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2022-06-30
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info:eu-repo/semantics/openAccess
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Universidad Nacional de Educación a Distancia (España). Acción Psicológica
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Resumen
Introducción.
El Trastorno Bipolar (BD) es una enfermedad mental grave y recurrente. Por tanto, una vez establecido el diagnóstico, éste debe ser estable en el tiempo. Las dificultades diagnósticas complican el estudio epidemiológico de este trastorno, pero en general se acepta una prevalencia entre el 1-2%. Son pocas las investigaciones que han evaluado el impacto de la estabilidad diagnóstica vs su cambio.
Material y Métodos.
Se realizó una revisión sistemática mediante búsqueda bibliográfica en Pubmed, Medline y Web of Science de artículos publicados hasta la fecha, utilizando las siguientes palabras clave: stability diagnosis, bipolar disorders y mood disorders. Se seleccionaron aquellos estudios que se centraban en el estudio de la estabilidad diagnóstica del trastorno bipolar tanto en adultos como en niños o adolescentes.
Resultados.
La búsqueda inicial mostró un total de 323 artículos, de los cuales 8 cumplieron los criterios de inclusión. Hemos encontrado que, en comparación con otros trastornos mentales, en el BD se observa una mayor validez de constructo y estabilidad a largo plazo. los estudios coinciden en la estabilidad de alrededor del 90% o más en el diagnóstico del BD tanto en población infantil como adulta.
Conclusiones
El Trastorno Bipolar en su fase inicial constituye un desafío diagnóstico y terapéutico. Pese a ello, se considera junto una de las categorías diagnósticas más estables. La ausencia de instrumentos fiables y válidos para el diagnóstico es considerada una limitación, que condiciona el curso y evolución de la enfermedad. Para investigaciones futuras es importante conseguir la mayor validez posible como constructo del BD.
IntroductionBipolar Disorder (BD) is a serious and recurring mental illness. Therefore, once the diagnosis is established, it must be stable over time. Diagnostic difficulties complicate the epidemiological study of this disorder, but a prevalence of 1-2% is generally accepted. Few investigations have evaluated the impact of diagnostic stability versus its change. Material and methods: A systematic review was carried out through a bibliographic search in Pubmed, Medlineand Web of Science of articles published to date, using the following keywords: diagnosis of stability, bipolar disorders and mood disorders. Those studies that focused on the study of the diagnostic stability of BD both in adults and in children or adolescents were selected. In addition, a review of the gray literature was carried out. Results: The initial search showed a total of 323 articles, of which 8 met the inclusion criteria.We have found that bipolar disorder has higher construct validity and long-term stability than other mental disorders. the studies coincide in the stability of around 90% or more in the diagnosis of BD in both the child and adult population. Conclusions: Bipolar Disorder in its initial phase constitutes a diagnostic and therapeutic challenge. Despite this, it is considered together with one of the most stable diagnostic categories. The absence of reliable and valid instruments for diagnosis is considered a limitation,which determines the course and evolution of the disease. For future research it is important to achieve the highest possible construct validity of the BD.
IntroductionBipolar Disorder (BD) is a serious and recurring mental illness. Therefore, once the diagnosis is established, it must be stable over time. Diagnostic difficulties complicate the epidemiological study of this disorder, but a prevalence of 1-2% is generally accepted. Few investigations have evaluated the impact of diagnostic stability versus its change. Material and methods: A systematic review was carried out through a bibliographic search in Pubmed, Medlineand Web of Science of articles published to date, using the following keywords: diagnosis of stability, bipolar disorders and mood disorders. Those studies that focused on the study of the diagnostic stability of BD both in adults and in children or adolescents were selected. In addition, a review of the gray literature was carried out. Results: The initial search showed a total of 323 articles, of which 8 met the inclusion criteria.We have found that bipolar disorder has higher construct validity and long-term stability than other mental disorders. the studies coincide in the stability of around 90% or more in the diagnosis of BD in both the child and adult population. Conclusions: Bipolar Disorder in its initial phase constitutes a diagnostic and therapeutic challenge. Despite this, it is considered together with one of the most stable diagnostic categories. The absence of reliable and valid instruments for diagnosis is considered a limitation,which determines the course and evolution of the disease. For future research it is important to achieve the highest possible construct validity of the BD.
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Categorías UNESCO
Palabras clave
Bipolar disorder, stability, review, mood disorders, diagnosis