1. Introduction
One criterionforvalidatingpsychiatricdiagnosesisthatofdiag-
nosticstability(RobinsandGuze,1970). Diagnosticstabilitymaybe
defined asthedegreetowhichadiagnosisisconfirmed atsubsequent
assessment points(Fennigetal.,1994).Surprisingly,thediagnostic
stabilityofthediagnosisofpediatricbipolardisorderhasneverbeen
investigatedinanylargerlong-termstudy.TheNationalInstituteof
Mental (NIMH)funded “PhenomenologyandCourseofPediatric
BipolarDisorder” study(GellerandTillman,2005;Gelleretal.,
2008) hasneveraddressedindetailwhatproportionofthesample
continues tohavethesamediagnosis,asrecentlyhighlighted(Carlson,
2011), althoughitismentionedthat “subjectsremainedbipolarand
didnotdevelopschizophrenia,ADHDorotherpsychiatricdisorders
during4-yearprospectivefollow-up” (GellerandTillman,2005). In
fact, thereisonestudyonlyincluding91childrenandadolescents
with bipolardisorder,whichfoundthat86%fulfilledcriteriaformania
บทนำหนึ่ง criterionforvalidatingpsychiatricdiagnosesisthatofdiag-nosticstability(RobinsandGuze,1970) Diagnosticstabilitymaybeกำหนด asthedegreetowhichadiagnosisisconfirmed atsubsequentpoints(Fennigetal.,1994) การประเมิน น่าแปลก thediagnosticstabilityofthediagnosisofpediatricbipolardisorderhasneverbeeninvestigatedinanylargerlong-termstudy TheNationalInstituteofจิต (NIMH) ทุน "PhenomenologyandCourseofPediatricศึกษา BipolarDisorder" (GellerandTillman, 2005 Gelleretal.,hasneveraddressedindetailwhatproportionofthesample 2008)ต่อ tohavethesamediagnosis, asrecentlyhighlighted(Carlson,2011), althoughitismentionedthat "subjectsremainedbipolaranddidnotdevelopschizophrenia, ADHDorotherpsychiatricdisordersduring4-yearprospectivefollow-อัพ (GellerandTillman, 2005) ในความจริง thereisonestudyonlyincluding91childrenandadolescentsกับ bipolardisorder, whichfoundthat86% fulfilledcriteriaformania
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