Hyperactivity and Risk for Dysregulation of Mood, Energy, and Social Rhythms Syndrome (DYMERS): Standardization of a Simple One-Item Screener versus the Mood Disorder Questionnaire (MDQ)

Author:

Ouali Uta123,Aissa Amina123,Rejaibi Salsabil24ORCID,Zoghlami Nada4,Larnaout Amine25,Zgueb Yosra12,Zid Mejdi4,Skhiri Hajer Aounallah246ORCID,Kalcev Goce7ORCID,Tusconi Massimo8ORCID,Aviles Gonzales Cesar Ivan7ORCID,Preti Antonio9ORCID,Primavera Diego7

Affiliation:

1. Department Psychiatry A, Razi Hospital La Manouba, Manouba 2010, Tunisia

2. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1007, Tunisia

3. Research Laboratory LR18SP03, Razi Hospital La Manouba, Manouba 2010, Tunisia

4. National Institute of Health, Tunis 1007, Tunisia

5. Department Psychiatry D, Razi Hospital La Manouba, Manouba 2010, Tunisia

6. Laboratoire de Recherche en Epidémiologie Nutritionnelle (SURVEN), Institut National de Nutrition, Tunis 1007, Tunisia

7. Department of Medical Sciences and Public Health, University of Cagliari, Monserato Blocco I (CA), 09042 Cagliari, Italy

8. University Hospital of Cagliari, 09042 Cagliari, Italy

9. Department of Neuroscience, University of Turin, 10124 Turin, Italy

Abstract

Background: This study aims to verify the accuracy of item 10 on the energy level of the Short-Form Health Survey (SF-12) in an item screening according to Mood Disorder Questionnaire (MDQ) results, providing a measure of hyper-energy. Methods: Regression techniques were employed in a dataset comprising 4093 records of respondents to test both linear and nonlinear relationships between predictor and outcome variables (energy level and symptoms considered in the MDQ). We examined the relationship of energy level with cases identified using MDQ with a cut-off of 7. Results: Levels of energy, as rated on item 10 of the SF-12, were related to the MDQ score with sensitivity = 0.72 and specificity = 0.70. In linear regression, the associations were stronger with MDQ items on excessive energy or activity, showing a medium effect size and an explained variance of 10% or higher. A greater association was observed for items on excessive energy and activity, as expected, as well as for items concerning self-confidence, sociability, and talkativeness. Conclusions: This result may have implications for the research on risk factors and the pathogenesis of the dysregulation of mood, energy, and social rhythms syndrome (DYMERS), a syndrome that is hypothesized to occur in stressful conditions like those shown under the COVID-19 pandemic.

Publisher

MDPI AG

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