Andrew J. Freeman

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The overarching goal of this article is to examine the current best evidence for assessing bipolar disorder (BPD) in children and adolescents and provide a comprehensive, evidence-based approach to diagnosis. Evidence- based assessment strategies are organized around the "3 Ps" of clinical assessment: Predict important criteria or developmental(More)
OBJECTIVE The objectives of this study were to examine how often clinicians judged youths or caregivers to not be credible informants, to identify the associated features of youth or caregiver credibility, and to examine credibility's impact on the validity of mood and behavior checklists. BACKGROUND Clinicians often have the experience of talking to a(More)
OBJECTIVE Research on adults with cyclothymic disorder (CycD) suggests that irritability and impulsive aggression (IA) are highly prevalent among this population. Less is known about whether these behaviors might also distinguish youth with CycD from youth without CycD. Additionally, little is known about how irritability and IA relate to one another, and(More)
OBJECTIVE The revision of the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5) added a new diagnosis of disruptive mood dysregulation disorder (DMDD) to depressive disorders. This study examines the prevalence, comorbidity, and correlates of the new disorder, with a particular focus on its overlap with oppositional defiant disorder(More)
INTRODUCTION Cross-informant disagreement is common and results in different interpretations of a youth's behavior. Theoretical explanations for discrepancies typically rely on scale level analyses. This article explores whether caregivers and adolescents differ in when they notice and report symptoms of youth mania depending on the severity of overall(More)
OBJECTIVE Compare the accuracy, agreement, internal consistency, and interrater reliability of 3 interviews to assess suicidal ideation and behavior in accordance with US Food and Drug Administration guidance about reporting categories. METHOD Adults admitted to a psychiatric inpatient unit (N = 199) completed 3 assessments of past month and lifetime(More)
Pediatric bipolar disorder (PBD) remains a controversial diagnosis due in part to questions about the developmental appropriateness of manic symptoms. Three phenotypes have been proposed that differentially place importance on episodes, irritability, and elated mood/grandiosity. Participants were 1,395 outpatients (845 males) ages 5-17 years presenting from(More)
Estimates indicate that intimate partner violence (IPV) occurs in approximately 30% of relationships and up to 85% of the relationships of men in substance abuse treatment. However, partners consistently display poor agreement in reporting the presence of IPV. Social desirability is frequently offered as the primary reason for under-reporting of IPV by(More)
Inconsistency scales represent a promising method for separating valid and invalid personality profiles. In a sample of 1,258 participants in the waiting room of the emergency department of an urban university hospital, we examined whether data from participants with profiles flagged as invalid (n = 132) using the Variable Response Inconsistency (VRIN) or(More)
Robust screening measures that perform well in different populations could help improve the accuracy of diagnosis of pediatric bipolar disorder. Changes in sampling could influence the performance of items and potentially influence total scores enough to alter the predictive utility of scores. Additionally, creating a brief version of a measure by(More)
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