CORE-- BEHAVIORAL ASSESSMENT/CLINICAL DIAGNOSIS

核心——行为评估/临床诊断

• 批准号: 7357456
• 负责人: Harold Hill Goldsmith
• 金额: $ 20.22万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-01-01 至 2008-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7357456
• 关键词: 8 year old; Adolescent; Age; Area; Behavior; Behavior assessment; Biological; Characteristics; Child; Child Mental Health; Code; Cognitive; Daily; Development; Diagnosis; Diagnostic; Emotional; Emotions; Ensure; Event; Family Characteristics; Health behavior; Home environment; Home visitation; House Call; Hydrocortisone; Interview; Licensing; Life; Measures; Mental Health; Methods; Paper; Participant; Patient Self-Report; Problem behavior; Process; Protocols documentation; Psychometrics; Psychopathology; Publishing; Questionnaires; Receiver Operating Characteristics; Regulation; Risk Factors; Score; Source; Structural Models; Symptoms; Temperament; Testing; Time; Twin Studies; Videotape; Videotape Recording; behavior measurement; clinical Diagnosis; cognitive function; human subject; peer; social

The Behavioral Assessment/Clinical Diagnosis Core will be responsible for ensuring that a common set of age appropriate, self-report and behavioral measures are used in all four projects that employ human subjects. The aims of Project 4, Study A, and Project 5 are highly complementary; thus, they employ the same protocol for the home visits done at the early adolescent age period. The Core describes this multi-source, multi-method protocol in some detail. Areas of emphasis include Child Emotional Reactivity and Regulation (temperament); Child Mental Health; Child Attributional Styles (and other social cognitive measures; Child Cognitive Functioning (field tests); Family Characteristics; Peer Characteristics; Parental Mental Health; and Major Life Events and Daily Hassles. With our consultant, Dr. Dahl, the Core will conduct assessments of pubertal timing and also coordinate assessments (e.g., of basal and reactive cortisol in the home) with the Biological Core. In addition to this early adolescent protocol, the Core will process questionnaires and ensure high-quality coding of behavior from videotapes for younger children (7-8 years old) who participate in two twin studies described in Project 4. These assessments generate extensive videotaped records that must be objectively coded. This core will also conduct diagnostic interviews by licensed clinicians on select groups of participants, thus confirming diagnoses made in the field and benefiting Projects 1, 3, 4, and 5. Finally, with our consultant Dr. Kraemer, the Core will publish methodological papers on two topics: (1) Clarifyiing the relationship between categorical field diagnoses of child psychopathology with the DISC and prior and concurrent dimensional symptom scores from the Health and Behavior Questionnaire using Receiver Operating Characteristic (ROC) approaches. Many developmental factors will be incorporated into these analyses. (2) Examining the psychometric quality of the batteries of videotaped measures of emotion reactivity and regulation (temperament), using item analytic and structural modeling approaches. These latter measures capture key risk factors for internalizing behavioral problems.

行为评估/临床诊断核心将负责确保在所有四个雇用人类受试者的项目中使用一套共同的、适合年龄的自我报告和行为衡量标准。项目4、研究A和项目5的目的是高度互补的；因此，它们对青春期早期的家访采用相同的方案。核心对这种多源、多方法协议进行了较为详细的描述。重点领域包括儿童情绪反应和调节(气质)；儿童心理健康；儿童归因风格(和其他社会认知测量)；儿童认知功能(实地测试)；家庭特征；同伴特征；父母心理健康；以及重大生活事件和日常麻烦。在我们的顾问Dahl博士的帮助下，核心将进行青春期时机的评估，并与生物核心协调评估(例如，家中基础皮质醇和反应性皮质醇)。除了这一青少年早期协议外，该中心还将处理问卷，并确保对参与项目4中描述的两项双胞胎研究的年幼儿童(7-8岁)的行为进行高质量的编码。这些评估产生了大量必须客观编码的录像带记录。 该中心还将由有执照的临床医生对选定的参与者群体进行诊断性访谈，从而确认在现场做出的诊断，并使项目1、3、4和5受益。最后，与我们的顾问Kraemer博士一起，该中心将发表关于两个主题的方法学论文：(1)利用受试者操作特征(ROC)阐明儿童精神病理学的分类现场诊断与健康和行为问卷先前和同时的维度症状评分之间的关系 接近了。许多发展因素将被纳入这些分析。(2)采用项目分析和结构建模的方法，检验情绪反应和调节(气质)的成套录像带的心理测量质量。这些后一种措施捕捉到了将行为问题内在化的关键风险因素。