Psychiatric Disorder Three- Minute
first step to receiving treatment is through the identification of the
medical problem, many individuals are often unaware that their moods
may possibly be a psychiatric disorder.
1 in 10 Americans who suffer from depression and anxiety-related mental
health disorders never receive treatment because they don’t
understand what’s wrong, and when they go to their family
doctor these treatable illnesses are too often missed," said Dr.
Bradley Gaynes, M.P.H., an associate professor of psychiatry at the
University of North Carolina (UNC) at Chapel Hill School of Medicine.
led a study into the validity and effectiveness of a 27-item
questionnaire as a screen for four illnesses: depression, bipolar
disorder, anxiety disorders and post-traumatic stress disorder.
My Mood Monitor (M-3), was designed to in three minutes
evaluate checklist answers to provide a dedicated risk analysis of the
conducted a study to test the accuracy of the questionnaire as a
screen. Six hundred forty-seven adults over 18-years-old seeking care
at the UNC Family Medicine Center between July 2007 and February 2008
were enrolled in the study. They were given a paper version of the
checklist, after completing the list their doctors then reviewed their
emotional health with them.
later interviewed each person within 30 days of their doctor visit and
assigned finaldiagnoses. Gaynes then compared the diagnoses with the
participants’ answers to the checklist. The results showed
that the M-3 was effective in screening for any mood or anxiety
disorder 83 percent of the time and for a specific disorder in 76
percent of cases.
M-3 is a valid, efficient, and feasible tool for screening multiple
common psychiatric illnesses in primary care. Its accuracy is
equivalent to existing single disorder screens with the benefit of
being combined into a one-page tool. It has the potential to reduce
missed psychiatric diagnoses and assure proper treatment of those
identified," concluded Gaynes in his study.
said the research team is currently designing a second study to measure
the effectiveness of the M-3 questionnaire in monitoring their mental
health status over time.
M-3 was created by primary collaborators Dr. Robert M. Post, head of
the Bipolar Collaborative Network; Dr. Bernard M. Snyder, assistant
clinical professor of psychiatry at Georgetown University and a
cognitive behavioral therapist; Michael L. Byer, president of M-3
information; and Dr. Gerald Hurowitz, assistant clinical professor of
psychiatry at Columbia University and a clinical psychopharmacologist.
University of North Carolina at Chapel Hill School of Medicine, 200 E
Cameron Ave., Chapel Hill, NC 27514; (919) 962-2211, www.unc.edu.