Thuppal Madhavan, Carlson Gabrielle A, Sprafkin Joyce, Gadow Kenneth D
Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA.
J Child Adolesc Psychopharmacol. 2002 Spring;12(1):27-35. doi: 10.1089/10445460252943542.
To examine differences between source-specific manic symptoms.
In total, 104 consecutive adolescent outpatient referrals were evaluated for their psychiatric status using a questionnaire based on the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders that was completed by parents, teachers, and youths.
Approximately one third of the youths met symptom criteria for mania by at least one informant; however, only 38% of these met such criteria by at least two informants. Youths who had manic symptoms according to two informants were significantly more symptomatic both on mental status exam and in other dimensions of psychopathology than youths who did not have corroborated manic symptoms. Cross-informant agreement was generally poor when symptoms were scored dimensionally.
Manic symptoms are relatively nonspecific in outpatient samples. Using more than one informant increases the likelihood of selecting subjects with serious and possibly manic disorders.
研究不同信息来源的躁狂症状之间的差异。
使用基于《精神疾病诊断与统计手册》第四版的问卷，由父母、教师和青少年完成，对104名连续转诊的青少年门诊患者的精神状态进行评估。
约三分之一的青少年至少有一名信息提供者符合躁狂症状标准；然而，其中只有38%的青少年至少有两名信息提供者符合此类标准。与没有得到证实的躁狂症状的青少年相比，根据两名信息提供者报告有躁狂症状的青少年在精神状态检查和精神病理学的其他方面症状明显更严重。当对症状进行维度评分时，不同信息提供者之间的一致性通常较差。
在门诊样本中，躁狂症状相对不具有特异性。使用多名信息提供者增加了选择患有严重且可能是躁狂症的受试者的可能性。
