Black Jessica J, Heffner Jaimee L, Anthenelli Robert M, Beavers Jennifer N, Albertz Allison, Blom Thomas, Adler Caleb, Delbello Melissa P
Department of Psychology, University of Cincinnati, Cincinnati, OH ; Tri-State Tobacco and Alcohol Research Center, Addiction Sciences Division, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH.
J Dual Diagn. 2012 Jan;8(1):13-18. doi: 10.1080/15504263.2012.647349. Epub 2012 Feb 13.
The aim of this report was to examine the accuracy of diagnosing substance use disorders in manic adolescents with bipolar disorder. METHODS: The substance use disorder modules of the KSADS-PL were administered to a sample of 80 manic adolescents (12-21 years old) with co-occurring bipolar and substance use disorders. Initial substance use disorder diagnoses obtained from the KSADS-PL were then compared to a best-estimate diagnosis derived from all available information, including a second diagnostic interview, the Child Semi-Structured Assessment for the Genetics of Alcoholism, Adolescent version (C-SSAGA-A). RESULTS: Relatively low diagnostic agreement was achieved across the initial and the best estimate diagnoses for both alcohol and cannabis use disorders. Age, race, and sex did not predict diagnostic agreement between the two evaluations. CONCLUSIONS: Results of this study call for more research on diagnosing substance use disorders and suggest that a single interview alone may not be accurate for diagnosing substance use disorders in manic adolescents with bipolar disorder.
本报告旨在检验诊断双相情感障碍躁狂期青少年物质使用障碍的准确性。方法：对80名同时患有双相情感障碍和物质使用障碍的躁狂期青少年（12 - 21岁）样本进行了KSADS - PL的物质使用障碍模块测试。然后将从KSADS - PL获得的初始物质使用障碍诊断结果与基于所有可用信息得出的最佳估计诊断结果进行比较，这些信息包括第二次诊断访谈、酒精中毒遗传学儿童半结构化评估青少年版（C - SSAGA - A）。结果：酒精和大麻使用障碍的初始诊断与最佳估计诊断之间的诊断一致性相对较低。年龄、种族和性别并不能预测两次评估之间的诊断一致性。结论：本研究结果呼吁对物质使用障碍的诊断进行更多研究，并表明仅通过一次访谈可能无法准确诊断双相情感障碍躁狂期青少年的物质使用障碍。
