Journal article
Decreasing Rates of Pediatric Bipolar Within an Outpatient Practice
Journal of child and adolescent psychiatric nursing, Vol.29(4), pp.188-195
11/2016
DOI: 10.1111/jcap.12162
PMID: 28093821
Abstract
PROBLEM
Pediatric bipolar disorder (PBD) prevalence is estimated to be 1–3%. Nationally and internationally, rates of PBD have increased by over 400%. However, in Iowa and at one psychiatric clinic in Iowa, from 2008–2013, there was a decrease in PBD diagnosis of 33 and 51.2% respectively. This study examined the diagnosing practices of PBD by local providers in one outpatient mental health center.
METHOD
Parents completed a screening packet to differentiate between PBD and attention deficit hyperactivity disorder (ADHD) using three tools: Child Mania Rating Scale (CMRS), Child Behavior Checklist‐Mania Scale (CBCL‐MS), and the NICHQ Vanderbilt. Symptom agreement analysis between the screeners and the provider's clinical diagnoses was performed using ANOVA and Tukey HSD posthoc analysis.
FINDINGS
A 19.6% of the participants were positive for PBD on the CMRS and 55.9% were positive on the CBCL‐MS. A total of 36.60% were positive for ADHD on the Vanderbilt. The screening data compared to the provider's clinical diagnosis showed no diagnostic agreement for PBD (p < .05). Providers’ rates of diagnosing PBD did not match the rate of PBD symptoms identified by the screeners.
CONCLUSION
Further evidence to determine the criteria and use of current screening measures for PBD is needed to guide practice for distinguishing PBD from related disorders.
Details
- Title: Subtitle
- Decreasing Rates of Pediatric Bipolar Within an Outpatient Practice
- Creators
- Daniel Wesemann - Daniel Wesemann
- Resource Type
- Journal article
- Publication Details
- Journal of child and adolescent psychiatric nursing, Vol.29(4), pp.188-195
- DOI
- 10.1111/jcap.12162
- PMID
- 28093821
- ISSN
- 1073-6077
- eISSN
- 1744-6171
- Number of pages
- 8
- Grant note
- Jonas Scholarship T32 Postdoctoral Fellowship In Geriatric Mental Health Services Research (5T32MH073553‐09)
- Language
- English
- Date published
- 11/2016
- Academic Unit
- Nursing
- Record Identifier
- 9984064276602771
Metrics
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