Advances in the neurobiology of pediatric bipolar disorderBipolar Diagnoses in Community Mental Health: Achenbach Child Behavior Checklist Profiles and Patterns of Comorbidity
Section snippets
Design
The study involved secondary analysis of archival data. Specifically, behavior checklists and clinical diagnoses that were completed as a routine clinical procedure were anonymized and exported for statistical analysis. The protocol was reviewed and approved by the university and clinical agency Institutional Review Boards of Case Western Reserve University, as well as of Applewood Centers, Inc.
Participants
Participants were 3086 youths and their primary caregiver who presented for mental health services at
Demographics
More than 80% of the participants qualified for Medicaid, and 81% of the primary caregivers had completed less education than a high school diploma or equivalent. Patients were 63% male, 42% African American, 52% European American, and 6 % self-identified as “Other.” Ten percent of the sample self-identified as Hispanic ethnicity (n = 311), of whom 18 self-identified as African American, 113 as European American, and 100 as “Other.” The average patient was 10.5 years old at intake (SD = 3.4).
Clinical Characteristics
Discussion
The goals of the present study were to determine how often bipolar disorder is clinically diagnosed in children and adolescents in a community mental health setting and also to evaluate the similarity of community cases of bipolar disorder to published research samples in terms of demographic patterns, comorbidity, and behavior problem correlates as measured by the Achenbach Child Behavior Checklist. The study also tested whether the CBCL scales could identify bipolar cases in the
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