients with bipolar disorder (BD). The main objective of this systematic review is to present the different procedures for the identification of initial and relapse prodromes in these patients. Methods: PsycINFO, Web of Science and PubMed databases were searched using a predetermined strategy, until January 4, 2022. Then, by means of a regulated process, studies that used a BD prodrome detection procedure, in English-language and all ages participants were selected. Quantitative and qualitative studies were assessed using a modified version of the Newcastle-Ottawa Scale and by Critical Appraisals Skills Programme checklist, respectively. Results: Forty-five studies were selected. Of these, 26 used procedures for identifying initial prodromes (n = 8014) and 19 used procedures for detecting relapse prodromes (n = 1136). The interview was the most used method in the detection of both types of prodromes (k = 30 papers, n = 4068). It was variable in its degree of structure. Mobile applications and digital technologies are gaining importance in the detection of the relapse prodromes. Limitations: A retrospective design in most papers, small samples sizes, existence of persistent subsyndromal symptoms and difficulty to identify the end of the prodrome and the onset of the disorder. Conclusions: There is a wide variety of assessment instruments to detect prodromes in BD, among which the clinical interview is most frequently used. Future research should consider development of a brief tool to be applied in different formats to patients and family members.Elsevier B.V.2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/208405Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1016/j.jad.2023.01.012Journal of Affective Disorders, 2023, vol. 325, p. 399-412https://doi.org/10.1016/j.jad.2023.01.012cc-by-nc-nd (c) Elsevier B.V., 2023http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2084052026-05-27T06:46:51Z
dc.title.none.fl_str_mv Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
title Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
spellingShingle Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
Álvarez Cadenas, Laura
Diagnòstic
Trastorn bipolar
Ressenyes sistemàtiques (Investigació mèdica)
Diagnosis
Manic-depressive illness
Systematic reviews (Medical research)
title_short Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
title_full Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
title_fullStr Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
title_full_unstemmed Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
title_sort Detection of bipolar disorder in the prodromal phase: A systematic review of assessment instruments
dc.creator.none.fl_str_mv Álvarez Cadenas, Laura
García Vázquez, Paula
Ezquerra, Berta
Stiles, Bryan, J.
Lahera, Guillermo
Andrade González, Nelson
Vieta i Pascual, Eduard, 1963-
author Álvarez Cadenas, Laura
author_facet Álvarez Cadenas, Laura
García Vázquez, Paula
Ezquerra, Berta
Stiles, Bryan, J.
Lahera, Guillermo
Andrade González, Nelson
Vieta i Pascual, Eduard, 1963-
author_role author
author2 García Vázquez, Paula
Ezquerra, Berta
Stiles, Bryan, J.
Lahera, Guillermo
Andrade González, Nelson
Vieta i Pascual, Eduard, 1963-
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Diagnòstic
Trastorn bipolar
Ressenyes sistemàtiques (Investigació mèdica)
Diagnosis
Manic-depressive illness
Systematic reviews (Medical research)
topic Diagnòstic
Trastorn bipolar
Ressenyes sistemàtiques (Investigació mèdica)
Diagnosis
Manic-depressive illness
Systematic reviews (Medical research)
description Background: Early detection of prodromal symptoms may contribute to improving the prognosis of patients with bipolar disorder (BD). The main objective of this systematic review is to present the different procedures for the identification of initial and relapse prodromes in these patients. Methods: PsycINFO, Web of Science and PubMed databases were searched using a predetermined strategy, until January 4, 2022. Then, by means of a regulated process, studies that used a BD prodrome detection procedure, in English-language and all ages participants were selected. Quantitative and qualitative studies were assessed using a modified version of the Newcastle-Ottawa Scale and by Critical Appraisals Skills Programme checklist, respectively. Results: Forty-five studies were selected. Of these, 26 used procedures for identifying initial prodromes (n = 8014) and 19 used procedures for detecting relapse prodromes (n = 1136). The interview was the most used method in the detection of both types of prodromes (k = 30 papers, n = 4068). It was variable in its degree of structure. Mobile applications and digital technologies are gaining importance in the detection of the relapse prodromes. Limitations: A retrospective design in most papers, small samples sizes, existence of persistent subsyndromal symptoms and difficulty to identify the end of the prodrome and the onset of the disorder. Conclusions: There is a wide variety of assessment instruments to detect prodromes in BD, among which the clinical interview is most frequently used. Future research should consider development of a brief tool to be applied in different formats to patients and family members.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/208405
url https://hdl.handle.net/2445/208405
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1016/j.jad.2023.01.012
Journal of Affective Disorders, 2023, vol. 325, p. 399-412
https://doi.org/10.1016/j.jad.2023.01.012
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Elsevier B.V., 2023
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Elsevier B.V., 2023
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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