ArticlePsychological assessment2012
Generalizability of evidence-based assessment recommendations for pediatric bipolar disorder.
Article in Psychological assessment, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- A randomized controlled trial of cognitive debiasing improves assessment and treatment selection for pediatric bipolar disorder.Journal of consulting and clinical psychology · 2016Trial
- Psychological, psychiatric, and behavioral sciences measurement scales: best practice guidelines for their development and validation.Frontiers in psychology · 2024Review
- Clinicians' Emotional Reactions toward Patients with Depressive Symptoms in Mood Disorders: A Narrative Scoping Review of Empirical Research.International journal of environmental research and public health · 2022Article
- Evidence-based use of scalable biomarkers to increase diagnostic efficiency and decrease the lifetime costs of autism.Autism research : official journal of the International Society for Autism Research · 2021Article
- Evidence-Based Assessment from Simple Clinical Judgments to Statistical Learning: Evaluating a Range of Options Using Pediatric Bipolar Disorder as a Diagnostic Challenge.Clinical psychological science : a journal of the Association for Psychological Science · 2018Article
- The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research.Bipolar disorders · 2017Review
- Unfiltered Administration of the YMRS and CDRS-R in a Clinical Sample of Children.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2015Article
- Diagnostic profiles and clinical characteristics of youth referred to a pediatric mood disorders clinic.Journal of psychiatric practice · 2014Article
- Improving Clinical Prediction of Bipolar Spectrum Disorders in Youth.Journal of clinical medicine · 2014Article
- An inexpensive family index of risk for mood issues improves identification of pediatric bipolar disorder.Psychological assessment · 2013Article
- Comparing the Diagnostic Accuracy of Five Instruments for Detecting Posttraumatic Stress Disorder in Youth.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Bipolar disorder is frequently clinically diagnosed in youths who do not actually satisfy Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision; DSM-IV-TR; American Psychiatric Association, 1994) criteria, yet cases that would satisfy full DSM-IV-TR criteria are often undetected clinically. Evidence-based assessment methods that incorporate Bayesian reasoning have demonstrated improved diagnostic accuracy and consistency; however, their clinical utility is largely unexplored. The present study examines the effectiveness of promising evidence-based decision-making strategies compared with the clinical gold standard. Participants were 562 youths, ages 5 to 17 and predominantly African American, drawn from a community mental health clinic. Research diagnoses combined a semistructured interview with youths' psychiatric, developmental, and family mental health histories. Independent Bayesian estimates that relied on published risk estimates from other samples discriminated bipolar diagnoses (area under curve = .75, p < .00005). The Bayes and confidence ratings correlated at rs = .30. Agreement about an evidence-based assessment intervention threshold model (wait/assess/treat) was κ = .24, p < .05. No potential moderators of agreement between the Bayesian estimates and confidence ratings, including type of bipolar illness, were significant. Bayesian risk estimates were highly correlated with logistic regression estimates using optimal sample weights (r = .81, p < .0005). Clinical and Bayesian approaches agree in terms of overall concordance and deciding next clinical action, even when Bayesian predictions are based on published estimates from clinically and demographically different samples. Evidence-based assessment methods may be useful in settings in which gold standard assessments cannot be routinely used, and they may help decrease rates of overdiagnosis while promoting earlier identification of true cases.
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Registered trials
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