tailieunhanh - Báo cáo y học: " ESPECTRA: Searching the Bipolar Spectrum in Eating Disorder patients"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: ESPECTRA: Searching the Bipolar Spectrum in Eating Disorder patients | Campos et al. BMC Psychiatry 2011 11 59 http 1471-244X 11 59 BMC Psychiatry STUDY PROTOCOL Open Access ESPECTRA Searching the Bipolar Spectrum in Eating Disorder patients Rodolfo N Campos1 Jules Angst2 Taki A Cordas3 and Ricardo A Moreno4 Abstract Background Bipolar Disorder BD is a chronic recurrent and highly prevalent illness. Despite the need for correct diagnosis to allow proper treatment studies have shown that reaching a diagnosis can take up to ten years due to the lack of recognition of the broader presentations of BD. Frequent comorbidities with other psychiatric disorders are a major cause of misdiagnosis and warrant thorough evaluation. Methods Design ESPECTRA Occurrence of Bipolar Spectrum Disorders in Eating Disorder Patients is a single-site cross-sectional study involving a comparison group designed to evaluate the prevalence of bipolar spectrum in an eating disorder sample. Women aged 18-45 years will be evaluated using the SCID-P and Zurich criteria for diagnosis and the HAM-D YOUNG SCI-MOODS HCL-32 BIS-11 BSQ WHOQoL and EAS instruments for rating symptoms and measuring clinical correlates. Discussion The classificatory systems in psychiatry are based on categorical models that have been criticized for simplifying the diagnosis and leading to an increase in comorbidities. Some dimensional approaches have been proposed aimed at improving the validity and reliability of psychiatric disorder assessments especially in conditions with high rates of comorbidity such as BD and Eating Disorder ED . The Bipolar Spectrum BS remains underrecognized in clinical practice and its definition is not well established in current diagnostic guidelines. Broader evaluation of psychiatric disorders combining categorical and dimensional views could contribute to a more realistic understanding of comorbidities and help toward establishing a prognosis. Background Bipolar disorder BD is a chronic and disabling condition associated with impairment of .