Journal of the American Academy of Child & Adolescent Psychiatry
Volume 34, Issue 4 , Pages 464-471, April 1995

CBCL Clinical Scales Discriminate Prepubertal Children with Structured Interview—Derived Diagnosis of Mania from Those with ADHD

Dr. Biederman is Chief, Pediatric Psychopharmacology Unit, Massachusetts General Hospital and Associate Professor of Psychiatry, Harvard Medical School, Boston. Dr. Wozniak is a clinical assistant in psychiatry, Pediatric Psychopharmacology Unit, Massachusetts General Hospital and instructor in psychiatry. Harvard Medical School, Dr. Faraone is Director of Research, Pediatric Psychopharmacology Unit, Massachusetts General Hospital and Associate Professor of Psychiatry, Harvard Medical School. Ms. Kiely, Ms. Mundy, Mr. Ablon, and Mr. Mick are Research Coordinators, Pediatric Psychopharmacology Unit, Massachusetts General Hospital. Dr. Kraus is Director, Pediatric Department, Harvard Community Health Plan, West Roxbury, MA

Accepted 21 November 1994.

ABSTRACT 

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.

Key Words:  Child Behavior Checklist , mania , attention-deficit hyperactivity disorder , children , comorbidity

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 The authors thank Jim Perrin, M.D., for his help with this project.

PII: S0890-8567(09)63732-1

doi:10.1097/00004583-199504000-00013

Journal of the American Academy of Child & Adolescent Psychiatry
Volume 34, Issue 4 , Pages 464-471, April 1995

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