BACKGROUND: Uncertainties remain as to the utility of structured diagnostic methodology to aid in the diagnosis of manic symptomatology in youth. To this end, this study compared structured diagnostic interview based diagnoses of mania in children and adolescents with that of an expert clinician. METHODS: We separately and independently assessed 69 youths recruited for a study of mania in childhood, all but 2 of whom experienced mania, with a structured diagnostic interview administered by trained psychometricians and a clinical assessment by a board-certified child and adolescent psychiatrist (JW) who was blind to the structured interview results. RESULTS: Structured interviews and clinical evaluations converged in all but two cases (67 of 69 or 97% agreement). In one discrepant case, the structured interview diagnosed a full case of mania, but the clinical interview diagnosed cyclothymia/subthreshold mania; in the other discrepant case, the structured interview failed to diagnose mania, but the clinical interview did diagnose mania. CONCLUSIONS: In children referred for evaluation of suspected bipolar disorder, a structured interview diagnosis of mania is very likely to be corroborated by a clinical interview.
BACKGROUND: Uncertainties remain as to the utility of structured diagnostic methodology to aid in the diagnosis of manic symptomatology in youth. To this end, this study compared structured diagnostic interview based diagnoses of mania in children and adolescents with that of an expert clinician. METHODS: We separately and independently assessed 69 youths recruited for a study of mania in childhood, all but 2 of whom experienced mania, with a structured diagnostic interview administered by trained psychometricians and a clinical assessment by a board-certified child and adolescent psychiatrist (JW) who was blind to the structured interview results. RESULTS: Structured interviews and clinical evaluations converged in all but two cases (67 of 69 or 97% agreement). In one discrepant case, the structured interview diagnosed a full case of mania, but the clinical interview diagnosed cyclothymia/subthreshold mania; in the other discrepant case, the structured interview failed to diagnose mania, but the clinical interview did diagnose mania. CONCLUSIONS: In children referred for evaluation of suspected bipolar disorder, a structured interview diagnosis of mania is very likely to be corroborated by a clinical interview.
Authors: Joseph Biederman; Stephen V Faraone; Carter Petty; Marykate Martelon; K Yvonne Woodworth; Janet Wozniak Journal: J Psychiatr Res Date: 2012-09-11 Impact factor: 4.791
Authors: Joseph Biederman; Marykate Martelon; Stephen V Faraone; K Yvonne Woodworth; Thomas J Spencer; Janet R Wozniak Journal: J Affect Disord Date: 2012-11-17 Impact factor: 4.839
Authors: Janet Wozniak; Carter R Petty; Meghan Schreck; Alana Moses; Stephen V Faraone; Joseph Biederman Journal: J Psychiatr Res Date: 2011-06-17 Impact factor: 4.791
Authors: Joseph Biederman; Janet Wozniak; Mary Kate Martelon; Thomas J Spencer; Yvonne Woodworth; Gagan Joshi; Andrea Spencer; Mai Uchida; Amelia Kotte; Stephen V Faraone Journal: Psychiatry Res Date: 2013-06-20 Impact factor: 3.222
Authors: Janet Wozniak; Joseph Biederman; Mary Kate Martelon; Mariely Hernandez; K Yvonne Woodworth; Stephen V Faraone Journal: J Affect Disord Date: 2013-02-26 Impact factor: 4.839
Authors: Joseph Biederman; Carter R Petty; Michael C Monuteaux; Margaret Evans; Tiffany Parcell; Stephen V Faraone; Janet Wozniak Journal: J Clin Psychiatry Date: 2009-04-21 Impact factor: 4.384
Authors: Mona P Potter; Howard Y Liu; Michael C Monuteaux; Carly S Henderson; Janet Wozniak; Timothy E Wilens; Joseph Biederman Journal: J Child Adolesc Psychopharmacol Date: 2009-10 Impact factor: 2.576