Schedule for affective disorders and schizophrenia for school-age children (K-SADS-PL) for the assessment of preschool children--a preliminary psychometric study.

Schedule for affective disorders and schizophrenia for school-age children (K-SADS-PL) for the assessment of preschool children--a preliminary psychometric study.
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DOI:
10.1016/j.jpsychires.2008.10.003
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发表时间:
2009-04
影响因子:
4.8
通讯作者:
Brent DA
Brent DA
中科院分区:
医学2区
文献类型:
--
作者:
Birmaher B;Ehmann M;Axelson DA;Goldstein BI;Monk K;Kalas C;Kupfer D;Gill MK;Leibenluft E;Bridge J;Guyer A;Egger HL;Brent DA

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评估现行和终生版学龄儿童情感障碍和精神分裂症表 (KSADS-PL) 在诊断学龄前儿童 DSM-IV 精神疾病和亚综合征症状方面的心理测量学。家长接受了有关使用 KSADS-PL 的孩子的采访,并完成了早期儿童量表 4 (ECI-4) 和 1.5-5 岁儿童行为检查表 (CBCL)。一项正在进行的研究对 204 名 2-5 岁父母的后代进行了 KSADS-PL 的判别效度、发散效度和收敛效度的评估。评估者间的可靠性以及摄入诊断的预测有效性在摄入后大约两年的第二次评估中进行了评估。还对 14 名儿童进行了学龄前精神评估 (PAPA) 的评估。被诊断患有对立违抗障碍、注意力缺陷多动障碍、焦虑、情绪或消除障碍的儿童在 ECI-4 上的得分显着高于没有这些障碍的儿童。所有收敛 CBCL 量表均发现显着相关性。对于情绪障碍,发散效度是可以接受的。所有诊断的评估者间 kappa 系数均良好。对于至少有一种 KSADS-PL 关键筛查症状呈阳性的儿童,上述结果相似。与没有摄入障碍的儿童相比,有摄入障碍的儿童在摄入后大约两年进行诊断的比例明显更高。总体而言,PAPA 和 KSADS-PL 之间存在一致性。在进一步测试之前,K-SADS-PL 可能对学龄前儿童的精神病理学评估有用。
To assess the psychometrics of the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime Version (KSADS-PL) in diagnosing DSM-IV psychiatric disorders and subsyndromal symptomatology in preschool children. Parents were interviewed about their children using the KSADS-PL, and they completed the Early Childhood Inventory-4 (ECI-4) and Child Behavior Checklist for Ages 1½–5 Years (CBCL). Discriminant, divergent, and convergent validity of the KSADS-PL were evaluated in 204 offspring ages 2–5 years old of parents from an ongoing study. Inter-rater reliability as well as predictive validity of intake diagnoses at second assessment approximately two years after intake were evaluated. Fourteen children were also assessed by the Preschool Age Psychiatric Assessment (PAPA). Children who were diagnosed with Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorder, anxiety, mood, or elimination disorders had significantly higher scores on the ECI-4 than children without these disorders. Significant correlations were found for all convergent CBCL scales. Divergent validity was acceptable for emotional disorders. Inter-rater kappa coefficients for all diagnoses were good. Above noted results were similar for children with at least one positive KSADS-PL key screen symptom. A significantly higher percentage of children with an intake diagnosis had a diagnosis approximately two years after intake compared to those without an intake disorder. Overall, there was consistency between the PAPA and the KSADS-PL. Pending further testing, the K-SADS-PL may prove useful for the assessment of psychopathology in preschoolers.
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发表时间: 1973-01-01
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DOI: 10.1176/appi.ajp.162.6.1108
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