Comparison of the internal state scale to clinician-administered assessments in patients with bipolar disorder and alcohol abuse or dependence

Rattapol Srisinroongruang, Nafisa Dhanani, Mark S. Bauer, E. Sherwood Brown

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Self-report measures require less clinician time to administer than clinician-rated assessments. The Internal State Scale (ISS) is a well-validated self-report measure that assesses symptoms of mania and depression in patients with bipolar disorder (BPD). However, the ISS has never been specifically evaluated in patients with BPD and comorbid substance misuse. Substances can induce mood symptoms complicating diagnosis and mood state assessment. Methods: The ISS was compared with the Hamilton Rating Scale for Depression (HRSD), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS) in 21 patients with BPD and alcohol abuse/dependence at baseline and for up to 16 weeks postbaseline. In addition, ISS-determined mood state was compared to mood state from a structured diagnostic interview. Results: Significant baseline correlations were observed between the ISS depression subscalc and HRSD. ISS activation subscale and YMRS. and ISS perceived conflict subscale and BPRS. Significant correlations of baseline to exit change scores were found between the ISS activation and YMRS, but not ISS depression and HRSD, or ISS perceived conflict and BPRS. All participants had a mixed mood state by structured diagnostic interview. The ISS diagnosed the manic/hypomanic portion of this mood state in 76% of participants but found depression in only 38%. Conclusions: As in BPD patients without substance abuse, the ISS generally showed correlations with clinician-rated scales at baseline, with less strong correlations observed on change scores. The ISS diagnosis of mania or hypomania appeared to correspond more highly than depression with the findings from a structured diagnostic interview.

Original languageEnglish (US)
Pages (from-to)61-69
Number of pages9
JournalJournal of Dual Diagnosis
Volume1
Issue number3
DOIs
StatePublished - 2005

Fingerprint

Bipolar Disorder
Alcoholism
Depression
Brief Psychiatric Rating Scale
Interviews
Self Report
Substance-Related Disorders

Keywords

  • Alcohol dependence
  • Bipolar disorder
  • Clinician-administered assessment
  • Depression
  • Internal state scale
  • Mania

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Comparison of the internal state scale to clinician-administered assessments in patients with bipolar disorder and alcohol abuse or dependence. / Srisinroongruang, Rattapol; Dhanani, Nafisa; Bauer, Mark S.; Brown, E. Sherwood.

In: Journal of Dual Diagnosis, Vol. 1, No. 3, 2005, p. 61-69.

Research output: Contribution to journalArticle

@article{17e8705234124bf39c96a59565f3e361,
title = "Comparison of the internal state scale to clinician-administered assessments in patients with bipolar disorder and alcohol abuse or dependence",
abstract = "Objectives: Self-report measures require less clinician time to administer than clinician-rated assessments. The Internal State Scale (ISS) is a well-validated self-report measure that assesses symptoms of mania and depression in patients with bipolar disorder (BPD). However, the ISS has never been specifically evaluated in patients with BPD and comorbid substance misuse. Substances can induce mood symptoms complicating diagnosis and mood state assessment. Methods: The ISS was compared with the Hamilton Rating Scale for Depression (HRSD), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS) in 21 patients with BPD and alcohol abuse/dependence at baseline and for up to 16 weeks postbaseline. In addition, ISS-determined mood state was compared to mood state from a structured diagnostic interview. Results: Significant baseline correlations were observed between the ISS depression subscalc and HRSD. ISS activation subscale and YMRS. and ISS perceived conflict subscale and BPRS. Significant correlations of baseline to exit change scores were found between the ISS activation and YMRS, but not ISS depression and HRSD, or ISS perceived conflict and BPRS. All participants had a mixed mood state by structured diagnostic interview. The ISS diagnosed the manic/hypomanic portion of this mood state in 76{\%} of participants but found depression in only 38{\%}. Conclusions: As in BPD patients without substance abuse, the ISS generally showed correlations with clinician-rated scales at baseline, with less strong correlations observed on change scores. The ISS diagnosis of mania or hypomania appeared to correspond more highly than depression with the findings from a structured diagnostic interview.",
keywords = "Alcohol dependence, Bipolar disorder, Clinician-administered assessment, Depression, Internal state scale, Mania",
author = "Rattapol Srisinroongruang and Nafisa Dhanani and Bauer, {Mark S.} and Brown, {E. Sherwood}",
year = "2005",
doi = "10.1300/J374v01n03_06",
language = "English (US)",
volume = "1",
pages = "61--69",
journal = "Journal of Dual Diagnosis",
issn = "1550-4263",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Comparison of the internal state scale to clinician-administered assessments in patients with bipolar disorder and alcohol abuse or dependence

AU - Srisinroongruang, Rattapol

AU - Dhanani, Nafisa

AU - Bauer, Mark S.

AU - Brown, E. Sherwood

PY - 2005

Y1 - 2005

N2 - Objectives: Self-report measures require less clinician time to administer than clinician-rated assessments. The Internal State Scale (ISS) is a well-validated self-report measure that assesses symptoms of mania and depression in patients with bipolar disorder (BPD). However, the ISS has never been specifically evaluated in patients with BPD and comorbid substance misuse. Substances can induce mood symptoms complicating diagnosis and mood state assessment. Methods: The ISS was compared with the Hamilton Rating Scale for Depression (HRSD), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS) in 21 patients with BPD and alcohol abuse/dependence at baseline and for up to 16 weeks postbaseline. In addition, ISS-determined mood state was compared to mood state from a structured diagnostic interview. Results: Significant baseline correlations were observed between the ISS depression subscalc and HRSD. ISS activation subscale and YMRS. and ISS perceived conflict subscale and BPRS. Significant correlations of baseline to exit change scores were found between the ISS activation and YMRS, but not ISS depression and HRSD, or ISS perceived conflict and BPRS. All participants had a mixed mood state by structured diagnostic interview. The ISS diagnosed the manic/hypomanic portion of this mood state in 76% of participants but found depression in only 38%. Conclusions: As in BPD patients without substance abuse, the ISS generally showed correlations with clinician-rated scales at baseline, with less strong correlations observed on change scores. The ISS diagnosis of mania or hypomania appeared to correspond more highly than depression with the findings from a structured diagnostic interview.

AB - Objectives: Self-report measures require less clinician time to administer than clinician-rated assessments. The Internal State Scale (ISS) is a well-validated self-report measure that assesses symptoms of mania and depression in patients with bipolar disorder (BPD). However, the ISS has never been specifically evaluated in patients with BPD and comorbid substance misuse. Substances can induce mood symptoms complicating diagnosis and mood state assessment. Methods: The ISS was compared with the Hamilton Rating Scale for Depression (HRSD), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS) in 21 patients with BPD and alcohol abuse/dependence at baseline and for up to 16 weeks postbaseline. In addition, ISS-determined mood state was compared to mood state from a structured diagnostic interview. Results: Significant baseline correlations were observed between the ISS depression subscalc and HRSD. ISS activation subscale and YMRS. and ISS perceived conflict subscale and BPRS. Significant correlations of baseline to exit change scores were found between the ISS activation and YMRS, but not ISS depression and HRSD, or ISS perceived conflict and BPRS. All participants had a mixed mood state by structured diagnostic interview. The ISS diagnosed the manic/hypomanic portion of this mood state in 76% of participants but found depression in only 38%. Conclusions: As in BPD patients without substance abuse, the ISS generally showed correlations with clinician-rated scales at baseline, with less strong correlations observed on change scores. The ISS diagnosis of mania or hypomania appeared to correspond more highly than depression with the findings from a structured diagnostic interview.

KW - Alcohol dependence

KW - Bipolar disorder

KW - Clinician-administered assessment

KW - Depression

KW - Internal state scale

KW - Mania

UR - http://www.scopus.com/inward/record.url?scp=33645793529&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645793529&partnerID=8YFLogxK

U2 - 10.1300/J374v01n03_06

DO - 10.1300/J374v01n03_06

M3 - Article

AN - SCOPUS:33645793529

VL - 1

SP - 61

EP - 69

JO - Journal of Dual Diagnosis

JF - Journal of Dual Diagnosis

SN - 1550-4263

IS - 3

ER -