Article
The Compelling and Persistent Problem of Bipolar Disorder Disguised as Major Depression Disorder: An Integrative Review
Journal of the American Psychiatric Nurses Association
(2018)
Abstract
BACKGROUND: Up to 40% of patients with bipolar disorder are misdiagnosed, usually with major depression disorder. OBJECTIVE: The purpose was to describe the current state of the science of the misdiagnosis of bipolar disorder, with the ultimate goal of improving psychiatric diagnostic workups including screening. DESIGN: An integrative review was conducted using standard criteria for evaluating research articles. RESULTS: Forty-nine articles met the eligibility criteria. Articles explored patient-related and health care provider-related factors contributing to the misdiagnosis of bipolar disorder as well as consequences of misdiagnosis. Clinically oriented, reliable, and valid screening tools for bipolar disorder also were reviewed. CONCLUSIONS: Awareness of multiple, challenging patient-related factors and more comprehensive assessment and screening by health care providers may reduce misdiagnosis.
Keywords
- bipolar disorder,
- misdiagnosis,
- mental illness
Disciplines
Publication Date
2018
DOI
10.1177/1078390318784360
Citation Information
Roxanne Vandermause, Brandie M. Stiles, Anne F. Fish and Afzar M. Malik. "The Compelling and Persistent Problem of Bipolar Disorder Disguised as Major Depression Disorder: An Integrative Review" Journal of the American Psychiatric Nurses Association Vol. 24 Iss. 5 (2018) p. 415 - 425 Available at: http://works.bepress.com/roxanne-vandermause/23/