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Unfiltered Administration of the YMRS and CDRS-R in a Clinical Sample of Children

Yee, Andrea M.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1340296257

Abstract Details

2012, Master of Arts, Ohio State University, Psychology.
It is possible the two most commonly used mood measures in research on pediatric bipolar disorder (BD) are currently being misinterpreted: the Young Mania Rating Scale (YMRS) and the Children’s Depression Rating Scale – Revised (CDRS-R) (Young et al., 1978; Poznanki et al., 1984). Interpretation of a measure depends on its administration method (i.e., filtered versus unfiltered). Previous studies have demonstrated the YMRS and CDRS-R are able to discriminate their respective mood states from other disorders or no disorder when they are administered in a filtered way (Poznanzki et al., 1984; Fristad, Weller, & Weller, 1992; Fristad, Weller, & Weller, 1995; Frazier et al., 2007). When administered in an unfiltered way, items on the YMRS and CDRS-R could be capturing information about symptoms and behaviors not specific to mood episodes. The current study examined unfiltered administration of the YMRS and CDRS-R and had three aims: 1) test the diagnostic performance of the YMRS and CDRS-R with ROC analyses and likelihood ratios; 2) analyze group differences on total scores of the YMRS and CDRS-R with ANOVA; and 3) examine items on the YMRS and CDRS-R between groups with t-tests and logistic regression. Results show the YMRS and CDRS-R have good diagnostic performance when administered in an unfiltered way, with AUCs ranging from .705-.879. Participants with BD and depressive disorders (DD) consistently had higher scores than comparison groups on the YMRS and CDRS-R, respectively. Item analysis was exploratory in nature and highlighted potential clinical characteristic distinctions between diagnostic groups. Higher ratings on elevated mood and irritability increased the odds of a BD diagnosis across all comparison groups. Higher ratings on depressed affect increased the odds of a DD diagnosis across all comparisons. Although results need to be replicated in an independent sample, initial results provide support for good diagnostic efficiency of unfiltered administration of the YMRS and CDRS-R.
Mary A. Fristad, PhD (Advisor)
Michael Vasey, PhD (Committee Member)
Steven Beck, PhD (Committee Member)
Psychology
YMRS; CDRS-R; bipolar disorder; children

Recommended Citations

Citations

  • Yee, A. M. (2012). Unfiltered Administration of the YMRS and CDRS-R in a Clinical Sample of Children [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1340296257

    APA Style (7th edition)

  • Yee, Andrea. Unfiltered Administration of the YMRS and CDRS-R in a Clinical Sample of Children. 2012. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1340296257.

    MLA Style (8th edition)

  • Yee, Andrea. "Unfiltered Administration of the YMRS and CDRS-R in a Clinical Sample of Children." Master's thesis, Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1340296257

    Chicago Manual of Style (17th edition)

osu1340296257
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© 2012, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.