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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In our sample, the only non-significant p value.
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. This strategy favors the study feasibility, but if the screening and the diagnostic instruments do not have convergent validity, the quality of data collected may be compromised.
For example, mood symptoms are more challenging to evaluate in children than in adults.
Association between different diagnostic approaches for child and adolescent psychopathology. Cross kdidie issues in research on child mental health. The K-SADS is a semi-structured interview to measure current and past symptoms of mood, anxiety, psychotic, and disruptive behavior disorders in children ages years old. Authors’ kicdie Both authors planned the study, participated in data analysis, data interpretation, drafting and critical review of this manuscript, and have read and approved the final manuscript.
In order to reduce costs of large epidemiological studies, child mental health evaluation is usually performed in two consecutive phases. Study participants included 26 girls mean age 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.
Anxiety disorders included social phobia, agoraphobia, specific phobias, separation anxiety disorder, generalized anxiety disorder, obsessive compulsive disorder, panic disorder, acute stress disorder, and posttraumatic stress disorder. However, divergent validity was only partially supported in this highly comorbid inpatient sample. If the probe is not endorsed, additional symptoms for that particular disorder will not be queried. However, further research is needed to find the appropriate CBCL cut-off T-score to identify children and adolescents free of psychopathology in community samples.
Support Center Support Center. This section does not cite any sources. Although our sample can be considered small, it is compatible with sample sizes of other validity studies regarding psychiatric interview schedules for children and adolescents [ 25 ]. Archives of General Psychiatry.
Each item is rated on a rating scale. Revista Brasileira de Psiquiatria. J Abnormal Child Psychol. The K-SADS has become one of the most widely used diagnostic kiddi in research and clinical care.
K-SADS-PL – Kiddie-Sads-Present and Lifetime Version
Clinicians must be aware of the importance of using their best clinical judgment when integrating information from children and caregivers, and of taking into account familial and socio-cultural factors when interpreting informant answers. Competing interests The authors declare that they have no competing interests.
However, this version specifically expands the mania section in order to be more applicable to pre-pubertal mania. Epidemiology of childhood disorders in a cross-cultural context.
Kiddie Schedule for Affective Disorders and Schizophrenia
Published online Oct Retrieved from ” https: Extensive field-testing helped find adequate wording understandable by children and low-educated parents. Most versions of the K-SADS also include “probes”, if these are endorsed, another diagnostic category will be reviewed. Child and Adolescent Mental Health. Just one screening item from determined diagnostic area achieving the threshold indicates the need of further assessment with complementary items from the same diagnostic area that are included in the related supplement.
Open in a separate window. In Israel, Shanee et al.
Despite the important content differences at the item-symptom level between available problem checklists and criteria for psychiatric disorders used by many clinicians and researchers [ 3 ], both approaches are needed, useful and complementary.
The authors reported good to excellent validity of diagnoses based on kappa statistics. All children provided oral consent and assent to participate.
In addition, when the study sample includes low-educated mothers, the CBCL should be applied by a trained interviewer who may be a lay person. The Brazilian version of K-SADS-PL was developed from the original English version 7 using recommended procedures for translation, back-translation and cultural adaptation [ 13 – 16 ].
Results Study participants included 26 girls mean age The first version of the K-SADS differed from other tests on children because it relied on answers to interview questions rather than observances during games and interactions. The skip-out criteria take into account the threshold of symptom severity from each of the 82 screening items for 20 diagnostic areas. Participants were 86 consecutively admitted inpatients aged years and their parents.
Convergent validity was confirmed, with adolescents who screened positive or met criteria for major depressive episode scoring higher than other patients did on scales assessing depressive symptoms. Research tools and methods should not be imported from one country to another without careful analysis of the influence and effect of cultural factors on their reliability and validity.
Severity based on number of diagnostic criteria met had a generally substantial correlation with the rating scales.