[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-661300-105":59,"doc-detail-661300-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","supplementary-data-online-resource-2-survey-questionnaire-manic-episode-screening-questionnaire-mes","Supplementary Data - Online Resource 2 - Survey Questionnaire - Manic Episode Screening Questionnaire (MES)","","Supplementary materials for a clinical participant survey provide participant disposition counts using two identification approaches (MES diagnostic algorithm and MES one-question method) and include an online resource containing a structured survey questionnaire. The questionnaire collects timelines to initial help-seeking, who initiated medical contact, symptom type at first visit, chosen department, initial diagnoses, time to correct bipolar diagnosis, perceived reasons for delayed recognition, social and economic impacts, estimated onset age, symptom presence across phases, reporting to physicians, and basic details about diagnostic institutions and prior care pathways.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/supplementary-data-online-resource-2-survey-questionnaire-manic-episode-screening-questionnaire-mes/661300/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/supplementary-data-online-resource-2-survey-questionnaire-manic-episode-screening-questionnaire-mes/661300.png","ImageObject",300,407,{"name":92,"@type":93},"BigDaveOnline","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-10-28",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How are participants qualified for the main survey in the supplementary data?","Question",{"text":112,"@type":113},"Qualification is reported by MES diagnostic algorithm method and MES one-question method, along with counts of qualified and unqualified patients for each approach.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What does the survey questionnaire ask about in Q1–Q6?",{"text":117,"@type":113},"It gathers the time from first illness signs to first professional guidance or treatment, who brought the participant to the institution, symptom types at first visit, the department selected, initial diagnosis, and the time elapsed between the earliest help-seeking and the correct diagnosis.",{"name":119,"@type":110,"acceptedAnswer":120},"What reasons and impacts are assessed for delayed bipolar diagnosis?",{"text":121,"@type":113},"Q7 asks the participant’s reasons for delayed diagnosis with bipolar disorder, and Q8 asks whether social and economic impacts occurred due to not being diagnosed earlier and not receiving appropriate treatment.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},661300,1793162646,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":129,"read_time":144},962090896214,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Supplementary Data  \nOnline Resource 1 – Participant Disposition  \nNumber of patients qualified for the main survey by MES diagnostic algorithm method 457  \nNumber of unqualified patients 489  \nNumber of patients qualified for the main survey by MES one-question method 561  \nNumber of unqualified patients 104  \nNumber of patients qualified for the screening survey 1050  \nAbbreviation: Manic Episode Screening Questionnaire (MES)  \nOnline Resource 2 – Survey Questionnaire  \nQ1 . How much time elapsed from when you first exhibited signs of your illness to when you first sought professional guidance and/or treatment at a medical institution?  \n\u003CFill in the brackets below＞  \n( ) year(s) and ( ) month(s)  \nQ2 . Who first brought you to seek help at the medical institution?  \n\u003CCheck one that applies＞  \n1 By my own will  \n2 Recommended by family, friends, or colleagues at work  \n3 Others ( )  \nQ3 . What type of symptoms were present on your first visit to the medical institution?  \n\u003CCheck one that applies＞  \n1 Manic symptoms 3 Mixed state  \n2 Depressive symptoms 4 Others ( )  \nQ4 . Which department did you select when you first visited the medical institution?  \n\u003CCheck one that applies＞  \n1 Psychiatry or psychosomatic medicine  \n2 General physical specialty other than above (e.g., internal medicine, gynecology, brain surgery, etc)  \n3 Others ( )  \nQ5 . What was the initial diagnosis on your first visit to the medical institution?  \n\u003CCheck all that apply＞  \n1 Depression/depressive state  \n2 Bipolar disorder  \n3 Generalized anxiety disorder  \n4 Panic disorder  \n5 Adjustment disorder  \n6 Schizophrenia  \n7 Personality disorder  \n8 Alcohol abuse/dependence  \n9 Schizoaffective disorder  \n10 Psychosomatic disorder  \n11 Autonomic imbalance  \n12 Atypical psychosis  \n13 Depressive neurosis  \n14 Others ( )  \nQ6 . How much time elapsed from the very first time you sought guidance and/or treatment for signs/symptoms of the illness and the time you were correctly diagnosed?  \n\u003CFill in the brackets below＞  \n( ) year(s) and ( ) month(s)  \nQ7 . Why do you think it took time to be diagnosed with bipolar disorder?  \n\u003CCheck all that apply＞  \n1 Did not consult a specialist (i.e., psychiatry or psychosomatic medicine) .  \n2 I did not know of bipolar disorder.  \n3 My family did not know of bipolar disorder.  \n4 Did not consider manic symptoms as illness, and did not tell the doctor about them.  \n5 Did not consider depressive symptoms as illness, and did not tell the doctor about them  \n6 Manic symptoms never appeared.  \n7 My doctor did not take my symptoms seriously.  \n8 My doctor did not sufficiently understand bipolar disorder.  \n9 Lack of communication between my doctor and myself.  \n10 Lack of communication among the medical teams.  \n11 Lack of support from family and friends.  \n12 Other reasons ( )  \n13 Reasons unknown  \n14 Did not take time before diagnosed with bipolar disorder.  \nQ8 . For those indicated reasons for lapsed time for correct diagnosis in question Q7, did you experience any social and economic impact caused by not being able to be diagnosed with bipolar disorder earlier and not receiving appropriate treatment?  \n\u003CCheck all that apply＞  \n1 Long-term inability to work at office/home or studying at school.  \n2 Fired from job or dropped out of school.  \n3 Financial difficulties.  \n4 Interpersonal conflicts with family.  \n5 Interpersonal conflicts with people other than family.  \n6 Lost the social credit by violence, sexual deviancy, or crime.  \n7 Other impact  \n8 Had no impact  \nQ9 . Looking back to the time before you were diagnosed as having bipolar disorder, please indicate, using your best estimate, the age you believe you were when you first exhibited signs of bipolar disorder.  \n\u003CCheck one that applies＞  \n\n| 1 | Under 5 | 6 | 25-29 |\n| --- | --- | --- | --- |\n| 2 | 5-9 | 7 | 30-34 |\n| 3 | 10-14 | 8 | 35-39 |\n| 4 5 | 15-19\u003Cbr>20-24 | 9 | 40 or older |\n\nQ10 . Before being diagnosed with bipolar disorder, was the below symptom present a","cbCairMpchDcCiVe","https://ap.wps.com/l/cbCairMpchDcCiVe","pdf",498125,14,"English","# Online Resource 1 - Participant Disposition\n## Participant qualification counts by MES methods\n# Online Resource 2 - Survey Questionnaire\n## Q1–Q6: timeline, help-seeking, symptoms, department, initial diagnosis, time to correct diagnosis\n## Q7–Q9: reasons for delayed bipolar diagnosis and impacts; estimated onset age\n## Q10–Q12: symptom presence across phases, reporting to doctors, diagnostic institution\n## Q13–Q15: number of institutions visited, number of diagnosis changes, perceived path to diagnosis","[{\"question\":\"How are participants qualified for the main survey in the supplementary data?\",\"answer\":\"Qualification is reported by MES diagnostic algorithm method and MES one-question method, along with counts of qualified and unqualified patients for each approach.\"},{\"question\":\"What does the survey questionnaire ask about in Q1–Q6?\",\"answer\":\"It gathers the time from first illness signs to first professional guidance or treatment, who brought the participant to the institution, symptom types at first visit, the department selected, initial diagnosis, and the time elapsed between the earliest help-seeking and the correct diagnosis.\"},{\"question\":\"What reasons and impacts are assessed for delayed bipolar diagnosis?\",\"answer\":\"Q7 asks the participant’s reasons for delayed diagnosis with bipolar disorder, and Q8 asks whether social and economic impacts occurred due to not being diagnosed earlier and not receiving appropriate treatment.\"}]","Supplementary Data - Online Resource 2 - Survey Questionnaire - Manic Episode Screening Questionnaire (MES) | PDF",35]