| Title |
Comparing the CASI-4R and the PGBI-10 M for Differentiating Bipolar Spectrum Disorders from Other Outpatient Diagnoses in Youth
|
|---|---|
| Published in |
Research on Child and Adolescent Psychopathology, July 2016
|
| DOI | 10.1007/s10802-016-0182-4 |
| Pubmed ID | |
| Authors |
Mian-Li Ong, Eric A. Youngstrom, Jesselyn Jia-Xin Chua, Tate F. Halverson, Sarah M. Horwitz, Amy Storfer-Isser, Thomas W. Frazier, Mary A. Fristad, L. Eugene Arnold, Mary L. Phillips, Boris Birmaher, Robert A. Kowatch, Robert L. Findling, the LAMS Group |
| Abstract |
We compared 2 rating scales with different manic symptom items on diagnostic accuracy for detecting pediatric bipolar spectrum disorder (BPSDs) in outpatient mental health clinics. Participants were 681 parents/guardians of eligible children (465 male, mean age = 9.34) who completed the Parent General Behavior Inventory-10-item Mania (PGBI-10 M) and mania subscale of the Child and Adolescent Symptom Inventory-Revised (CASI-4R). Diagnoses were based on KSADS interviews with parent and youth. Receiver operating characteristic (ROC) analyses and diagnostic likelihood ratios (DLRs) determined discriminative validity and provided clinical utility, respectively. Logistic regressions tested for incremental validity in the CASI-4R mania subscale and PGBI-10 M in predicting youth BPSD status above and beyond demographic and common diagnostic comorbidities. Both CASI-4R and PGBI-10 M scales significantly distinguished BPSD (N = 160) from other disorders (CASI-4R: Area under curve (AUC) = .80, p < 0.0005; PGBI-10 M: AUC = 0.79, p < 0.0005) even though scale items differed. Both scales performed equally well in differentiating BPSDs (Venkatraman test p > 0.05). Diagnostic likelihood ratios indicated low scores on either scale (CASI: 0-5; PGBI-10 M: 0-6) cut BPSD odds to 1/5 of those with high scores (CASI DLR- = 0.17; PGBI-10 M DLR- = 0.18). High scores on either scale (CASI: 14+; PGBI-10 M: 20+) increased BPSD odds about fourfold (CASI DLR+ = 4.53; PGBI-10 M DLR+ = 3.97). Logistic regressions indicated the CASI-4R mania subscale and PGBI-10 M each provided incremental validity in predicting youth BPSD status. The CASI-4R is at least as valid as the PGBI-10 M to help identify BPSDs, and can be considered as part of an assessment battery to screen for pediatric BPSDs. |
Mendeley readers
The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 86 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 12 | 14% |
| Researcher | 8 | 9% |
| Student > Ph. D. Student | 8 | 9% |
| Student > Bachelor | 8 | 9% |
| Student > Doctoral Student | 6 | 7% |
| Other | 24 | 28% |
| Unknown | 20 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 33 | 38% |
| Medicine and Dentistry | 11 | 13% |
| Unspecified | 4 | 5% |
| Nursing and Health Professions | 3 | 3% |
| Neuroscience | 3 | 3% |
| Other | 9 | 10% |
| Unknown | 23 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 August 2016.
All research outputs
#8,534,976
of 25,374,647 outputs
Outputs from Research on Child and Adolescent Psychopathology
#883
of 2,047 outputs
Outputs of similar age
#132,440
of 367,266 outputs
Outputs of similar age from Research on Child and Adolescent Psychopathology
#12
of 25 outputs
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So far Altmetric has tracked 2,047 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 46th percentile – i.e., 46% of its peers scored the same or lower than it.
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We're also able to compare this research output to 25 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.