 |
|
Performance of Screening Tools for Mental Health Problems in Chronically Ill Children
Emily Harris Canning, MD;
Kelly Kelleher, MD, MPH
Arch Pediatr Adolesc Med. 1994;148(3):272-278.
Abstract
We examined the sensitivity, specificity, positive predictive value, and negative predictive value of three different screens for child and adolescent emotional and behavioral disorders among a large group of chronically medically ill children and adolescents. The performance of the Child Depression Inventory (CDI), Pediatric Symptom Checklist (PSC), and Child Behavior Checklist (CBCL) in detecting emotional or behavioral disorders was compared with the diagnoses obtained by an intensive structured psychiatric interview (Diagnostic Interview Schedule for Children, Version 2.1) of 112 children and adolescents with chronic medical conditions, and their parents, recruited from a tertiary-care medical center. The CDI, PSC, and CBCL all demonstrated low sensitivity, positive predictive value, and negative predictive value, but high specificity. We conclude that these three commonly used screening tests performed poorly as screens because of their low sensitivity among children and adolescents with chronic medical conditions. The CDI, PSC, and CBCL should not be relied on as screening instruments for psychopathologic conditions in children and adolescents with chronic medical conditions. Although the screening measures studied may confirm a clinician's concern, the negative findings of this study suggest their use may be misleading and undermine the pediatrician's clinical judgment.
(Arch Pediatr Adolesc Med. 1994;148:272-278)
Author Affiliations
From the Department of Child and Adolescent Psychiatry, Western Psychiatric Institute and Clinics, University of Pittsburgh (Pa) (Dr Canning); and the Departments of Pediatrics and Psychiatry, University of Arkansas, Little Rock (Dr Kelleher).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Routine Psychological Screening in Youth With Type 1 Diabetes and Their Parents: A notion whose time has come?
Cameron et al.
Diabetes Care 2007;30:2716-2724.
FULL TEXT
Psychological Adjustment in Children and Families Living with HIV
New et al.
J Pediatr Psychol 2007;32:123-131.
ABSTRACT
| FULL TEXT
Brief Report: The Relationship Between Chronic Illness and Identification and Management of Psychosocial Problems in Pediatric Primary Care
Bilfield et al.
J Pediatr Psychol 2006;31:813-817.
ABSTRACT
| FULL TEXT
Use of the Pediatric Symptom Checklist in a Low-Income, Mexican American Population
Jutte et al.
Arch Pediatr Adolesc Med 2003;157:1169-1176.
ABSTRACT
| FULL TEXT
Performance of Screening Tools for Mental Health Problems in Chronically Ill Children
Jellinek and Murphy
Arch Pediatr Adolesc Med 1994;148:1354-1355.
ABSTRACT
|
