Psychiatry Investig.  2017 Sep;14(5):585-594. 10.4306/pi.2017.14.5.585.

Feasibility of the Korean version of the Bipolar Depression Rating Scale in Adolescents with Early-Onset Bipolar Disorder

Affiliations
  • 1Department of Psychiatry, Seoul National Hospital, Seoul, Republic of Korea.
  • 2Department of Child Psychiatry, National Center for Child and Adolescent Psychiatry, Seoul National Hospital, Seoul, Republic of Korea. yenikim@korea.kr
  • 3Department of Adolescent Psychiatry, National Center for Child and Adolescent Psychiatry, Seoul National Hospital, Seoul, Republic of Korea.
  • 4Biomedical Research Institute, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  • 5Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  • 6National Center for Child and Adolescent Psychiatry, Seoul National Hospital, Seoul, Republic of Korea.

Abstract


OBJECTIVE
This study explores the feasibility and psychometric properties of the Korean version of the Bipolar Depression Rating Scale (BDRS) in adolescents with Early-onset bipolar disorders.
METHODS
Fifty-three participants (aged 13-18) with early-onset bipolar disorders (40 depressed and 18 euthymic, 5 patients were assessed at depressed state and reassessed after remission) were recruited. All participants were assessed using the BDRS, the Hamilton Depression Rating Scale (HAM-D), the Montgomery-Asperg Depression Rating Scale (MADRS), the Young Mania Rating Scale (YMRS), and the Modified Overt Aggression scale (MOAS).
RESULTS
BDRS exhibited good internal validity and significant correlations with the HAM-D and the MADRS. In item to scale correlations, all items on the BDRS were significantly correlated with the BDRS total scores except for "˜increased motor drive' and "˜increased speech', "˜depressed mood' and "˜worthlessness' showed the highest mean scores and endorsement rates. BDRS score of the depressed group was significantly higher compared with the euthymic group. Three factors (i.e., psychosomatic, mood, and mixed) were identified in the principal component analysis and hierarchical cluster analysis of the BDRS.
CONCLUSION
In this study, we report that the Korean version of BDRS is a feasible and reliable tool for the assessment of depression in adolescents with Early-onset bipolar disorders.

Keyword

Adolescence; Bipolar disorder; Depression; Early-onset; Rating scale

MeSH Terms

Adolescent*
Aggression
Bipolar Disorder*
Depression
Humans
Principal Component Analysis
Psychometrics
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