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Pertinence and development of cibd – clinical interview for bipolar disorder

Published online by Cambridge University Press:  13 August 2021

J. Azevedo ,
M. Martins ,
P. Castilho ,
C. Barreto ,
A.T. Pereira  and
A. Macedo
J. Azevedo
Affiliation:
Institute Of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
M. Martins
Affiliation:
Institute Of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
P. Castilho
Affiliation:
Cineicc, Univerity of Coimbra, Coimbra, Portugal
C. Barreto
Affiliation:
Psychology, University of Azores, Ponta Delgada, Portugal
A.T. Pereira*
Affiliation:
Institute Of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
A. Macedo
Affiliation:
Institute Of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
*
*Corresponding author.

Abstract

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Introduction

Bipolar disorder (BD) is frequently underdiagnosed and due to poor screening, the average time between onset of symptoms and diagnosis is more than 7-years (Mantere et al., 2004). Improper diagnosis has serious consequences in intervention (Ghaemi et al., 2001), and previous assessment instruments are now considered insufficient to detect intervention changes, and to provide a more functional and integrated view of BD.

Objectives

Our study aims to develop a new DSM-5 based Clinical Interview for Bipolar Disorder (CIBD), providing criteria to diagnose BD, but also the individual’s perceptions dealing with BD symptoms. This interview follows the same structure of CIPD (Martins et al., 2015), which has shown acceptability by the participants and experts.

Methods

CIBD was developed by a multidisciplinary team considering the DSM-5 criteria for Bipolar Disorders. There was a thorough research regarding assessment and evaluation of BD, and several suggestions from an international task force of specialist working with BD patients were considered, when writing the questions for the interview. A detailed description of CIBD development is presented. The authors of the interview have extended experience in the management and assessment of BD patients, and CIBD is now being assessed by a wider non-related panel, regarding pertinence and clarity.

Results

Preliminary assessment and qualitative feedback from participants that were interviewed is shown, with an overall positive feedback.

Conclusions

CIBD assesses both the diagnosis/presence of mood episodes (hypo/mania, and depressive) and symptoms’ psychosocial correlates. CIBD detects subtle changes caused by intervention adding a much needed recovery focused perspective.

Disclosure

No significant relationships.

Keywords

AssessmentCIBDClinical Interviewbipolar disorder
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S619
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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