Toward an evidence-based assessment of pediatric bipolar disorder

Eric A. Youngstrom, Robert L Findling, Jen Kogos Youngstrom, Joseph R. Calabrese

Research output: Contribution to journalArticle

Abstract

This article outlines a provisional evidence-based approach to the assessment of pediatric bipolar disorder (PBD). Public attention to PBD and the rate of diagnosis have both increased substantially in the past decade. Accurate diagnosis is crucial to avoid harm due to mislabeling or unnecessary medication exposure. Because there are no proven efficacious or effective treatments for PBD, the role of assessment is heightened to demonstrate efficacy in individual cases as well as to identify cases for participation in clinical trials. This review discusses (a) the state of psychopathology research regarding PBD; (b) the likely base rate of PBD in multiple clinical settings; (c) the diagnostic value of family history; (d) challenges to differential diagnosis, including comorbidity and symptom overlap with other diagnoses, shortcomings in contemporary assessment methods, and the cyclical nature of PBD; (e) practical methods for improving diagnosis, focusing on the most discriminative symptoms, extending the temporal window of assessment to capture mood changes, and using screening tools within an actuarial framework; and (f) monitoring response to treatment using a variety of assessment methods. Twelve recommendations are offered to move toward an evidence-based assessment model for PBD.

Original languageEnglish (US)
Pages (from-to)433-448
Number of pages16
JournalJournal of Clinical Child and Adolescent Psychology
Volume34
Issue number3
DOIs
StatePublished - 2005
Externally publishedYes

Fingerprint

Bipolar Disorder
Pediatrics
Psychopathology
Comorbidity
Differential Diagnosis
Clinical Trials
Research

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology
  • Developmental and Educational Psychology

Cite this

Toward an evidence-based assessment of pediatric bipolar disorder. / Youngstrom, Eric A.; Findling, Robert L; Youngstrom, Jen Kogos; Calabrese, Joseph R.

In: Journal of Clinical Child and Adolescent Psychology, Vol. 34, No. 3, 2005, p. 433-448.

Research output: Contribution to journalArticle

Youngstrom, Eric A. ; Findling, Robert L ; Youngstrom, Jen Kogos ; Calabrese, Joseph R. / Toward an evidence-based assessment of pediatric bipolar disorder. In: Journal of Clinical Child and Adolescent Psychology. 2005 ; Vol. 34, No. 3. pp. 433-448.
@article{6e412ccfba9a41bfad4b6ac5e103220c,
title = "Toward an evidence-based assessment of pediatric bipolar disorder",
abstract = "This article outlines a provisional evidence-based approach to the assessment of pediatric bipolar disorder (PBD). Public attention to PBD and the rate of diagnosis have both increased substantially in the past decade. Accurate diagnosis is crucial to avoid harm due to mislabeling or unnecessary medication exposure. Because there are no proven efficacious or effective treatments for PBD, the role of assessment is heightened to demonstrate efficacy in individual cases as well as to identify cases for participation in clinical trials. This review discusses (a) the state of psychopathology research regarding PBD; (b) the likely base rate of PBD in multiple clinical settings; (c) the diagnostic value of family history; (d) challenges to differential diagnosis, including comorbidity and symptom overlap with other diagnoses, shortcomings in contemporary assessment methods, and the cyclical nature of PBD; (e) practical methods for improving diagnosis, focusing on the most discriminative symptoms, extending the temporal window of assessment to capture mood changes, and using screening tools within an actuarial framework; and (f) monitoring response to treatment using a variety of assessment methods. Twelve recommendations are offered to move toward an evidence-based assessment model for PBD.",
author = "Youngstrom, {Eric A.} and Findling, {Robert L} and Youngstrom, {Jen Kogos} and Calabrese, {Joseph R.}",
year = "2005",
doi = "10.1207/s15374424jccp3403_4",
language = "English (US)",
volume = "34",
pages = "433--448",
journal = "Journal of Clinical Child and Adolescent Psychology",
issn = "1537-4416",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Toward an evidence-based assessment of pediatric bipolar disorder

AU - Youngstrom, Eric A.

AU - Findling, Robert L

AU - Youngstrom, Jen Kogos

AU - Calabrese, Joseph R.

PY - 2005

Y1 - 2005

N2 - This article outlines a provisional evidence-based approach to the assessment of pediatric bipolar disorder (PBD). Public attention to PBD and the rate of diagnosis have both increased substantially in the past decade. Accurate diagnosis is crucial to avoid harm due to mislabeling or unnecessary medication exposure. Because there are no proven efficacious or effective treatments for PBD, the role of assessment is heightened to demonstrate efficacy in individual cases as well as to identify cases for participation in clinical trials. This review discusses (a) the state of psychopathology research regarding PBD; (b) the likely base rate of PBD in multiple clinical settings; (c) the diagnostic value of family history; (d) challenges to differential diagnosis, including comorbidity and symptom overlap with other diagnoses, shortcomings in contemporary assessment methods, and the cyclical nature of PBD; (e) practical methods for improving diagnosis, focusing on the most discriminative symptoms, extending the temporal window of assessment to capture mood changes, and using screening tools within an actuarial framework; and (f) monitoring response to treatment using a variety of assessment methods. Twelve recommendations are offered to move toward an evidence-based assessment model for PBD.

AB - This article outlines a provisional evidence-based approach to the assessment of pediatric bipolar disorder (PBD). Public attention to PBD and the rate of diagnosis have both increased substantially in the past decade. Accurate diagnosis is crucial to avoid harm due to mislabeling or unnecessary medication exposure. Because there are no proven efficacious or effective treatments for PBD, the role of assessment is heightened to demonstrate efficacy in individual cases as well as to identify cases for participation in clinical trials. This review discusses (a) the state of psychopathology research regarding PBD; (b) the likely base rate of PBD in multiple clinical settings; (c) the diagnostic value of family history; (d) challenges to differential diagnosis, including comorbidity and symptom overlap with other diagnoses, shortcomings in contemporary assessment methods, and the cyclical nature of PBD; (e) practical methods for improving diagnosis, focusing on the most discriminative symptoms, extending the temporal window of assessment to capture mood changes, and using screening tools within an actuarial framework; and (f) monitoring response to treatment using a variety of assessment methods. Twelve recommendations are offered to move toward an evidence-based assessment model for PBD.

UR - http://www.scopus.com/inward/record.url?scp=25144491056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=25144491056&partnerID=8YFLogxK

U2 - 10.1207/s15374424jccp3403_4

DO - 10.1207/s15374424jccp3403_4

M3 - Article

C2 - 16026213

AN - SCOPUS:25144491056

VL - 34

SP - 433

EP - 448

JO - Journal of Clinical Child and Adolescent Psychology

JF - Journal of Clinical Child and Adolescent Psychology

SN - 1537-4416

IS - 3

ER -