The Mood Disorder Assignment Paper

The Mood Disorder Assignment Paper

Instructions
Choose one diagnosis from the Bipolar and Related Disorders group

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.
Scan pages 123 through 188 The Mood Disorder Assignment Paper

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Overview 

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients. 

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.  The Mood Disorder Assignment Paper

Instructions: 

Instrument/ Tool criteria: 

For each assessment, you are tasked with selecting, you will identify an instrument and: 

List what DSM diagnosis the tool/instrument is used for.
Identify an assessment/diagnosis instrument.
Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice. 
Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder. 
Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis. 
Discuss the psychometrics/scoring of the instrument, including reliability and validity.  The Mood Disorder Assignment Paper
Discuss any limitations associated with the use of the instrument.
Include a link to view the assessment if possible.
Use the following template in completing your portfolio assignments. Your information can be in bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice. Throughout the program, you will continue to add to the portfolio in each course.

Assignment File(s)
Sample Download Sample
Template Download Template
Rubric
NU671 Unit 3 Assignment – Clinical Preparation Tool Rubric
NU671 Unit 3 Assignment – Clinical Preparation Tool Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeThe DSM diagnosis for the assignment . . .
3 pts
Proficient
Is clearly identified and appropriate for the assignment.
2 pts
Approaching Proficiency
Is clearly identified but not appropriate for the assignment.
0 pts
Not Proficient
Is not clearly identified and not appropriate for the assignment.
3 pts
This criterion is linked to a Learning OutcomeAn assessment/diagnosis instrument . . .
3 pts
Proficient
Is clearly identified and appropriate for the assignment.
2 pts
Approaching Proficiency
Is clearly identified but not appropriate for the assignment.
0 pts
Not Proficient
Is not clearly identified and not appropriate for the assignment.
3 pts
This criterion is linked to a Learning OutcomeAn appraisal of a scholarly, peer-reviewed article, that addresses the use of an appropriately selected instrument . . .
4 pts
Proficient
The submission contains an exemplary appraisal of the article where the selected instrument was utilized.
2 pts
Approaching Proficiency
The submission contains a satisfactory appraisal of the article where the selected instrument was utilized.
1 pts
Not Proficient
The submission does not contain an appraisal of the article where the selected instrument was utilized.
4 pts
This criterion is linked to a Learning OutcomeA discussion of either – 1) an evaluation of the instrument’s appropriateness for diagnosing the condition it is designed to assess, OR 2) the developer’s report that the instrument is only part of a comprehensive assessment for the disorder . . . The Mood Disorder Assignment Paper

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4 pts
Proficient
The submission contains an exemplary discussion of either an evaluation of the appropriateness of the selected instrument OR an exemplary discussion of the developer’s report that the selected instrument is only part of a comprehensive assessment of the disorder.
2 pts
Approaching Proficiency
The submission contains a satisfactory discussion of either an evaluation of the appropriateness of the selected instrument OR an exemplary discussion of the developer’s report that the selected instrument is only part of a comprehensive assessment of the disorder.
1 pts
Not Proficient
The submission does not contain a satisfactory discussion of either an evaluation of the appropriateness of the selected instrument OR an exemplary discussion of the developer’s report that the selected instrument is only part of a comprehensive assessment of the disorder.
4 pts
This criterion is linked to a Learning OutcomeA discussion as to whether the selected instrument can be used to measure patient response to therapy/treatment or if the selected instrument is only used for assessment and diagnosis . . .
4 pts
Proficient
The submission contains an exemplary discussion as to whether the selected instrument can be used to measure patient response to therapy/treatment or if the selected instrument is only used for assessment and diagnosis.
2 pts
Approaching Proficiency
The submission contains a satisfactory discussion as to whether the selected instrument can be used to measure patient response to therapy/treatment or if the selected instrument is only used for assessment and diagnosis.
1 pts
Not Proficient
The submission does not contain a discussion as to whether the selected instrument can be used to measure patient response to therapy/treatment or if the selected instrument is only used for assessment and diagnosis.
4 pts
This criterion is linked to a Learning OutcomeA discussion of the psychometrics/scoring of the selected instrument, including reliability and validity . . .
4 pts
Proficient
An exemplary discussion of the psychometrics/scoring of the selected instrument, including reliability and validity, is noted in the submission.
2 pts
Approaching Proficiency
A satisfactory discussion of the psychometrics/scoring of the selected instrument, including reliability and validity, is noted in the submission.
1 pts
Not Proficient
A discussion of the psychometrics/scoring of the selected instrument, including reliability and validity, is not noted in the submission. The Mood Disorder Assignment Paper
4 pts
This criterion is linked to a Learning OutcomeDiscuss any limitations associated with the use of the selected instrument . . .
4 pts
Proficient
An exemplary discussion of any limitations of the use of the selected instrument is noted.
2 pts
Approaching Proficiency
A satisfactory discussion of any limitations of the use of the selected instrument is noted.
1 pts
Not Proficient
A discussion of any limitations of the use of the selected instrument is not noted.
4 pts
This criterion is linked to a Learning OutcomeA link to view the selected instrument is provided, or an explanation as to why a link is not available is provided.
2 pts
Proficient
The submission includes a link to view the selected instrument, OR an explanation as to why a link is not available is provided.
0 pts
Not Proficient
The submission does not include a link to view the selected instrument, OR an explanation as to why a link is not available is not provided.
2 pts
This criterion is linked to a Learning OutcomeThe submission demonstrates the appropriate application of APA 7th edition guidelines for the construction of in-text and reference citations.
2 pts The Mood Disorder Assignment Paper
Proficient
The submission is free from citation construction errors.
1 pts
Approaching Proficiency
The submission contains 1-3 citation construction errors.
0 pts
Not Proficient
The submission contains greater than 3 citation construction errors.
2 pts
Total Points: 30

Bipolar and Related Disorders

Week X

DSM: Used for screening Bipolar Spectrum Disorder

 Instrument: Mood Disorder Questionnaire (MDQ)

 Article: The Properties of the Mood Disorder Questionnaire

 Appropriateness for Dx: The Mood Disorder Questionnaire (MDQ) is an instrument developed by a team of researchers, psychiatrists, and consumer advocates to assist in accurate and timely screening and diagnosis of bipolar spectrum disorder. The tool comprises of questionnaires that provide great insights about the disorders diagnosis and require about five minutes to answer (Nerys, 2017)The Mood Disorder Assignment Paper. It screens Bipolar I, Bipolar II, and Bipolar NOS disorders.

Response to Therapy/Treatment: Although the tool has been widely used to diagnose Bipolar Disorders in both primary and other healthcare settings, it does not measure a patient’s response to therapy or treatment (Nerys, 2017).

Psychometrics: MDQ is a self-report inventory instrument with 15 items derived from both clinical experience and DSM-IV criteria. The bipolar presence is determined by a positive screening followed by a comprehensive medical evaluation for the disorder (MDQ,n.d.). In order to screen positively for the disorder, the patient is required to meet the following three criteria; he should answer a ‘YES’ to seven or more 13 items presented in question 1;  answer a ‘YES’ to question 2; and indicate a ‘SERIOUS’ or ‘MODERATE’ problem to question 3 (Nerys, 2017). Mood Disorder Questionnaire (MDQ) has been tested in clinical trials and rated as highly accurate, reliable, and valuable. It can screen 9 out of 10 individuals without bipolar disorder and identify about seven out of ten people with the condition (MDQ, n.d.).

 Limitations: MDQ is highly sensitive and can easily detect Bipolar I one compared to Bipolar II and Bipolar NOS disorders. Additionally, the tool uses a yes/no screening format that can detect the presence of the Bipolar symptoms and not their severity (Nerys, 2017)The Mood Disorder Assignment Paper.

 References

Nerys Williams, The Properties of the Mood Disorder Questionnaire, Occupational Medicine, Volume 67, Issue 2, 1 March 2017, Pages 165–166, https://doi.org/10.1093/occmed/kqw152

The Mood Disorder Questionnaire. (n.d.), https://www.sadag.org/images/pdf/mdq.pdf

Student Example Anxiety and Related Disorders

Week 7

Instrument: Social Phobia Inventory (SPIN)

 Article: Psychometric properties of the Social Phobia Inventory

 Appropriateness for Dx: This tool is meant for screening of individuals with social phobia and assignment of a severity score (Connor et al., 2000). The tool was created in congruence with DSM-4 but is consistent with the DSM-5 diagnosis of social anxiety disorder, minus some minor changes (Substance Abuse and Mental Health Service Administration [SAMHSA], 2016)The Mood Disorder Assignment Paper. Although the study is outdated, Duke University School of Medicine (2020) acknowledges that the tool is still relevant and utilized by their Anxiety and Traumatic Stress Program.

 Response to Therapy/Treatment: The SPIN is appropriate for testing treatment response and through studies has proven sensitive to symptom changes over time. Changes in scores are able to determine treatment efficiency (Connor et al., 2000).

 Psychometrics: The tool is self-administered and consists of 17 separate statements regarding problems a patient may exhibit if they have social phobia. The statement is then rated on how much it has bothered the individual in the last week, from ‘not at all’ (0) to ‘extremely’ (4). Any score over 21 is considered clinically significant. In the study, the assessment tool was able to effectively separate individuals with and without social phobia. Validity is strong in regard to detecting the severity of illness and is sensitive to symptom reductions during treatment. The scale shows significant correlation with the Liebowitz Social Anxiety Scale Test, The Brief Social Phobia Scale and The Fear Questionnaire social phobia subscale (Connor et al., 2000).

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 Limitations: Limitations exist in the tool’s alignment with DSM-4 instead of the more recent edition, although differences are very minor (SAMHSA, 2016). With a cutoff score of 19, sensitivity and specificity were good, but some individuals consider the cutoff score to be 15, in which these measures are weaker (Connor et al., 2000).

 References

 Connor, K., Davidson, J., Churchill, E., Sherwood, A., Foa, E., & Wisler, R. (2000).

Psychometric properties of the Social Phobia Inventory. British Journal of Psychiatry, 176, 379-386 The Mood Disorder Assignment Paper