Prepubertal mania: diagnostic differences between US and UK clinicians
Prepubertal mania: diagnostic differences between US and UK clinicians
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DOI：
10.1007/s00787-007-0649-5
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发表时间：
2008-04-01
影响因子：
6.4
通讯作者：
Harrington, Richard
中科院分区：
文献类型：
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作者：
Dubicka, Bernadka;Carlson, Gabrielle A.;Harrington, Richard
目的验证美国临床医生比英国临床医生更常诊断青春期前躁狂症的假设。方法向73名英国临床医生和85名美国临床医生提供5个小插曲。四个病例代表了复杂的情况，其中躁狂的诊断被认为是有争议的，一个病例是一个“经典”的躁狂病例，在一个较大的孩子中，人们认为这将是很好的共识。临床医生被要求确定躁狂的症状，以及他们的首选诊断。结果正如预测的那样，总体而言，美国的躁狂症诊断明显多于英国(P
Objective To test the hypothesis that US clinicians diagnose prepubertal mania more commonly than UK clinicians. Methods Five vignettes were presented to 73 UK clinicians and 85 US clinicians. Four cases represented complex scenarios where the diagnosis of mania was thought to be controversial, and one case was a 'classical' case of mania in an older child where it was thought there would be good agreement. Clinicians were asked to determine symptoms of mania, and their preferred diagnoses. Results As predicted, overall there were significantly more diagnoses of mania in the US than the UK ( P