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Diagnostic and measurement issues in the assessment of pediatric bipolar disorder: Implications for understanding mood disorder across the life cycle

Published online by Cambridge University Press:  25 October 2006

ERIC YOUNGSTROM ,
OREN MEYERS ,
JENNIFER KOGOS YOUNGSTROM ,
JOSEPH R. CALABRESE  and
ROBERT L. FINDLING
ERIC YOUNGSTROM
Affiliation:
University of North Carolina, Chapel Hill
OREN MEYERS
Affiliation:
Case Western Reserve University Applewood Centers, Incorporated
JENNIFER KOGOS YOUNGSTROM
Affiliation:
University of North Carolina, Chapel Hill Applewood Centers, Incorporated
JOSEPH R. CALABRESE
Affiliation:
Case Western Reserve University
ROBERT L. FINDLING
Affiliation:
Case Western Reserve University
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Abstract

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.We thank the families who participated in this program of research. This work was supported in part by NIMH R01 MH066647, as well as a Center Grant from the Stanley Medical Research Institute.

Type
Research Article
Information
Development and Psychopathology , Volume 18 , Issue 4 , December 2006 , pp. 989 - 1021
Copyright
© 2006 Cambridge University Press

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References

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