Kahana Shoshana Y, Youngstrom Eric A, Findling Robert L, Calabrese Joseph R
Case Western Reserve University, Cleveland, Ohio 44106, USA.
J Child Adolesc Psychopharmacol. 2003 Winter;13(4):471-88. doi: 10.1089/104454603322724869.
The diagnosis of bipolar spectrum disorders (BPSD) is difficult to evaluate in child and adolescent populations. The current study examines whether commonly used behavior checklists- the Child Behavior Checklist, Teacher Report Form, and the Youth Self-Report form-are clinically useful in making a differential diagnosis between BPSD and other disorders. This study is the first to investigate the validity of integrating pairs of informants using these instruments to differentiate individuals with BPSD from those with disruptive behavior disorders, major depressive disorder, and any child or adolescent not meeting criteria for BPSD. Parent report best predicted diagnostic status, yet diagnostic efficiency statistics associated with these checklists were relatively poor. Results indicate that the Child Behavior Checklist has limited utility when attempting to derive clinically meaningful information about the presentation of juvenile BPSD.
双相谱系障碍（BPSD）在儿童和青少年群体中的诊断很难评估。当前研究考察了常用的行为清单——儿童行为清单、教师报告表和青少年自我报告表——在BPSD与其他障碍的鉴别诊断中是否具有临床实用性。本研究首次调查了使用这些工具整合成对的信息提供者以区分BPSD个体与破坏性行为障碍、重度抑郁症个体以及未达到BPSD标准的任何儿童或青少年的有效性。家长报告最能预测诊断状态，但与这些清单相关的诊断效率统计相对较差。结果表明，在试图获取有关青少年BPSD表现的具有临床意义的信息时，儿童行为清单的效用有限。
