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CBCL clinical scales discriminate prepubertal children with structured interview-derived diagnosis of mania from
J Biederman1, J Wozniak, K Kiely
1Pediatric Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114, USA.
Objective:
To evaluate the discriminative ability of the Child Behavior Checklist (CBCL) to identify children with structured interview-derived diagnosis of bipolar disorder.
Method:
We evaluated the convergence of CBCL scales with the diagnosis of mania in 31 children with mania, 120 children with attention-deficit hyperactivity disorder, and 77 prepubertal normal control children aged 12 years or younger. We evaluated the strength of association between each CBCL scale and structured interview-derived diagnoses with total predictive value and the odds ratio.
Results:
Excellent convergence was found between the CBCL scales of Delinquent Behavior, Aggressive Behavior, Somatic Complaints, Anxious/Depressed, and Thought Problems and the diagnosis of mania.
Conclusions:
These findings indicate that the CBCL could serve as a rapid and useful screening instrument to identify manic children in clinical settings.