Implementing the semi-structured interview Kiddie-SADS-PL into an in-patient adolescent clinical setting: impact on frequency of diagnoses. The K-SADS is a semi-structured diagnostic interview designed to assess current and past episodes of psychopathology in children and adolescents according. The K-SADS-III-R is compatible with DSM-III-R criteria. This version of the SADS provides 31 diagnoses within affective disorders (including depression, bipolar.
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One limitation of the K-SADS is that it requires extensive training to give properly, including observation techniques, score calibration, and re-checks to test inter-rater reliability.
Retrieved from ” https: In Israel, Shanee et al. Validity studies of the Schedule for Affective Disorders and Schizophrenia for School-Age Children K-SADS interview are modest in number given the international acceptance and extensive use of this instrument in epidemiological and treatment research. In that sample, Isr J Psychiatry Relat Sci. It is important to highlight that non-disordered children according to K-SADS-PL final diagnoses included not only asymptomatic children but also sub-threshold children.
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First, a screening instrument kisdie applied to the entire sample to identify suspected cases, and second, a diagnostic instrument is applied to all positive children a smaller number and to kkiddie representative sample of negative children a bigger number. Because sources of referral include health professionals, schools, social services, and parents themselves, the group of children scheduled for first appointment is heterogeneous in terms of psychopathology, including children without disorders and clinical cases of different severity levels.
Finally, in the Netherlands, Wassenberg et al.
Epidemiology of childhood disorders in a cross-cultural context. Please help improve this section by adding citations to reliable sources. There are currently four different versions of the test that are structured to include interviews with both the child and the parents or guardians.
Significant differences in CBCL mean T-scores were observed between disordered and non-disordered children. The same was noted for the group of children with one or more positive diagnostic areas in the clinician screen interview compared to subjects with negative clinician screen results mean T-scores: This study provides a substantial additional amount of convergent-divergent validity data related to this extensively used diagnostic instrument.
Journal of Child and Eads Psychopharmacology.
Association between different kiddis approaches for child and adolescent psychopathology. Study participants included 26 girls mean age J Child Psychol Psychiat. The objective of this study was to assess the convergent-divergent validity of the screen criteria and depression diagnoses major depressive episode generated with the diagnostic interview Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version K-SADS-PL.
Results Study participants included 26 girls mean age Assessment of children and adolescents can present unique challenges. A total of 25 subscales were included in calculations. Epidemiology and child psychiatry: If a primary symptom is not endorsed, additional symptoms for that disorder will not be queried. There are no meta-analytic reviews of the reliability or validity of many of the versions.
This article has been cited by other articles in PMC. Published online Oct One of the most significant contributions to the field by Department of Psychiatry investigators is the development and testing of diagnostic tools for research and clinical practice. For instance, the clinician considered 27 children positive for specific phobia in the screen interview, but only 13 had specific phobia confirmed as a final diagnosis. Most versions of the K-SADS also include “probes” or examples of questions that elicit symptom information.
K-SADS-PL – Kiddie-Sads-Present and Lifetime Version
In addition, the lack of children from the general population in the study sample to increase the number of non-disordered children is a study limitation that must be recognized, since study results could have varied as a consequence of sample composition. Initial reliability and validity data”. Both convergent and divergent validity of the depression diagnoses were assessed against 11 standard self-report or parent-report rating scales, all of which had been translated, adapted and in most cases validated in Iceland.
The internal consistency and concurrent validity of a Spanish translation of the Child Behavior Checklist. In validity studies involving the use of instruments to evaluate child psychopathology, child psychiatric diagnoses obtained from structured or semi-structured interviews have been compared to behavior checklists’ scores based on parental information [ 19 ].
For example, mood symptoms are more challenging to evaluate in children than in adults. However, there is need for greater attention to the development of epidemiological assessment tools to suit local conditions [ 5 ]. According to Kasius et al. However, this version specifically expands the mania section in order to be more applicable to pre-pubertal mania. Once translation and back-translation were completed, validity of the instrument was examined within the new context as recommended by Streiner and Norman [ 10 ].
Each item is rated on a rating scale. The different adaptations of the K-SADS were written by different researchers and are used to screen for many affective and psychotic disorders. A total of 29 studies met the review inclusion criteria, but only a study conducted in Korea [ 28 ] applied the K-SADS-PL as a source of comparison diagnosis. In our sample, the only non-significant p value. Is it possible to carry out high-quality epidemiological research in psychiatry with limited resources?
If the probe is not endorsed, additional symptoms for that particular disorder will not be queried. The greater degree of clinical judgment required has also made the K-SADS less suitable for large epidemiological projects, which usually need to use interviewers with little prior clinical experience.
Three Brazilian experienced professionals two child psychiatrists and one psychologist were responsible for the translation to Portuguese with special attention to different dimensions of equivalence including cultural adaptation. When seeing how closely our measure of child psychopathology K-SADS-PL is related to other measures of the same construct to which it should be related CBCL consists in the assessment of convergent validity [ 10 ].
Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses. Archives of General Psychiatry. Diagnostic and Statistical Manual of Mental Disorders. In addition, scientific tools need to be further developed to allow valid international comparisons that will help in understanding the commonalities and differences in the nature of mental disorders and their management across different cultures [ 6 ].