User:Vmccann47/sandbox

Welcome to your sandbox!
This is place to practice clicking the "edit" button and practice adding references (via the citation button). Please see Help:My_sandbox or contact User_talk:JenOttawa with any questions.

Link: Project Homepage and Resources


 * Note: Please use your sandbox to submit assignment # 3 by pasting it below. When uploading your improvements to the article talk page please share your exact proposed edit (not the full assignment 3).


 * Talk Page Template: CARL Medical Editing Initiative/Fall 2019/Talk Page Template

Assignment # 2
1) How you searched for a source (search strategy – where you went to find it).

Searched " ((Review [Publication Type]) AND Bipolar Type I) AND Borderline Personality Disorder - Sort by Best Match "

2) What potential sources were identified and considered (give examples of 1 or 2).

https://www.ncbi.nlm.nih.gov/pubmed/24254199

3) Why the source was chosen (what made it better than other choices).


 * My goal was to gain more information distinguishing the diagnosis of Bipolar I Disorder and Borderline Personality Disorder. Bipolar I disorder is often depicted as Borderline Personality to the general public and is a source of confusion.
 * This source was chosen because of its clear focus on separating the two disorders. Other reviews in my search results either focused on Bipolar II or had little information of Bipolar Disorder in general

4) List at least three reasons why the source that was selected meets Wikipedia’s reliable medical sources (MEDRS) criteria.


 * Although this source is from 2013, it was the most recent that contained information that my search was interested in and is still within the 7 year range specified in the MEDRS guidelines
 * This review was published in Current Psychiatry Reports which publishes peer-reviewed review articles
 * The articles referenced in the review align with major scientific authorities and include a range of quality studies

5) This source will be integrated into the introduction portion of the article to give a better idea of the factors that distinguish Bipolar I as a separate entity. This will accompany my groupmate’s work to identify factors that distinguish Bipolar I from Bipolar II disorder.

Assignment # 3
Proposed Changes

I propose the insertion of the following sentence at the end of the Diagnosis section to add more information about diagnosis of Bipolar I :

Draft 1:

''Evidence also shows that people often receive overlapping diagnoses of Bipolar I disorder and Borderline Personality Disorder (BPD) due to problematic boundaries in diagnosing the two diseases. ''

'''I would change to 'due to problematic boundaries' to 'overlapping criteria' or 'ambiguous criteria'. As it stands right now, you really need another sentence to flush out what you mean by problematic boundaries, as it doesn't explain itself on its own. It might make more sense to write a second sentence (gives the opportunity to provide an example, give a nuance view, etc) in showing how they can be confused (emotional dysregulation in BPD vs sustained emotional states in bipolar disorder). see my feedback for rationale below. -rreidcaf'''

Final:

Evidence also shows that people often receive overlapping diagnoses of Bipolar I disorder and Borderline Personality Disorder due to overlapping criteria in diagnosing the two diseases. Trends in false-positive diagnosis of Bipolar 1 disorder show as high as 40% of patients with BPD have been misdiagnosed with Bipolar disorder due to the ambiguity in evaluating emotional dysregulation of BPD versus the shifting emotional states of Bipolar Disorder.

 FINAL Feedback 

Darn that's a nice Edit.

- Simply written and clear.

- terms properly wiki-linked

- no issues with people-first language.

RREIDCAF

Rationale for Proposed Changes

Draft 1:

''There is an observed overlap in diagnosis of Bipolar I disorder and Borderline Personality disorder. Some clinicians believe that BPD leads to over-diagnosis of Bipolar disorder.There are also numerous documented cases where individuals are diagnosed with both disorders. Studies show that as many as 10% of Borderline Personality Disorder are diagnosed with Bipolar I Disorder. My source outlines many examples where individuals with either disorder are grouped together or misdiagnosed. I chose to add this information to the article because members from the public who may be viewing this page could benefit from know that elements of these diseases overlap.''

'''I believe you have a typo for BSD to be BPD. I would maybe just move your rationale line 'Studies show that as many as 10% of Borderline Personality Disorder are diagnosed with Bipolar I Disorder.' up to you proposed change (with source) and you may have your solution! (I'd still keep the overlapping criteria change). -rreidcaf'''

Final:

There is an observed overlap in diagnosis of Bipolar I disorder and Borderline Personality disorder. Some clinicians believe that BPD leads to over-diagnosis of Bipolar disorder. There are also numerous documented cases where individuals are diagnosed with both disorders. Studies show that as many as 10% of Borderline Personality Disorder are diagnosed with Bipolar I Disorder and as many as 40% of BPD cases are misdiagnosed with Bipolar disorder. My source outlines many examples where individuals with either disorder are grouped together or misdiagnosed. I chose to add this information to the article because members from the public who may be viewing this page could benefit from know that elements of these diseases overlap (mood dysregulation versus large swings in mood for a variable amount of time).

 FINAL Feedback 

'''- rather than variable, I'd say 'sustained' OR 'set' periods of time. There's a threshold of elevated mood (4 days for Bipolar 2, 1 week for bipolar 1), that must be met, but BPD tends to have fluctuations in mood that are much shorter. It's not going into your wiki-edit, so that's okay. I also corrected too typos/spelling mistakes that I bolded above. Cheers.'''

RREIDCAF

Controversy

Final:

With the constant evolution of understandings of these psychological disorder, there is some disagreement among clinicians about what criteria best describes a given disorder. Considering that the DSM is almost constantly evolving, diagnoses may vary over time. Furthermore, different opinions exist regarding whether these disease should exist as separate entities or on a spectrum. Furthermore, there are studies that suggest that there is an over-diagnosis of Bipolar Disorder when a Borderline Personality Disorder Diagnosis already exists.

'''-Good discussion. You can definitely go much deeper into the BAD vs BPD debate, but you are meeting the requirments of the assignment. -rreidcaf'''

 FINAL FEEDBACK 

'''Good expansion on discussion of controversy. -RREIDCAF'''

Critique of Source

Final:

My primary critique for this source is the timing from which the various sources were written. While the review was published in the past 7 years, it references studies published in as early as 1986. This influences my decision to include information from this source because the criteria for diagnosis does not match that of the DSM V. IN all cases, careful consideration must be used when deciding whether the information could be considered applicable. When I looked at the data supporting my topic, I found that the data was from 2005-2013. Ideally, these sources would be more recent, but from my earlier research, I did not find anything more recent on the topic. It is also worth noting that this source fits the criteria of a more general review article and should be regarded as such. While it explores many facets of the overlap of the two diseases, it is unclear if all the data in the field is included. There was no explanation of a search strategy in terms of how the authors located their sources and the review did not address a specific research question. There is no acknowledgement of the strengths or weaknesses of each article and their relative weighting in the authors conclusion. That being said, the purpose of the review seems to present the various ways that the two disorders are co-diagnosed and therefore is not necessarily trying to draw a specific conclusion. The overall goal of presenting existing research on the topic of the two disorders (and the lack of any apparent or stated bias from the authors) make it a useful source in understanding the challenges in differentiating the diagnosis of the two disorders.

'''- I feel that this is a good critique of sources. For learning, sometimes very well written papers will source things from 'some time ago' as the author wanted to correctly attribute ideas and theories to the people that wrote them initially, rather than just where they may have found the source. It's why you'll sometimes see pages and pages of references on a publication, vs a review article may have much shorter references because the people writing them didn't go all the way back to the primary source (similiar to what we're doing now!) I didn't go and check if that was the case on the sources you reviewed, but just thought I'd provide tidbit as I didn't have anything else to say. -rreidcaf'''

 Final Feedback 

Good review of the review.

'''-RREIDCAF '''