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Diagnostic efficiency and validity of the DSM-oriented Child Behavior Checklist and Youth Self-Report scales in a clinical sample of Swedish youth

PloS one, 2021-07, Vol.16 (7), p.e0254953-e0254953 [Peer Reviewed Journal]

COPYRIGHT 2021 Public Library of Science ;2021 Skarphedinsson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2021 Skarphedinsson et al 2021 Skarphedinsson et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0254953 ;PMID: 34293000

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Title:
Diagnostic efficiency and validity of the DSM-oriented Child Behavior Checklist and Youth Self-Report scales in a clinical sample of Swedish youth
Author: Skarphedinsson, Gudmundur ; Jarbin, Håkan ; Andersson, Markus ; Ivarsson, Tord
Olino, Thomas M.
Subjects: accuracy ; adolescent ; Adolescents ; agreement ; Anxiety ; Anxiety disorders ; Attention deficit hyperactivity disorder ; Biology and Life Sciences ; Child & adolescent psychiatry ; Child psychopathology ; Children ; Children & youth ; Clinical Medicine ; Diagnosis ; Diagnostic systems ; Efficiency ; Families & family life ; Interviews ; Klinisk medicin ; Medical and Health Sciences ; Medical research ; Medicin och hälsovetenskap ; Medicine and Health Sciences ; Medicine, Experimental ; Mental depression ; Mental disorders ; Obsessive compulsive disorder ; parent ; Parents ; Parents & parenting ; People and Places ; prevalence ; psychiatric-diagnosis ; Psychiatry ; Psychological aspects ; Psykiatri ; Questionnaires ; Ratings ; Science & Technology ; Self report ; services ; Signs and symptoms ; Social anxiety ; Social aspects ; Social Sciences ; Teenagers ; Validity ; Young adults ; Youth
Is Part Of: PloS one, 2021-07, Vol.16 (7), p.e0254953-e0254953
Description: The Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) are widely used measures of psychiatric symptoms and lately also adapted to the DSM. The incremental validity of adding the scales to each other has not been studied. We validated the DSM subscales for affective, anxiety, attention deficit/hyperactivity (ADHD), oppositional defiant (ODD), conduct problems (CD), and obsessive-compulsive disorder (OCD) in consecutively referred child and adolescent psychiatric outpatients (n = 267) against LEAD DSM-IV diagnoses based on the K-SADS-PL and subsequent clinical work-up. Receiver operating characteristic analyses showed that the diagnostic efficiency for most scales were moderate with an area under the curve (AUC) between 0.70 and 0.90 except for CBCL CD, which had high accuracy (AUC>0.90) in line with previous studies showing the acceptable utility of the CBCL DSM scales and the YSR affective, anxiety, and CD scales, while YSR ODD and OCD had low accuracy (AUC<0.70). The findings mostly reveal incremental validity (using logistic regression analyses) for adding the adolescent to the parent version (or vice versa). Youth and parent ratings contributed equally to predict depression and anxiety disorders, while parent ratings were a stronger predictor for ADHD. However, the youth ADHD rating also contributed. Adding young people as informants for ODD and OCD or adding the parent for CD did not improve accuracy. The findings for depression, anxiety disorders, and ADHD support using more than one informant when conducting screening in a clinical context.
Publisher: San Francisco: Public Library of Science
Language: English
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0254953
PMID: 34293000
Source: PLoS (Open access)
GFMER Free Medical Journals
PubMed Central
SWEPUB Freely available online
ProQuest Central
DOAJ Directory of Open Access Journals

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Diagnostic efficiency and validity of the DSM-oriented Child Behavior Checklist and Youth Self-Report scales in a clinical sample of Swedish youth

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