Diagnosing Alcohol and Cannabis Use Disorders in Adolescents with Bipolar Disorder: A Preliminary Investigation.

Diagnosing Alcohol and Cannabis Use Disorders in Adolescents with Bipolar Disorder: A Preliminary Investigation.
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DOI:
10.1080/15504263.2012.647349
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发表时间:
2012-01
影响因子:
2.2
通讯作者:
Delbello MP
Delbello MP
中科院分区:
医学4区
文献类型:
--
作者:
Black JJ;Heffner JL;Anthenelli RM;Beavers JN;Albertz A;Blom T;Adler C;Delbello MP

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The aim of this report was to examine the accuracy of diagnosing substance use disorders in manic adolescents with bipolar disorder. The substance use disorder modules of the KSADS-PL were administered to a sample of 80 manic adolescents (12-21 years old) with co-occurring bipolar and substance use disorders. Initial substance use disorder diagnoses obtained from the KSADS-PL were then compared to a best-estimate diagnosis derived from all available information, including a second diagnostic interview, the Child Semi-Structured Assessment for the Genetics of Alcoholism, Adolescent version (C-SSAGA-A). Relatively low diagnostic agreement was achieved across the initial and the best estimate diagnoses for both alcohol and cannabis use disorders. Age, race, and sex did not predict diagnostic agreement between the two evaluations. Results of this study call for more research on diagnosing substance use disorders and suggest that a single interview alone may not be accurate for diagnosing substance use disorders in manic adolescents with bipolar disorder.
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