Youngstrom Eric, Meyers Oren, Youngstrom Jennifer Kogos, Calabrese Joseph R, Findling Robert L
Department of Psychology, University of North Carolina, Chapel Hill, NC 27599, USA.
Dev Psychopathol. 2006 Fall;18(4):989-1021. doi: 10.1017/S0954579406060494.
The goal of this paper is to review assessment research of bipolar disorder in children and adolescents. The review addresses numerous themes: the benefits and costs of involving clinical judgment in the diagnostic process, particularly with regard to diagnosis and mood severity ratings; the validity of parent, teacher, and youth self-report of manic symptoms; how much cross-situational consistency is typically shown in mood and behavior; the extent to which a parent's mental health status influences their report of child behavior; how different measures compare in terms of detecting bipolar disorder, the challenges in comparing the performance of measures across research groups, and the leading candidates for research or clinical use; evidence-based strategies for interpreting measures as diagnostic aids; how test performance changes when a test is used in a new setting and what implications this has for research samples as well as clinical practice; the role of family history of mood disorder within an assessment framework; and the implications of assessment research for the understanding of phenomenology of bipolar disorder from a developmental framework.
本文的目的是回顾儿童和青少年双相情感障碍的评估研究。该综述涉及多个主题：在诊断过程中纳入临床判断的益处和成本，特别是在诊断和情绪严重程度评级方面；父母、教师和青少年自我报告躁狂症状的有效性；情绪和行为通常表现出的跨情境一致性程度；父母的心理健康状况对其子女行为报告的影响程度；不同测量方法在检测双相情感障碍方面的比较情况、跨研究组比较测量方法性能的挑战以及研究或临床应用的主要候选方法；将测量方法解释为诊断辅助工具的循证策略；当测试在新环境中使用时测试性能如何变化以及这对研究样本和临床实践有何影响；情绪障碍家族史在评估框架中的作用；以及评估研究对从发展框架理解双相情感障碍现象学的意义。
