Youngstrom E A, Findling R L, Danielson C K, Calabrese J R
Department of Psychology, Case Western Reserve University, 11220 Bellflower Road, Cleveland, Ohio 44106, USA.
Psychol Assess. 2001 Jun;13(2):267-76.
It often is difficult clinically to differentiate bipolar disorder from other mental health conditions in young people. This study evaluated a parent report measure of depressive and hypomanic/biphasic symptoms. Parents of 196 youths, who were 5 to 17 years old and presented at an outpatient research center, completed an adapted General Behavior Inventory (GBI). Factor analyses suggested two dimensions, depression (alpha = .97) and biphasic/hypomania (alpha = .95). Logistic regressions using these scales discriminated mood disorder versus disruptive behavior disorder or no diagnosis, unipolar versus bipolar disorder, and bipolar versus disruptive behavior disorder based on structured interviews. Classification rates exceeded 80%, and receiver operating characteristic analyses showed good diagnostic efficiency for the scales, with areas under the curve greater than .80. Results indicate that clinicians can use the parent-completed GBI to derive clinically meaningful information about mood disorders in youths.
在临床上，区分青少年双相情感障碍与其他心理健康状况往往很困难。本研究评估了一种由父母报告的抑郁和轻躁狂/双相症状测量方法。196名年龄在5至17岁之间、到门诊研究中心就诊的青少年的父母完成了一份改编后的一般行为量表（GBI）。因素分析显示出两个维度，即抑郁（α = 0.97）和双相/轻躁狂（α = 0.95）。使用这些量表进行的逻辑回归，根据结构化访谈区分了情绪障碍与破坏性行为障碍或未确诊情况、单相与双相情感障碍，以及双相情感障碍与破坏性行为障碍。分类率超过80%，受试者工作特征分析表明这些量表具有良好的诊断效率，曲线下面积大于0.80。结果表明，临床医生可以使用父母完成的GBI来获取有关青少年情绪障碍的具有临床意义的信息。
