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Table 3.4.15 continued<br />

Author<br />

Year<br />

Reference<br />

Country<br />

Study design<br />

Setting<br />

Population<br />

Inclusion & exclusion criteria<br />

Prevalence<br />

Index test<br />

Reference test<br />

Number of patients<br />

Drop-out rate<br />

Rater<br />

Rater training<br />

Interobserver reliability<br />

Sensitivity<br />

Specificity<br />

Study quality<br />

Comments<br />

Frazier et al<br />

2007<br />

[108]<br />

USA<br />

Design<br />

Cross sectional<br />

Two different cohort studies<br />

Setting<br />

Research clinic<br />

Population<br />

1 014 children, either child<br />

psychiatric patients from<br />

treatment studies or children<br />

with bipolar parents or children<br />

recruited by fliers and word<br />

of mouth<br />

Mean age total sample:<br />

11.11 years (3.51),<br />

62% males, 38% females<br />

Index test<br />

YMRS<br />

Reference test<br />

K-SADS<br />

Number of patients<br />

n=1 014<br />

Drop-out rate<br />

Not reported<br />

Rater, index text<br />

Self rating<br />

Rater training, index test<br />

NA<br />

Rater<br />

From bachelor’s degrees<br />

to doctoral level<br />

Rater training<br />

Trained to criterion<br />

by completing ratings<br />

independently of an<br />

experienced rater<br />

over the course<br />

of three to five<br />

interviews<br />

YMRS ROC-AUC<br />

0.97<br />

Moderate<br />

Comments<br />

Sampling method<br />

Adequate<br />

Blinding<br />

NA<br />

Handling of missing data<br />

NA<br />

Inclusion criteria<br />

Age 4 to 17 years, and<br />

both caregivers present<br />

for assessment<br />

Exclusion criteria<br />

Oral difficulties, pervasive<br />

development disorder, autism,<br />

mental retardation or if the<br />

child had a current or past<br />

medical or neurological history<br />

New raters led 3 to 5<br />

K-SADS interviews with<br />

an experienced rater<br />

Interobserver reliability<br />

Interrater<br />

κ ≥0.95<br />

Prevalence<br />

53% (476/1 014) bipolar diagnosis<br />

The table continues on the next page<br />

190 diagnostik och uppföljning av förstämningssyndrom<br />

KAPITEL 3 • Systematisk litteraturgenomgång<br />

191

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