J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):871-8. doi: 10.1097/00004583-200108000-00007.
A research roundtable meeting was convened at the National Institute of Mental Health on April 27, 2000, to discuss the existing controversial areas in the diagnosis of bipolar disorder in prepubertal children.
Invited clinicians and researchers with expertise on bipolar disorder in children were asked to share and discuss their perspectives on diagnostic issues for bipolar disorder in prepubertal children.
The group reached agreement that diagnosis of bipolar disorder in prepubertal children is possible with currently available psychiatric assessment instruments. In addition to phenotypes that fit DSM-IV criteria for bipolar I and bipolar II, participants agreed on the existence of other phenotypic possibilities that do not meet diagnostic criteria. Bipolar not otherwise specified (NOS) was recommended as a "working diagnosis" for the non-DSM-IV phenotype.
Bipolar disorder exists and can be diagnosed in prepubertal children. In children who present with both the DSM-lV and non-DSM-IV phenotypes (i.e., those given a diagnosis of bipolar-NOS), assessment should include careful evaluation of all behaviors that are impairing. Moreover, these children should be monitored systematically to explore stability and change over time in diagnosis and impairment.
2000年4月27日在美国国立精神卫生研究所召开了一次研究圆桌会议，以讨论青春期前儿童双相情感障碍诊断中存在争议的领域。
邀请了在儿童双相情感障碍方面具有专业知识的临床医生和研究人员，要求他们分享并讨论关于青春期前儿童双相情感障碍诊断问题的观点。
该小组达成共识，即使用目前可用的精神科评估工具可以对青春期前儿童双相情感障碍进行诊断。除了符合DSM-IV中双相I型和双相II型标准的表型外，参与者一致认为存在其他不符合诊断标准的表型可能性。对于非DSM-IV表型，建议将未特定的双相情感障碍（NOS）作为“暂定诊断”。
双相情感障碍在青春期前儿童中存在且可以被诊断。对于同时表现出DSM-IV和非DSM-IV表型的儿童（即那些被诊断为双相NOS的儿童），评估应包括对所有造成损害的行为进行仔细评估。此外，应对这些儿童进行系统监测，以探究诊断和损害随时间的稳定性和变化情况。
