{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:53:10Z","timestamp":1790189590112,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2011,10,1]],"date-time":"2011-10-01T00:00:00Z","timestamp":1317427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Child and Adolescent Psychopharmacology"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examines diagnoses that occur in an outpatient sample when both parent and teacher endorse significant manic symptoms and when only a parent observes them. We hypothesized that the diagnosis of mania\/bipolar (BP) disorder would occur when there is parent\/teacher concordance on high mania symptom scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Subjects were 911 5\u201318-year-old psychiatrically diagnosed youths with caregiver and teacher completed Child Mania Rating Scales (CMRSs) and Achenbach parent and teacher forms. Parent\u2013teacher concordance on the CMRS was defined as both informants \u226575 percentile on the CMRS; discordance on the CMRS was defined as parent \u226575 percentile and teacher \u226425 percentile. Logistic regression examined factors associated with a child's parent and teacher ratings concordant for high CMRS total scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Correlation between parent CMRS (CMRS-P) and teacher CMRS (CMRS-T) scores was\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      =0.27 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.000). Correlation between the CMRS-P and the Child Behavior Checklist \u201cbipolar\/dysregulation\u201d phenotype was\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      =0.757 and between the CMRS-T and Teacher Report Form \u201cbipolar\/dysregulation\u201d phenotype was\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      =0.786. A total of 66 (7.3%) of the 911 children were diagnosed with BP I (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =20) or II (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =3) or BP disorder not otherwise specified (BPNOS,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =43). If the CMRS-P score was \u226515, 14.7% (vs. 4.4%) had any BP (odds ratio: 3.6; 95% confidence interval: 2.1, 6.2). Teacher agreement or disagreement did not add to diagnostic accuracy for students with BP I or II. BPNOS was more common in children with concordant high CMRS-P and CMRS-T ratings (10.5% vs. 4.8%) but the difference was not statistically significant. However, logistic regression indicated 10-fold greater odds of both parents and teachers, providing high CMRS ratings among children who were diagnosed with externalizing disorders (attention-deficit\/hyperactivity disorder, oppositional defiant disorder, conduct disorder, or any combination of these). Children with internalizing disorders (anxiety and depressive disorders) were 3.7 times more likely to have discordant CMRS-P\/CMRS-T ratings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Parent and teacher concordance on high mania rating scale scores was most associated with externalizing disorders, and discordance was most associated with internalizing disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/cap.2011.0007","type":"journal-article","created":{"date-parts":[[2011,10,31]],"date-time":"2011-10-31T11:27:00Z","timestamp":1320060420000},"page":"399-405","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Diagnostic Implications of Informant Disagreement for Manic Symptoms"],"prefix":"10.1177","volume":"21","author":[{"given":"Gabrielle A.","family":"Carlson","sequence":"first","affiliation":[{"name":"Stony Brook University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph C.","family":"Blader","sequence":"additional","affiliation":[{"name":"Stony Brook University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,10,1]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Manual for the Child Behavior Checklist 4\u201318, 1991 Profile","author":"Achenbach TM","year":"1991","unstructured":"Achenbach TM. Manual for the Child Behavior Checklist 4\u201318, 1991 Profile. Burlington, VT: University of Vermont Dept Psychiatry, 1991a."},{"key":"e_1_3_2_3_1","volume-title":"Manual for the Teacher Report Form","author":"Achenbach TM","year":"1991","unstructured":"Achenbach TM. Manual for the Teacher Report Form. Burlington, VT: University of Vermont Dept Psychiatry, 1991b."},{"key":"e_1_3_2_4_1","volume-title":"Manual for the Child Behavior Checklist","author":"Achenbach TM","year":"1983","unstructured":"Achenbach TM, , Edelbrock C. Manual for the Child Behavior Checklist. Burlington, VT: University of Vermont Dept Psychiatry, 1983."},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.101.2.213"},{"key":"e_1_3_2_6_1","volume-title":"Manual for the ASEBA School-Age Forms and Profiles","author":"Achenbach TM","year":"2001","unstructured":"Achenbach TM, , Rescorla LA. Manual for the ASEBA School-Age Forms and Profiles. Burlington, VT: University of Vermont, 2001."},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.05.002"},{"key":"e_1_3_2_8_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Text Revision (DSM-IV-TR)","author":"American Psychiatric Association","year":"2000","unstructured":"American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Text Revision (DSM-IV-TR) Washington, DC: American Psychiatric Association, 2000."},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2009.02089.x"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2009.00671.x"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199504000-00013"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.08101569"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2008.0108"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(03)00068-4"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.131.4.483"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.09m05859yel"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2004.00306.x"},{"key":"e_1_3_2_18_1","volume-title":"Child Symptom Inventories Manual","author":"Gadow KD","year":"1994","unstructured":"Gadow KD, , Sprafkin J. Child Symptom Inventories Manual. Stony Brook, NY: Checkmate Plus, 1994."},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(98)00176-1"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(98)00175-X"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2011.533404"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.09m05835yel"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199912000-00019"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000205700.40700.50"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3104_10"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/10445460252943542"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.7.1278"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.133.5.429"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2004.05.016"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20462"}],"container-title":["Journal of Child and Adolescent Psychopharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/cap.2011.0007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cap.2011.0007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cap.2011.0007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:55:07Z","timestamp":1777388107000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/cap.2011.0007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,10]]}},"alternative-id":["10.1089\/cap.2011.0007"],"URL":"https:\/\/doi.org\/10.1089\/cap.2011.0007","relation":{},"ISSN":["1044-5463","1557-8992"],"issn-type":[{"value":"1044-5463","type":"print"},{"value":"1557-8992","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10]]}}}