Child Psychiatry & Human Development最新文献

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Heterogeneity in Developmental Trajectories of Internalizing and Externalizing Symptomatology: Associations with Risk and Protective Factors. 内化和外化症状发展轨迹的异质性:与风险和保护因素的关联。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2025-01-09 DOI: 10.1007/s10578-024-01804-0
A Brieant, T Cai, K I Ip, B Holt-Gosselin, D G Gee
{"title":"Heterogeneity in Developmental Trajectories of Internalizing and Externalizing Symptomatology: Associations with Risk and Protective Factors.","authors":"A Brieant, T Cai, K I Ip, B Holt-Gosselin, D G Gee","doi":"10.1007/s10578-024-01804-0","DOIUrl":"10.1007/s10578-024-01804-0","url":null,"abstract":"<p><p>Among a large sample of youth (9-10 years old at baseline) from the Adolescent Brain Cognitive Development (ABCD) Study® (n = 11,661) we modeled trajectories of psychopathology over three years and associated risk and protective factors. Growth mixture modeling characterized latent classes with distinct psychopathology trajectories. Results indicated four different internalizing trajectories: a high-decreasing class, a moderate-decreasing class, a moderate-increasing class, and a low-stable class. There were also four externalizing trajectories: a moderate-decreasing class, a high-decreasing class, a moderate-increasing class, and a low-decreasing class. We used parallel process growth analysis to examine the co-development of internalizing and externalizing symptoms and characterized five trajectory classes with distinct patterns of co-development. These classes were differentially associated with negative life events, neighborhood safety, and parental acceptance. Together, the findings characterize general developmental patterns of psychopathology, quantify the proportion of youth that follow each pattern, and identify key predictors that discriminate these patterns.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1466-1477"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toddler Screen Time: Longitudinal Associations with Autism and ADHD Symptoms and Developmental Outcomes. 幼儿屏幕时间:与自闭症和ADHD症状和发展结果的纵向关联。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-11-29 DOI: 10.1007/s10578-024-01785-0
Monique Moore Hill, Devon N Gangi, Meghan Miller
{"title":"Toddler Screen Time: Longitudinal Associations with Autism and ADHD Symptoms and Developmental Outcomes.","authors":"Monique Moore Hill, Devon N Gangi, Meghan Miller","doi":"10.1007/s10578-024-01785-0","DOIUrl":"10.1007/s10578-024-01785-0","url":null,"abstract":"<p><p>Greater screen time is associated with increased symptoms of autism spectrum disorder (autism), attention-deficit/hyperactivity disorder (ADHD), and lower scores on measures of development in preschool-aged community samples. In the current longitudinal study, we examined screen time differences at 18 months of age based on clinically-defined outcomes (i.e., Autism, ADHD Concerns, Comparison) determined at age 3-5 years in a genetically-enriched sample based on family history, along with prospective associations between toddler screen time and preschool autism/ADHD symptoms and developmental achievement. Participants (n = 82) included children at high and low familial likelihood for autism and ADHD. Children with Autism and ADHD Concerns outcomes experienced significantly more screen exposure at 18 months than children without autism or elevated symptoms of ADHD. Greater screen time at 18 months was also associated with preschool symptoms of autism and ADHD and lower developmental achievement across the sample. Preschoolers with neurodevelopmental challenges experienced more screen exposure earlier in development than same-age peers, increasing potential for negative developmental impacts.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1300-1311"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence, Patterns and Correlates of Child and Adolescent Mental Disorders in Kumasi, Ghana: An Urban Community-Based Survey. 加纳库马西儿童和青少年精神障碍的患病率、模式和相关因素:一项城市社区调查。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-12-14 DOI: 10.1007/s10578-024-01799-8
Kwabena Kusi-Mensah, Kawther Inuwa, Caleb Otu-Ansah, Peggy Asiedu Ekremet, Ruth Charlotte Sackey, Ruth Owusu-Antwi, Sammy Ohene, Olayinka Omigbodun
{"title":"Prevalence, Patterns and Correlates of Child and Adolescent Mental Disorders in Kumasi, Ghana: An Urban Community-Based Survey.","authors":"Kwabena Kusi-Mensah, Kawther Inuwa, Caleb Otu-Ansah, Peggy Asiedu Ekremet, Ruth Charlotte Sackey, Ruth Owusu-Antwi, Sammy Ohene, Olayinka Omigbodun","doi":"10.1007/s10578-024-01799-8","DOIUrl":"10.1007/s10578-024-01799-8","url":null,"abstract":"<p><p>This study examined the prevalence and correlates of mental disorders among youth in Kumasi, Ghana, through a community-based cross-sectional survey. 672 urban participants aged 6-17 years were surveyed. Mental disorders were screened using Rutter's A2 Scale for Parent Assessment of Child Behaviour, with diagnoses confirmed by the Kiddie-Schedule for Affective Disorders and Schizophrenia. The Double Sampling method was used for weighted prevalence estimates, and correlates analysed using chi-square and logistic regression. Lifetime weighted prevalence of CAMH disorders was 30.4% (95% CI: 26.9-33.9), predominantly anxiety-related disorders, with current weighted prevalence 18.6% (95% CI: 15.7-21.5). Notably, lacking an active reading habit was associated with nearly three times the odds of mental illness. Children in the 3rd and 4th wealth quintiles had significantly higher odds of mental disorder (12- and 9-times increased odds, respectively), as did lack of caregiver homework supervision among children under 11 years. This study provides the first community-based prevalence figures for childhood mental disorders in Ghana, highlighting the link between poverty-related factors and mental health, and suggesting potential policy interventions to inform policy.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1416-1433"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Executive Functioning, Family Accommodation, and Treatment Response in Youth with OCD and Comorbid ADHD in a Partial Hospital Program. 部分医院项目中患有强迫症和并发多动症的青少年的执行功能、家庭适应性和治疗反应。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-11-25 DOI: 10.1007/s10578-024-01792-1
Bryana Killion, Marika Marklin, Erin O'Connor, Jennifer B Freeman, Grace H Cain, Michael Walther, Kristen Grabill Benito
{"title":"Executive Functioning, Family Accommodation, and Treatment Response in Youth with OCD and Comorbid ADHD in a Partial Hospital Program.","authors":"Bryana Killion, Marika Marklin, Erin O'Connor, Jennifer B Freeman, Grace H Cain, Michael Walther, Kristen Grabill Benito","doi":"10.1007/s10578-024-01792-1","DOIUrl":"10.1007/s10578-024-01792-1","url":null,"abstract":"<p><p>Few studies have examined differential treatment response, rates of familial accommodation (FA), and executive functioning (EF) in youth with OCD vs. OCD + ADHD, particularly in a partial hospital program (PHP). The current study includes 138 youth diagnosed with OCD only and 102 youth diagnosed with OCD + ADHD in a PHP setting for a total sample of 240 youth (and their families). Families and clinicians completed several measures assessing child and parent variables of interest. Findings of ANCOVA analyses suggest poorer treatment response and EF in children with comorbid OCD + ADHD compared to their counterparts with OCD only. No significant differences emerged between groups in baseline levels of symptom severity, functional impairment, or FA. Given the high rate of comorbidity between OCD + ADHD, clinicians and researchers should be aware of the need to modify treatment approaches for children with comorbid OCD + ADHD and/or weaker EF performance.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1341-1351"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validity of Cognitive Disengagement Syndrome with Mother and Father Ratings of Brazilian Children: Replication of Northern Hemisphere Findings in South America. 认知脱离综合症与巴西儿童母亲和父亲评分的有效性:南美洲北半球研究结果的复制。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-11-29 DOI: 10.1007/s10578-024-01789-w
Gabriel Belinati, Marcela Moura, Stephen P Becker, G Leonard Burns
{"title":"Validity of Cognitive Disengagement Syndrome with Mother and Father Ratings of Brazilian Children: Replication of Northern Hemisphere Findings in South America.","authors":"Gabriel Belinati, Marcela Moura, Stephen P Becker, G Leonard Burns","doi":"10.1007/s10578-024-01789-w","DOIUrl":"10.1007/s10578-024-01789-w","url":null,"abstract":"<p><p>Although the Child and Adolescent Behavior Inventory (CABI) cognitive disengagement syndrome (CDS) scale has demonstrated validity relative to the CABI attention-deficit/hyperactivity disorder-inattention (ADHD-IN) scale with parent ratings of youth from North America, Europe, East Asia, and Central Asia, no study has evaluated the validity of the 15 symptom CDS scale with children from South America. Our purpose was to examine for the first time the validity of the CABI CDS scale with Brazilian children. Latent variable modeling procedures were used to examine the validity of CDS scores. Mothers and fathers completed measures of CDS, ADHD-IN, ADHD-hyperactivity/impulsivity (HI), anxiety, depression, and academic impairment on 366 Brazilian children (M<sub>age</sub> = 8.64, SD<sub>age</sub> = 1.39, 53.3% females). First, the CDS symptoms showed strong internal validity with the ADHD-IN symptoms. Second, within and across sources, ADHD-IN showed stronger first-order and unique associations than CDS with ADHD-HI, whereas CDS, especially across sources, showed stronger first-order and unique associations than ADHD-IN with anxiety and depression. CDS and ADHD-IN were similarly associated with academic impairment. This study is the first to support the validity of CABI CDS scores with Brazilian children, thus replicating the findings in North America, Europe, East Asia, and the Central Asia in South America.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1321-1330"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric Validation of the Slovenian Version of the Children's Automatic Thoughts Scale (CATS). 斯洛文尼亚版儿童自动思维量表(CATS)的心理计量学验证。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-12-05 DOI: 10.1007/s10578-024-01800-4
Žiga Damjanac, Katja Kurnik Mesarič, Mojca Petrič, Mateja Hudoklin, Jana Kodrič
{"title":"Psychometric Validation of the Slovenian Version of the Children's Automatic Thoughts Scale (CATS).","authors":"Žiga Damjanac, Katja Kurnik Mesarič, Mojca Petrič, Mateja Hudoklin, Jana Kodrič","doi":"10.1007/s10578-024-01800-4","DOIUrl":"10.1007/s10578-024-01800-4","url":null,"abstract":"<p><p>It is hypothesized that cognitions influence the development of affective disorders. Depression and anxiety are prevalent in both adults and youth. The Children's Automatic Thoughts Scale (CATS) assesses internalizing and externalizing negative automatic thoughts in children and adolescents. This study examined the psychometric properties- including factor structure, internal consistency and convergent validity- of the Slovenian version of CATS in a normative school sample (N = 754) of Slovenian adolescents aged 10 to 18. Additionally, the short-term stability of negative automatic thoughts over a three-month period was assessed in a subsample of 117 participants. Confirmatory factor analysis showed the best fit for the bifactor model, with one general and four specific factors (CFI = 0.963, TLI = 0.958, RMSEA = 0.045). Cronbach's α and McDonald's ω ranged from 0.81 to 0.96 for the total scale and subscales. The total score and subscales correlated significantly with the Revised Child Anxiety and Depression Scale. The Slovenian version of CATS shows good psychometric properties in the school sample.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1434-1444"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Important Mechanisms in the Development of Anxiety in Children with ADHD: The Role of Associated Features of ADHD and Interpersonal Functioning. ADHD儿童焦虑发展的重要机制:ADHD相关特征和人际功能的作用。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-12-14 DOI: 10.1007/s10578-024-01796-x
Helena F Alacha, Elizabeth K Lefler, Sara J Bufferd
{"title":"Important Mechanisms in the Development of Anxiety in Children with ADHD: The Role of Associated Features of ADHD and Interpersonal Functioning.","authors":"Helena F Alacha, Elizabeth K Lefler, Sara J Bufferd","doi":"10.1007/s10578-024-01796-x","DOIUrl":"10.1007/s10578-024-01796-x","url":null,"abstract":"<p><p>Over a quarter of children with Attention-deficit/hyperactivity disorder (ADHD) meet diagnostic criteria for an anxiety disorder as well. The goals of this paper are (a) to examine what is currently known about co-occurring ADHD and anxiety in children, (b) propose and outline underlying factors relevant to the development of anxiety in children with ADHD, and (c) discuss future directions and clinical implications for the prevention and identification of anxiety development in children with ADHD. It is proposed that certain associated features of ADHD (i.e., low effortful control and emotion dysregulation) as well as various interpersonal factors related to ADHD (i.e., poor parent, teacher, and peer relationships) form a negative feedback loop that increases susceptibility to anxiety in a subset of children with ADHD. The literature supports interrelations between and across the associated features and interpersonal factors. Additional research is needed to test the validity of the proposed process. Obtaining further insight into the interplay between these different factors can help identify a subset of children with ADHD who are at risk for developing anxiety, which can enhance the precision of prevention, assessment, and treatment efforts for these children.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1545-1564"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elementary School Teachers' and Counselors' Decisions on Referring Students for Evaluation: The Impact of ADHD Traits, Achievement, and Giftedness. 小学教师和辅导员推荐学生接受评估的决定:多动症特质、成绩和天赋的影响。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-11-28 DOI: 10.1007/s10578-024-01777-0
Avital Tamsut, Hattem Asadi, Gal Nahum Sinai, Noa Saka, Yehuda Pollak
{"title":"Elementary School Teachers' and Counselors' Decisions on Referring Students for Evaluation: The Impact of ADHD Traits, Achievement, and Giftedness.","authors":"Avital Tamsut, Hattem Asadi, Gal Nahum Sinai, Noa Saka, Yehuda Pollak","doi":"10.1007/s10578-024-01777-0","DOIUrl":"10.1007/s10578-024-01777-0","url":null,"abstract":"<p><p>The present study examined the effect of ADHD-related traits, academic-achievement level, and giftedness label on elementary school teachers' and counselors' referral recommendations for assessment. 532 teachers and counselors were presented with one of 12 vignettes describing a hypothetical pupil. Participants were asked to report the likelihood they would refer the pupil for ADHD diagnosis and address them during a high-level interdisciplinary school-team meeting (HISTM). High ADHD-related traits (effect size 0.359) and low academic-achievement (effect size 0.070) and their interaction were significantly related to a higher likelihood of referral. Further analysis revealed that lower academic achievement was related to a higher likelihood of referral only when ADHD-related traits were not indicated (p < .005). The status of giftedness label was not found to be significant (p > .05). These findings indicate that mainly ADHD-related traits and, to a lesser degree, low academic-achievement influence teachers' decisions to refer pupils for ADHD diagnosis and address them in HISTM.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1284-1299"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Anxiety and Depression in Portuguese and Spanish Adolescents: The Moderating Role of Emotional Intelligence. 葡萄牙和西班牙青少年的社交焦虑和抑郁:情绪智力的调节作用。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2024-12-10 DOI: 10.1007/s10578-024-01795-y
Victoria Soto-Sanz, María do Céu Salvador, José Antonio Piqueras
{"title":"Social Anxiety and Depression in Portuguese and Spanish Adolescents: The Moderating Role of Emotional Intelligence.","authors":"Victoria Soto-Sanz, María do Céu Salvador, José Antonio Piqueras","doi":"10.1007/s10578-024-01795-y","DOIUrl":"10.1007/s10578-024-01795-y","url":null,"abstract":"<p><p>Social anxiety (SA) and depressive disorder usually coexist. Emotional Intelligence (EI) is a protective factor against emotional disorders. The aim of this study is to examine the moderating role of EI in the relationship between SA and depression among Spanish and Portuguese adolescents. Information on these variables was collected through a cross-sectional study with 1456 students between 12 and 19 years of age. The software PROCESS was used to perform the analysis of conditional processes (model 1). The moderation model was conducted, including the covariate country, and showed significant differences between countries in the relationship between SA and Depression. The summary model explained that 42% of the Depression. The statistical analysis was repeated separately for Portuguese and Spanish adolescents, with EI as the moderating variable. The effect of SA on depression was significant for individuals with low or moderate EI, while for adolescents with high EI there was no statistically significant effect. To prevent these outcomes, early interventions, including the enhancement of Trait EI, with adolescents with SA could reduce the risk of developing SA disorder, as well as subsequent depressive disorders in adolescence and early adulthood. This is especially important because research indicates that depression caused by SA is strongly associated with a worse course of depression.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1372-1384"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expert Rater Agreement for Symptoms and Diagnosis of Bipolar Disorder in Youth. 青少年双相情感障碍的症状和诊断专家评分协议。
IF 2.5 3区 医学
Child Psychiatry & Human Development Pub Date : 2026-10-01 Epub Date: 2025-01-09 DOI: 10.1007/s10578-024-01797-w
Jarrod M Leffler, Daniel Azzopardi, Peter S Jensen, Paul E Croarkin, Kathryn R Cullen, Anne Duffy, Bonnie Klimes-Dougan, Robert M Post, Jennifer L Vande Voort, Karen Dineen Wagner, Dwight V Wolf, Cathryn A Galanter
{"title":"Expert Rater Agreement for Symptoms and Diagnosis of Bipolar Disorder in Youth.","authors":"Jarrod M Leffler, Daniel Azzopardi, Peter S Jensen, Paul E Croarkin, Kathryn R Cullen, Anne Duffy, Bonnie Klimes-Dougan, Robert M Post, Jennifer L Vande Voort, Karen Dineen Wagner, Dwight V Wolf, Cathryn A Galanter","doi":"10.1007/s10578-024-01797-w","DOIUrl":"10.1007/s10578-024-01797-w","url":null,"abstract":"<p><p>The diagnosis of bipolar disorder (BD) in young children has been a topic of debate, in part owing to varied interpretation of manic-like symptoms. We examined how expert academic clinicians participating in the pediatric bipolar biobank varied in their interpretation and application of Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria and diagnoses. Study co-investigators reviewed 12 standardized narratives and for each marked a visual analog scale with their confidence in the presence of manic episodes and criteria. We analyzed raters' confidence and inter-rater agreement using interclass correlation (ICC). Symptoms with good ICC ranging from 0.60 to 0.74 included inflated self-esteem/grandiosity and decreased need for sleep. Diagnoses and episodes with poor ICCs (< 0.4) included Hypomania and Bipolar Not Elsewhere Classified/Not Otherwise Specified. Despite efforts made to refine BD criteria with DSM-5, there was substantive variation in diagnostic interpretation among investigators working with children presenting with manic-like symptoms.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1403-1415"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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