title: Accuracy of the number of previous episodes reported by patients with bipolar disorder.
abstract: BACKGROUND
  The number of previous episodes in patients with BD is a variable widely used for both clinical and research purposes. The aim of this study was to compare the number of episodes retrospectively reported by euthymic BD subjects with that registered by their psychiatrists during a follow-up period.
  
  
  METHODS
  Fifty euthymic patients with BD and more than 2years of follow-up were retrospectively asked in a standardized fashion about the number of hypomanic/manic and depressive episodes suffered during that period. Patient-reported outcomes were compared with the number of episodes registered by psychiatrists in a life chart during the same period.
  
  
  RESULTS
  The mean follow-up of patients was 66.70months. There was a mean difference of 2.74 episodes between reports of patients' and psychiatrists' reports during the complete follow-up period; Intraclass correlation coefficient was 0.40 (CI95%=0.15-0.61). This difference increased with the duration of the follow-up period (R=0.33, p=0.023) and with the number of episodes occurred during that (R=0.32, p=0.023). The difference between patient-reported and clinician-rated in the number of depressive during the follow-up period was more pronounced in BDII than in BDI (Z=-2.47, p=0.014), and it correlated with the number of previous depressive episodes at baseline (R=0.28, p=0.047) and subclinical depressive symptoms (R=0.41, p=0.003).
  
  
  CONCLUSIONS
  The number of previous episodes referred by patients with BD is not an accurate measure of the true number of episodes suffered. The theoretical and practical implications of these findings are discussed.
authors.affiliation: Bipolar Disorder Program, Neuroscience Institute, Favaloro University, Av. Belgrano 1746, (C1093AAS) Ciudad Autónoma de Buenos Aires, Argentina; National Council of Scientific and Technical Research (CONICET), Av Rivadavia 1917 (C1033AAJ) Ciudad Autónoma de Buenos Aires, Argentina. Electronic address: diejmartino@gmail.com.
authors.forename: Diego J
authors.initials: DJ
authors.lastname: Martino
authors.affiliation: Bipolar Disorder Program, Neuroscience Institute, Favaloro University, Av. Belgrano 1746, (C1093AAS) Ciudad Autónoma de Buenos Aires, Argentina; National Council of Scientific and Technical Research (CONICET), Av Rivadavia 1917 (C1033AAJ) Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Eliana
authors.initials: E
authors.lastname: Marengo
authors.affiliation: Bipolar Disorder Program, Neuroscience Institute, Favaloro University, Av. Belgrano 1746, (C1093AAS) Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Ana
authors.initials: A
authors.lastname: Igoa
authors.affiliation: Bipolar Disorder Program, Neuroscience Institute, Favaloro University, Av. Belgrano 1746, (C1093AAS) Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: María
authors.initials: M
authors.lastname: Scápola
authors.affiliation: Bipolar Disorder Program, Neuroscience Institute, Favaloro University, Av. Belgrano 1746, (C1093AAS) Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Mariana
authors.initials: M
authors.lastname: Urtueta-Baamonde
authors.affiliation: Bipolar Disorder Program, Neuroscience Institute, Favaloro University, Av. Belgrano 1746, (C1093AAS) Ciudad Autónoma de Buenos Aires, Argentina; Institute of Cognitive Neurology (INECO), Pacheco de Melo 1860 (C1126AAB) Ciudad Autónoma de Buenos Aires, Argentina.
authors.forename: Sergio A
authors.initials: SA
authors.lastname: Strejilevich
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis / Q000523:psychology*; D000068598:Data Accuracy; D005260:Female; D006801:Humans; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D011570:Psychiatry; D012189:Retrospective Studies; D057566:Self Report / Q000592:standards*