Gammon G D, John K, Rothblum E D, Mullen K, Tischler G L, Weissman M M
Am J Psychiatry. 1983 May;140(5):543-7. doi: 10.1176/ajp.140.5.543.
The authors interviewed 17 adolescent inpatients and their mothers with the Schedule for Affective Disorders and Schizophrenia for School-Aged Children and Adolescents, Epidemiological Version (K-SADS-E), a semistructured interview that generates RDC and DSM-III diagnoses for major affective disorders and nonaffective psychoses and DSM-III diagnoses for dysthymic, cyclothymic, and other selected disorders. Five of the patients (29%) satisfied DSM-III criteria for bipolar disorder or atypical bipolar (bipolar II) disorder, although these diagnoses had not been identified in the hospital charts. These data support previous findings that bipolar disorder occurs moderately frequently in adolescent inpatients, although it is often unrecognized. Moreover, the disorder can be readily identified with structured diagnostic methods.
作者使用适用于学龄儿童和青少年的情感障碍与精神分裂症量表（流行病学版本，K-SADS-E）对17名青少年住院患者及其母亲进行了访谈。K-SADS-E是一种半结构化访谈，可得出关于主要情感障碍和非情感性精神病的研究诊断标准（RDC）及《精神疾病诊断与统计手册》第三版（DSM-III）诊断结果，以及关于恶劣心境、环性心境障碍和其他特定障碍的DSM-III诊断结果。五名患者（29%）符合DSM-III中双相情感障碍或非典型双相（双相II型）障碍的标准，尽管医院病历中未识别出这些诊断。这些数据支持了之前的研究结果，即双相情感障碍在青少年住院患者中出现的频率适中，尽管它常常未被识别。此外，使用结构化诊断方法可以很容易地识别出这种疾病。
