Objective: To test whether two brief mania measures, the Parent General Behavior Inventory-10 Mania form (PGBI-10M) and 7-up, retain useful psychometric properties in a large population cohort, and to evaluate whether the PGBI-10M can identify Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS)-defined bipolar spectrum disorders in that setting. Method: Analyses used 11,000+ youths across late childhood and early adolescence from the Adolescent Brain Cognitive Development (ABCD) Study. For both PGBI-10M and 7-Up, we estimated descriptive statistics, internal consistency, confirmatory factor models, graded response models, and measurement-based care benchmarks (minimally important difference, reliable change, and clinical cutpoints). For the PGBI-10M, receiver operating characteristic (ROC) analyses estimated concurrent classification accuracy for bipolar diagnoses at baseline and 2-year follow-up and compared area under the curve (AUC) values with prior outpatient and community mental health samples. Results: Scores were lower than in clinical samples, but both measures remained psychometrically sound. The PGBI-10M showed alpha=.87-.88 and omega=.88; the 7-Up showed alpha=.78 and omega=.79. Longitudinal analyses indicated threshold differences across waves, likely reflecting caregiver recalibration and developmental changes, with modest impact on estimates. ABCD-based benchmarks supported meaningful and reliable change. The PGBI-10M discriminated bipolar cases (AUC=0.68 baseline; 0.77 follow-up), though performance was lower than in clinical samples. Positive predictive values were low in this population. Conclusion: The PGBI-10M and 7-Up support monitoring of manic and mixed symptoms, but the PGBI-10M alone is insufficient for universal bipolar screening. Brief mania scales are best used for targeted assessment and longitudinal monitoring within multi-informant workflows.
Competing Interest StatementEric A. Youngstrom is the co-founder and Executive Director of Helping Give Away Psychological Science, a 501c3; he has consulted about psychological assessment with Signant Health and received royalties from the American Psychological Association and Guilford Press, and he holds equity in Joe Startup Technologies and held equity in Autism Intervention Measures
Funding StatementThis study did not receive any funding
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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:
This study used secondary analyses of de-identified datasets. Each study received institutional review board approval at participating sites, and informed consent and assent were obtained from participants and their caregivers. The present analyses were conducted in accordance with local institutional policies and were considered exempt or not human subjects research by the Institutional Review Board at Nationwide Children's Hospital.
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Data AvailabilityThe data supporting the findings of this study are available from the corresponding author upon reasonable request.
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