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Child mania rating scale: development, reliability, and validity.

Mani N Pavuluri1, David B Henry1, Bhargavi Devineni1

  • 1Drs. Pavuluri, Henry, Devineni, and Carbray are with the Department of Psychiatry, University of Illinois at Chicago; and Dr. Birmaher is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA.

Journal of the American Academy of Child and Adolescent Psychiatry
|April 8, 2006
PubMed
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This study developed the Child Mania Rating Scale-Parent version (CMRS-P) for reliable pediatric mania screening. The CMRS-P demonstrates excellent accuracy in identifying mania in children.

Area of Science:

  • Child and Adolescent Psychiatry
  • Psychometric Instrument Development
  • Pediatric Mental Health Screening

Background:

  • Accurate screening for pediatric mania is crucial for timely intervention.
  • Existing screening tools may lack sufficient reliability or validity for parent-based assessment.
  • Development of a parent-report measure is needed to capture key symptoms of mania in children.

Purpose of the Study:

  • To develop and validate a reliable and valid parent-report screening instrument for pediatric mania.
  • To base the screening instrument on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) symptoms of mania.
  • To assess the psychometric properties of the Child Mania Rating Scale-Parent version (CMRS-P).

Main Methods:

  • A 21-item Child Mania Rating Scale-Parent version (CMRS-P) was administered to parents of 150 children (ages 10.3 ± 2.9 years).

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  • Participants included healthy controls (n=50), children with bipolar disorder (n=50), and children with attention-deficit/hyperactivity disorder (ADHD) (n=50).
  • Diagnostic assessments utilized the Washington University Schedule for Affective Disorders and Schizophrenia, with construct validity estimated using multiple established scales.

    • Main Results:

    • Factor analysis confirmed the unidimensionality of the CMRS-P.
    • The CMRS-P demonstrated excellent internal consistency (reliability = 0.96) and retest reliability (reliability = 0.96).
    • Criterion validity was high, with excellent sensitivity and specificity in differentiating children with mania from controls or ADHD (areas under the curve 0.91–0.96).

    Conclusions:

    • The Child Mania Rating Scale-Parent version (CMRS-P) is a promising tool for screening pediatric mania.
    • The scale exhibits strong reliability and validity, supporting its use in clinical and research settings.
    • The CMRS-P can effectively differentiate children with mania from those with ADHD or without psychiatric conditions.