Validation of a brief scale for the assessment of distress associated to bipolar disorder

  1. A. Pascual-Sánchez
  2. J.M. Montes-Rodríguez
  3. C. Jenaro-Río
  4. J. Saiz-Ruiz
Revista:
European journal of psychiatry

ISSN: 0213-6163

Año de publicación: 2019

Volumen: 33

Número: 1

Páginas: 32-37

Tipo: Artículo

DOI: 10.1016/J.EJPSY.2018.11.001 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: European journal of psychiatry

Resumen

Background and objectives: Perceived distress and discomfort has received less attention in the literature than other factors that influence the course of bipolar disorder (BD). Given its proven relationship with psychopathology, it is of great importance. However, it is necessary to design an instrument to assess it since there is no scale that measures this feature. Methods: Descriptive cross-sectional design in which 72 BD euthymic patients were assessed. A scale to measure perceived distress in BD (perceived consequences, impact on interpersonal relationships and disorder self-management), scored from 1 to 10 and developed for this study, was applied. In addition, the Young Mania Rating Scale (YMRS) and the Hamilton Depression Scale (HAM-D) were also applied. Results: Reliability and validity analyses, as well as descriptive and inferential analysis were done. The developed measure showed adequate reliability and validity properties. Descriptive analyses show that the issues that generate more distress in patients were the burden associated to the disease, the perception of a lack of responsiveness from close people, the negative impact of their illness on those relationships, the alteration of mental functions, and the difficulties of managing daily stress. Conclusions: The present study offers evidence of the psychometric adequacy and usefulness of the developed scale to assess the distress experienced by patients with BD. It is necessary for mental health professionals to pay attention to the patient’s perception of illness.

Referencias bibliográficas

  • E. Michalak, J.D. Livingston, R. Hole, M. Suto, S. Hale, C. Haddock. ‘It's something that I manage but it is not who I am’: reflections on internalized stigma in individuals with bipolar disorder. Chronic Illness, 7 (3) (2011), pp. 209-224, 10.1177/1742395310395959
  • S.V. Parikh, L.D. Hawke, V. Velyvis, A. Zaretsky, S. Beaulieu, I. Patelis-Siotis, et al. Combined treatment: impact of optimal psychotherapy and medication in bipolar disorder. Bipolar Disord, 17 (1) (2015), pp. 86-96, 10.1111/bdi.12233
  • L.G. Sylvia, R.C. Shelton, D.E. Kemp, E.E. Bernstein, E.S. Friedman, B.D. Brody, et al. Medical burden in bipolar disorder: findings from the Clinical and Health Outcomes Initiative in Comparative Effectiveness for Bipolar Disorder study (bipolar CHOICE). Bipolar Disord, 17 (2) (2015), pp. 212-223, 10.1111/bdi.12243
  • S.A. Mackala, I.J. Torres, J. Kozicky, E.E. Michalak, L.N. Yatham. Cognitive performance and quality of life early in the course of bipolar disorder. J Affect Disord, 168 (2014), pp. 119-124, 10.1016/j.jad.2014.06.045
  • A. Soni, P. Singh, R. Shah, S. Bagotia. Impact of cognition and clinical factors on functional outcome in patients with bipolar disorder. East Asian Arch Psychiatry, 27 (1) (2017), pp. 26-34
  • C.M. Bonnín, J. Sánchez-Moreno, A. Martínez-Arán, B. Solé, M. Reinares, A.R. Rosa, et al. Subthreshold symptoms in bipolar disorder: impact on neurocognition, quality of life and disability. J Affect Disord, 136 (3) (2012), pp. 650-659, 10.1016/j.jad.2011.10.012
  • M.S. de la Cruz, Z. Lai, D.E. Goodrich, A.M. Kilbourne. Gender differences in health-related quality of life in patients with bipolar disorder. Arch Womens Ment Health, 16 (2013), pp. 317-323, 10.1007/s00737-013-0351-1
  • R.A. da Silva, D.C. Mograbi, J. Bifano, C.M.T. Santana, E. Cheniaux. Insight in bipolar mania: evaluation of its heterogeneity and correlation with clinical symptoms. J Affect Disord, 199 (2016), pp. 95-98, 10.1016/j.jad.2016.04.019
  • C. Cerit, A. Filizer, Ü. Tural, A.E. Tufan. Stigma: a core factor on predicting functionality in bipolar disorder. Compr Psychiatry, 53 (5) (2012), pp. 484-489, 10.1016/j.comppsych.2011.08.010
  • K.K. Nilsson, P. Kugathasan, K.N. Straarup. Characteristics, correlates and outcomes of perceived stigmatization in bipolar disorder patients. J Affect Disord, 194 (2016), pp. 196-201, 10.1016/j.comppsych.2011.08.010
  • G.C. Nitzburg, M. Russo, A. Cuesta-Diaz, L. Ospina, M. Shanahan, M. Perez-Rodriguez, et al. Coping strategies and real-world functioning in bipolar disorder. J Affect Disord, 198 (2016), pp. 185-188, 10.1016/j.jad.2016.03.028
  • P.J. Taylor, M. Pyle, M. Schwannauer, P. Hutton, A. Morrison. Confirming the structure of negative beliefs about psychosis and bipolar disorder: a confirmatory factor analysis study of the Personal Beliefs about Experience Questionnaire and Personal Beliefs about Illness Questionnaire. Br J Clin Psychol, 54 (4) (2015), pp. 361-377, 10.1111/bjc.12079
  • T.E. Van Rheenen, S.L. Rossell. Objective and subjective psychosocial functioning in bipolar disorder: an investigation of the relative importance of neurocognition, social cognition and emotion regulation. J Affect Disord, 162 (2014), pp. 134-141, 10.1016/j.jad.2014.03.043
  • K. Watanabe, E. Harada, T. Inoue, Y. Tanji, T. Kikuchi. Perceptions and impact of bipolar disorder in Japan: results of an Internet survey. Neuropsychiatr Dis Treat, 12 (2016), pp. 2981-2987, 10.2147/NDT.S113602
  • C. Hammen, M. Gitlin, L. Altshuler. Predictors of work adjustment in bipolar I patients: a naturalistic longitudinal follow-up. J Consult Clin Psychol, 68 (2) (2000), pp. 220-225
  • C. de Dios, A. González-Pinto, J.M. Montes, J.M. Goikolea, J. Saiz-Ruiz, E. Prieto, et al. Predictors of recurrence in bipolar disorders in Spain (PREBIS study data). J Affect Disord, 141 (2012), pp. 406-414, 10.1016/j.jad.2012.03.009
  • H.J. Stratford, M.J. Cooper, M. Di Simplicio, S.E. Blackwell, E.A. Holmes. Psychological therapy for anxiety in bipolar spectrum disorders: a systematic review. Clin Psychol Rev, 35 (2015), pp. 19-34, 10.1016/j.cpr.2014.11.002
  • M. Phillips. Is distress a symptom of mental disorders, a marker of impairment, both or neither? World Psychiatry, 82 (2) (2009), pp. 91-92. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691169/pdf/wpa020091.pdf
  • D. Howell, K. Olsen. Distress. The 6th vital sign. Curr Oncol, 18 (2011), pp. 208-210 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185896/pdf/conc-18-208.pdf
  • L. Vitek, Q. Rosenzweig, S. Stollings. Distress in patients with cancer: definition, assessment, and suggested interventions. Clin J Oncol Nurs, 11 (3) (2007), pp. 413-418, 10.1188/07.CJON.413-418
  • D. David, G.H. Montgomery, B. Macavei, D.H. Bovbjerg. An empirical investigation of Albert Ellis's binary model of distress. J Clin Psychol, 61 (2005), pp. 499-516, 10.1188/07.CJON.413-418
  • L.P. Greenberg. The flexibility of distress tolerance through a Brief-Acceptance and Commitment Therapy intervention: a pilot study. Diss Abstr Int, 76 (2016). Available from: https://baylor-ir.tdl.org/baylor-ir/handle/2104/9504
  • A.A. Nierenberg, K.H. Bentley, A.H. Farabaugh, M. Fava, T. Deckersbach. The absence of depressive symptoms is not the presence of wellness: validation of the Clinical Positive Affect Scale. Aust NZ J Psychiatry, 46 (2012), pp. 1165-1172, 10.1177/0004867412459810
  • R.C. Kessler, G. Andrews, L.J. Colpe, E. Hiripi, D.K. Mroczek, S.L. Normand, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med, 32 (6) (2002), pp. 959-976
  • L. Fisher, R.E. Glasgow, J.T. Mullan, M.M. Skaff, W.H. Polonsky. Development of a Brief Diabetes Distress Screening Instrument. Ann Fam Med, 6 (3) (2008), pp. 246-252, 10.1370/afm.842
  • E.E. Michalak, G. Murray. Development of the QoL BD: a disorder-specific scale to assess quality of life in bipolar disorder. Bipolar Disord, 12 (7) (2010), pp. 727-740, 10.1111/j.1399-5618.2010.00865.x
  • V.J. Pop, A.M. Pommer, M. Pop-Purceleanu, H.A. Wijnen, V. Bergink, F. Pouwer. Development of the Tilburg Pregnancy Distress Scale: the TPDS. BMC Pregnancy Childbirth, 11 (2011), p. 8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3216243/pdf/1471-2393-11-80.pdf
  • F. Colom, E. Vieta, A. Martínez-Arán, M. Garcia-Garcia, M. Reinares, C. Torrent, et al. Spanish version of a scale for the assessment of mania: validity and reliability of the Young Mania Rating Scale. Med Clin (Barc), 119 (10) (2002), pp. 366-371
  • J.A. Ramos-Brieva, A. Cordero. A new validation of the Hamilton Rating Scale for Depression. J Psychiatr Res, 22 (1) (1988), pp. 21-28
  • M.L. McHugh. Interrater reliability: the kappa statistic. Biochem Med (Zagreb), 22 (3) (2012), pp. 276-282
  • R. Kline. Principles and practices of structural equation modeling (2nd ed.), Guilford, New York (2005)
  • L.T. Hu, P.M. Bentler. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling, 6 (1–6) (1999), pp. 1-55, 10.1080/10705519909540118
  • D. Borsboom, G.J. Mellenbergh, J. van Heerden. The concept of validity. Psychol Rev, 111 (4) (2004), pp. 1061-1071, 10.1037/0033-295X.111.4.1061
  • E.M. Christensen, A. Gjerris, J.K. Larsen, B.B. Bendtsen, B.H. Larsen, H. Rolff, et al. Life events and onset of a new phase in bipolar affective disorder. Bipolar Disord, 5 (2003), pp. 356-361
  • D.M. Quinn, S.R. Chaudoir. Living with a concealable stigmatized identity: the impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Stigma Health, 1 (2015), pp. 35-59, 10.1037/a0015815