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Conclusions:? Actigraphy is a valid tool for estimating sleep length and fragmentation in bipolar disorder. ""The aim of the present study was to investigate the psychometric properties of the Bipolar Prodrome Symptom Interview and Scale�CProspective (BPSS-P), the first specific interview for emerging bipolar disorder (BD) symptoms. A total of 205 youth aged 12�C23?years and/or their caregivers underwent BPSS-P interviews: 129 patients with mood spectrum disorders [depression spectrum disorder (n?=?77), mood disorder not otherwise specified (NOS) (n?=?27), BD-NOS (n?=?14), bipolar I disorder (BD-I)/bipolar II disorder (BD-II)/cyclothymia (n?=?11), 34 with non-mood spectrum disorders, and 42 healthy controls (HCs)]. We used Cronbach's �� to assess internal consistency; intra-class http://www.selleckchem.com/products/ch5424802.html correlation (ICC) for inter-rater reliability; Spearman's rho for convergent validity with the Young Mania Rating Scale (YMRS), General Behavior Inventory�C10-item Mania Form (GBI-M-10), and Cyclothymic�CHypersensitive Temperament (CHT) scale; and analysis of variance for discriminatory power between diagnostic groups. Internal consistency was good to very good for the BPSS-P Mania (Cronbach's ��?=?0.87), Depression (Cronbach's ��?=?0.89), and General Symptom indices (Cronbach's ��?=?0.74). Inter-rater reliability was high for the BPSS-P Total score (ICC?=?0.939), and BPSS-P Mania (ICC?=?0.934), Depression (ICC?=?0.985), and General (ICC?=?0.981) indices. Convergent validity was large (��?��?0.50) between the BPSS-P Mania Index http://www.selleck.cn/products/Verteporfin(Visudyne).html and YMRS, GBI-M-10, and CHT; BPSS-P Depression Index and Montgomery�C?sberg Depression Rating Scale (MADRS) and CHT; and BPSS-P General Index and GBI-M-10 and CHT. Expectedly, convergent validity was small (��?=?0.10 to http://www.selleckchem.com/products/VX-770.html Index). Moreover, the BPSS-P Total score discriminated BD-I/BD-II/cyclothymia from depression spectrum patients, and the BPSS-Mania Index differentiated all three bipolar spectrum groups from depression spectrum patients. The BPSS-P has good to excellent psychometric properties. Its use across multiple settings and predictive validity requires further investigation. ""Brain white matter (WM) alterations have recently emerged as potentially relevant in bipolar disorder. New techniques such as diffusion tensor imaging allow precise exploration of these WM microstructural alterations in bipolar disorder. Our objective was to critically review WM alterations in bipolar disorder, using neuroimaging and neuropathological studies, in the context of neural models and the potential for drug discovery and development.
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