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NCJ Number: 206302 Add to Shopping cart Find in a Library
Title: Comparing the Diagnostic Accuracy of Six Potential Screening Instruments for Bipolar Disorder in Youths Aged 5 to 17 Years
Journal: Journal of the American Academy of Child & Adolescent Psychiatry  Volume:43  Issue:7  Dated:July 2004  Pages:847-858
Author(s): Eric A. Youngstrom Ph.D.; Robert L. Findling M.D.; Joseph R. Calabrese M.D.; Barbara L. Gracious M.D.; Christine Demeter B.A.; Denise DelPorto Bedoya M.A.; Megan Price M.A.
Date Published: July 2004
Page Count: 12
Sponsoring Agency: National Institute of Mental Health
Bethesda, MD 20852
Grant Number: MH-066647
Publisher: http://www.jaacap.com 
Type: Report (Study/Research) ; Test/Measurement
Format: Article
Language: English
Country: United States of America
Annotation: This study compared the diagnostic efficiency of six index tests in predicting juvenile bipolar disorder in two large outpatient samples, ages 5 to 10 and 11 to 17.
Abstract: Participants were 318 youths aged 5 to 10 (50 percent with bipolar diagnoses) and 324 youths ages 11 to 17 (41 percent with bipolar diagnoses). Both the youth and the primary caregiver were include in the assessments. All participants and their families completed a semistructured diagnostic interview using the Schedule for Affective Disorders and Schizophrenia for School-Age Children. Index tests used were the Parent Young Mania Rating Scale, the General Behavior Inventory, the Parent General Behavior Inventory, the Child Behavior Checklist, the Youth Self-Report, and the Achenbach Teacher Report Form. To maximize the usable sample size and to avoid the possible introduction of bias due to missing data, the study used the multiple-imputation procedure developed by Graham and Schafer, imputing 10 sets of value separately for the younger and older samples. Areas under the curve (AUC's) from receiver operating characteristic analyses and multilevel likelihood ratios quantified test performance. Findings indicate that in identifying bipolar disorders, the Parent Report (AUC's from 0.78 to 0.84 in both age groups) outperformed the Teacher Report (AUC of 0.57 in the younger sample and 0.70 in the older sample) as well as the General Behavior Inventory (AUC's 0.67) and the Youth Self-Report (0.71). Combining tests did not produce clinically useful classification improvement. The findings thus suggest that the Parent report on these instruments could facilitate differential diagnosis of bipolar disorder in youths ages 5-17, especially by decreasing the rate of false-positive diagnoses. 4 tables and 73 references
Main Term(s): Juvenile mental health services
Index Term(s): Diagnostic and reception processing; Emotional disorders; Instrument validation; Juvenile delinquency factors; Mental disorders; Psychological evaluation
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http://www.ncjrs.gov/App/publications/abstract.aspx?ID=206302

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