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Clinical decision-making using the General Behavior Inventory in juvenile bipolarity
Robert L Findling1, Eric A Youngstrom, Carla K Danielson
1Department of Psychiatry, University Hospitals of Cleveland/Case Western Reserve University School of Medicine, Cleveland, OH 44106-5080, USA. robert.findling@uhhs.com
Bipolar Disorders
|June 6, 2002
Summary
The General Behavior Inventory (GBI) effectively aids in diagnosing mood disorders in youth, with parent and self-reports achieving over 74% accuracy. This tool is particularly useful for enhancing diagnostic specificity in pediatric mental health assessments.
Area of Science:
- Child and Adolescent Psychiatry
- Psychometric Assessment
- Mental Health Diagnostics
Background:
- The General Behavior Inventory (GBI) is established for adult mood disorder assessment.
- Optimal application of the GBI in youth populations requires further investigation.
Purpose of the Study:
- To evaluate the utility of the General Behavior Inventory (GBI) for assessing mood disorders in children and adolescents.
- To determine the effectiveness of parent and self-report GBI versions in diagnosing pediatric mood disorders.
Main Methods:
- 196 children and adolescents (ages 5-17) were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS).
- Participants were categorized into bipolar spectrum, depressive disorders, disruptive behaviors disorders, or no diagnosis groups based on K-SADS results.
- Guardians completed a modified parent-report GBI, and patients aged 10+ completed a self-report GBI.
Main Results:
- Both parent and youth self-report GBI versions demonstrated over 74% accuracy in assigning participants to their correct diagnostic groups.
- The study found that combining multiple informant reports did not significantly enhance diagnostic group assignment accuracy.
Conclusions:
- The General Behavior Inventory (GBI) shows promise as an adjunctive tool for diagnosing mood disorders in youths.
- The GBI is particularly valuable when prioritizing diagnostic specificity over sensitivity in pediatric mental health evaluations.