2008 issue 1

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Volume 24, issue 1

Review article

The Bipolar Depression Rating Scale: the description and clinical utility

Wiktor Dróżdż1, Alina Borkowska1, Michael Berk2
1. Zakład Neuropsychologii Klinicznej Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
2. Department of Psychiatry, University of Melbourne and Barwon Health Psychiatry Research, Australia
Farmakoterapia w Psychiatrii i Neurologii, 2008, 1, 53–63
Keywords: depression, bipolar disorder, psychometric assessment

Abstract

Bipolar depression was diagnosed in the majority of patients attending psychiatric outpatients clinics in Poland in a survey recently published. Psychometric tools for assessment of depressive disorders currently used (i.e. the Hamilton Depression Scale or the Montgomery-Asberg Depression Rating Scale) were designed around the features of classic unipolar depression. A growing body of evidence suggests that there are phenomenological as well as psychopathological and pathogenetic differences between unipolar and bipolar depression. Hence, the principles of treatment of bipolar depression are distinct from the treatment algorithms for unipolar depression, and the metrics for symptom assessment need to reflect the unique phenomenological signature of bipolar depression. Here we present a newly elaborated scale for the assessment of symptoms of bipolar depression which has showed strong internal consistency, inter-rater reliability and correlations with other rating scales for depression. Additionally, Polish translation of the Bipolar Depression Rating Scale is enclosed.

Address for correspondence:
Wiktor Dróżdż
Zakład Neuropsychologii Klinicznej
CM UMK
ul. Skłodowskiej 9, 85-094 Bydgoszcz. tel. 052 5854368, fax. 052 5853703
email: wikdr@cm.umk.pl