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Validation of the Bipolar Spectrum Diagnostic Scale in Mexican Psychiatric Patients

Published online by Cambridge University Press:  27 November 2018

Juan Pablo Sánchez de la Cruz
Affiliation:
Universidad Juárez Autónoma de Tabasco (Mexico)
Ana Fresán
Affiliation:
Instituto Nacional de Psiquiatría Ramón de la Fuente Muniz (Mexico)
Diana Laura González Moralez
Affiliation:
Instituto Nacional de Psiquiatría Ramón de la Fuente Muniz (Mexico)
María Lilia López-Narváez
Affiliation:
Hospital General de Yajalón (Mexico)
Carlos Alfonso Tovilla-Zarate*
Affiliation:
Universidad Juárez Autónoma de Tabasco (Mexico)
Sherezada Pool-García
Affiliation:
Hospital General de Comalcalco (Mexico)
Isela Juárez-Rojop
Affiliation:
Universidad Juárez Autónoma de Tabasco (Mexico)
Yazmín Hernández-Díaz
Affiliation:
Universidad Juárez Autónoma de Tabasco (Mexico)
Thelma Beatriz González-Castro
Affiliation:
Universidad Juárez Autónoma de Tabasco (Mexico)
María de Lourdes Vera-Campos
Affiliation:
Hospital Regional de Alta Especialidad en Salud Mental (Mexico)
Patricia Velázquez-Sánchez
Affiliation:
Hospital General de Comalcalco (Mexico)
*
*Correspondence concerning this article should be addressed to Carlos Alfonso Tovilla-Zarate. Universidad Juárez Autónoma de Tabasco. División Académica Multidisciplinaria de Comalcalco. 86040 Villahermosa, Tabasco (Mexico). E-mail: alfonso_tovillaz@yahoo.com.mx

Abstract

The Bipolar Spectrum Diagnostic Scale (BSDS) is widely validated and used as a screening tool for bipolar disorder. However, there is no BSDS validated version for its use in Mexican population. The aim of the present study was to examine the BSDS diagnostic capacity, and to evaluate its criterion validity and internal consistency for its use in Mexican psychiatric patients. We recruited 200 patients who attended the psychiatric outpatient service of a Mental Health Specialized Hospital and were screened for bipolar disorder using BSDS. To determine the cut-off point, sensitivity and specificity, we used the SCID–I diagnosis as the gold standard in 100 participants with bipolar disorder and 100 with major depression. Internal consistency according to Cronbach’s coefficient alpha was .81. The area under ROC curve for the overall discriminability of BSDS against the criterion of SCID–I for bipolar disorder was .90. Finally, a cut-off value of 12 reached the most stable sensitivity and specificity, with predictive powers higher than .80. In conclusion, the properties of the scale including internal consistency, sensitivity and specificity, make of BSDS a valuable instrument for screening bipolar disorder in Mexican psychiatric population.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2018 

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Footnotes

How to cite this article:

Sánchez de la Cruz, J. P., Fresán, A., González Moralez, D. L., López-Narváez, M. L., Tovilla-Zarate, C. A., Pool-García, S., … Velázquez-Sánchez, P. (2018). Validation of the Bipolar Spectrum Diagnostic Scale in Mexican psychiatric patients. The Spanish Journal of Psychology, 21. e60. Doi:10.1017/sjp.2018.59

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