|
August 3,2006
The Jeannie and Jeffrey Illustrated Interview includes many of the subjective symptoms of bipolar disorder and major depression that parents may not observe. Please note that only an experienced diagnostician can diagnose early-onset bipolar disorder. Please see below for a complete explanation of the Jeannie and Jeffrey scores and dimensions.
To print this page use your browser's print feature.
Child Name:
Child DOB:
CORE INDEX SCORE:
INDICATES: |
10
Probable PBD, Core features
|
TOTAL SCORE:
INDICATES: |
22
Probable PBD, Mild Illness
|
SCREENING ALGORITHMS
INDICATE: |
Probable DSM-IV Bipolar Disorder diagnosis
|
| DIMENSIONS OF IMPAIRMENT: |
|
| Dimension |
Present |
Scale |
| Low threshold for anxiety |
Yes |
2/2 |
| Sleep/wake cycle disturbance |
Yes |
1/2 |
| Sensory sensitivity |
Yes |
1/2 |
| Attention deficit |
Yes |
1/1 |
| Executive functions deficit |
Yes |
1/2 |
| Grandiosity |
Yes |
1/1 |
| Mania |
Yes |
7/9 |
| Depression |
Yes |
4/9 |
| Poor frustration tolerance |
Yes |
3/3 |
| Poor regulation of aggressive impulses |
Yes |
1/2 |
| Fear of harm |
Yes |
3/6 |
| Carbohydrate craving |
Yes |
1/1 |
| Hypersexuality |
No |
0/1 |
Suicide Threat: No indication on the Jeannie and Jeffrey interview.
Psychosis: No indication on the Jeannie and Jeffrey Interview.
Ultra-rapid cycling: This child often has abrupt mood changes in the course of a day.
The Jeannie and Jeffrey items are rated on a likert scale of 1-4 for frequency of occurrence. The Jeannie and Jeffrey provides three indicators of Pediatric Bipolar Disorder (PBD): total score, Core Index Score, and Screening Algorithms. The Core Index Score and total score are available to parents.
The Jeannie and Jeffrey Core Index score is the number of core symptoms and features rated "2", "3" or "4". The range of possible scores is 0-18. The Jeannie and Jeffrey Core Index is keyed to CBQ items that were found to easily distinguish between children with bipolar disorder and those with ADHD and no mood disorder and to be highly concordant between affected sibling pairs.
The Jeannie and Jeffrey total score is the number of items rated "2," "3"or "4." The range of possible scores is 0-40. In general terms, the higher the total score, the more severe the mood disturbance.
The Jeannie and Jeffrey screening algorithms are combinations of symptoms rated "2," "3" or "4" that aid in identifying children who may meet DSM-IV symptom criteria for Bipolar Disorder (inclusive of BP I, BPII, and BP-NOS), ADHD without mood disorder, and co-occurring DSM-IV Bipolar Disorder and ADHD.
The Jeannie and Jeffrey dimensions of impairment are represented by one or more Jeannie and Jeffrey items. The score for each dimension is depicted graphically on a scale and as a proportion of items endorsed over the total number of items representing that dimension. Suicide Threat and Fear of Harm, if present, are listed with links to research evidence related to corresponding items on the CBQ.
The Jeannie and Jeffrey Interview was developed by JBRF director of research, Demitri Papolos, M.D, as an illustrated child-report version of the Child Bipolar Questionnaire (CBQ) for use with children under 12 years old. The parent-report CBQ was designed to aid clinicians in the early detection of bipolar disorder in children and adolescents. While it is generally agreed that early-onset bipolar disorder has a different presentation than its adult counterpart, the DSM has not yet incorporated a clear clinical definition of the disorder in childhood. The JBRF data acquisition program has made it possible to conduct a dimensional analysis of symptom data from a large sample of children (N=2795) with either a clinical diagnosis of bipolar disorder (inclusive of BPI, BPII, and BP-NOS) or several symptoms of mania. The resulting set of core features and symptoms are measured by the CBQ Core Index. Because of the high heritability of this set of symptoms, scores on these core items may represent persistent traits of PBD. This question is currently the subject of research being conducted by the JBRF.
If you would like to participate in this research program, please click http://jbrf.org/surveys/index.html. To read more about the development of the CBQ and its psychometric properties, please click http://jbrf.org/research/validation.html. To access recently published articles about the Core phenotype of pediatric bipolar disorder and CBQ-based research on the clinical correlates of suicide threat and aggressive behavior, click http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed.
The Jeannie and Jeffrey can not make a definitive diagnosis, which requires a careful diagnostic evaluation by a physician, nurse practitioner, or other qualified clinician. Only an experienced diagnostician with a full understanding of the family history, as well as the symptoms and behaviors that the child exhibits, is qualified to make a diagnosis of bipolar disorder. The Jeannie and Jeffrey may serve as an integral part of such an evaluation. Please contact us with any questions you may have about administration or scoring of The Jeannie and Jeffrey Illustrated Interview for Children by writing to research@jbrf.org.
Close Window to return to your Summary Page
|
