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Diagnosing alcohol and cannabis use disorders in adolescents with bipolar disorder: a preliminary investigation
- Authors:
- BLACK Jessica J., et al
- Journal article citation:
- Journal of Dual Diagnosis, 8(1), January 2012, pp.13-18.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to examine the accuracy of diagnosing substance use disorders in manic adolescents with bipolar disorder, by comparing diagnoses derived in 2 different ways and at 2 different times. Initial diagnoses were obtained through administering the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version semi-structured interview to 80 adolescents (12 to 21 years old) with co-occurring bipolar and substance use disorders. These were then compared to a best estimate diagnosis derived from a consensus conference using all available information (including data obtained from a second diagnostic interview using the Child Semi-Structured Assessment for the Genetics of Alcoholism, Adolescent version). The article reports on the data analysis and the results. The study found relatively low diagnostic agreement across the initial and the best estimate diagnoses for both alcohol and cannabis use disorders. The authors discuss the findings, concluding that the significant discrepancies in diagnoses indicate that a single interview alone may not be accurate for diagnosing substance use disorders in adolescents with bipolar disorder.