Child Mania Rating Scale: Development, Reliability, and Validity - 09/08/11
, DAVID B. HENRY, Ph.D., BHARGAVI DEVINENI, M.D., JULIE A. CARBRAY, D.N.S.c., BORIS BIRMAHER, M.D.ABSTRACT |
Objective |
To develop a reliable and valid parent-report screening instrument for mania, based on DSM-IVsymptoms.
Method |
A 21-item Child Mania Rating Scale-Parent version (CMRS-P) was completed by parents of 150 children (42.3% female) ages 10.3 ± 2.9 years (healthy controls = 50; bipolar disorder = 50; attention-deficit/hyperactivity disorder [ADHD] = 50). The Washington University Schedule for Affective Disorders and Schizophrenia was used to determine DSM-IV diagnosis. The Young Mania Rating Scale, Schedule for Affective Disorders and Schizophrenia Mania Rating Scale, Child Behavior Checklist, and Child Depression Inventory were completed to estimate the construct validity of the measure.
Results |
Exploratory and confirmatory factor analysis of the CMRS-P indicated that the scale was unidimensional. The internal consistency and retest reliability were both 0.96. Convergence of the CMRS-P with the Washington University Schedule for Affective Disorders and Schizophrenia mania module, the Schedule for Affective Disorders and Schizophrenia Mania Rating Scale, and the Young Mania Rating Scale was excellent (.78-.83). The scale did not correlate as strongly with the Conners parent-rated ADHD scale, the Child Behavior Checklist -Attention Problems and Aggressive Behavior subscales, or the child self-report Child Depression Inventory (.29-.51). Criterion validity was demonstrated in analysis of receiver operating characteristics curves, which showed excellent sensitivity and specificity in differentiating children with mania from either healthy controls or children with ADHD (areas under the curve of.91 to.96).
Conclusion |
The CMRS-P is a promising parent-report scale that can be used in screening for pediatric mania.
Le texte complet de cet article est disponible en PDF.Key Words : child, bipolar disorder, rating scale, mania
Plan
| Preliminary results of this study were presented as a poster at the Society for Biological Psychiatry Annual Conference in New York, the World Congress of International Association of Child and Adolescent Psychiatry and Allied Professions (IACAPAP) in Berlin, and the annual meeting of the American Academy of Child and Adolescent Psychiatry, Washington, DC, in 2004. The authors would like to thank their research staff (Gwen Sampson, M.A., Ryan Shaw, B.A., Lindsay Schenkel, M.A., Valli Ganne, M.D.) and the American Academy of Child and Adolescent Psychiatry Jean Spurlock Fellowship Award recipients (with M.N.P.) for 2002-2004: Lynette Hsu, M.D., Rashida Gray, M.D., and Nafisa Patel, M.D., for data collection and management; Drs. Gabrielle Carlson, M.D., Robert Kowatch, M.D., Ellen Leibenluft, M.D., Mary Fristad, Ph.D., and Elva Poznanski for their invaluable input in shaping this instrument; and Eric Youngstrom, Ph.D., for his valuable remarks on the draft of this manuscript. Article Plus (online only) materials for this article appear on the Journalapos;s Web site: www.jaacap.com. Disclosure: Dr. Pavuluri received research support from the Marshall Reynolds Foundation and the Campus Research Board Award that supported the present study. Her work is also supported by Colbeth Foundation, NIH 1 K23 RR018638-01, GlaxoSmithKline-Neuro-Health, Abbott Pharmaceuticals, and Janssen Research Foundation. She serves as a consultant to Bristol-Myers Squibb, Shire, Janssen, Abbott Pharmaceuticals, and GlaxoSmithKline-NeuroHealth. She served as a continuing medical education speaker for AstraZeneca, Janssen, Abbott Pharmaceuticals, Eli Lilly, and GlaxoSmithKline-NeuroHealth. The other authors have no financial relationships to disclose. |
Vol 45 - N° 5
P. 550-560 - mai 2006 Retour au numéro
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