Assessment of Depression in Medically Ill Children Presenting to Pediatric Specialty Clinics

Shemesh, Eyal; Yehuda, Rachel; Rockmore, Lori; Shneider, Benjamin L.; Emre, Sükrü; Bartell, Abraham; Schmeidler, James; Annunziato, Rachel A.; Stuber, Margaret L.; Newcorn, Jeffrey H.

doi:10.1097/01.chi.0000181043.29208.a2

Cited by 32 publications

(29 citation statements)

References 18 publications

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“…For the screener ChilD-S, there are two optimal cut-off points with an excellent sensitivity (C0.91) and at the same time a high specificity (C0.85). Both cutoff points yielded higher sensitivity values than those found in similar studies [29,33,36,38,39], in which sensitivity ranged between 0.60 and 0.81. At the same time the ChilD-S achieved an at least comparable specificity to the other questionnaires, since these studies found values of specificity between 0.70 and 0.86.…”

Section: Discussioncontrasting

confidence: 65%

“…In general, the PPVs are rather low for most screening instruments (e.g. PPV of MFQ-C = 0.21 [38]; PPV of CDI = 0.38 [29]; PPV of CDI = 0.38 [36]). Therefore, screening can only be considered as a first step in a diagnostic process.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Craighead and colleagues [33] validated the CDI in a psychiatric sample of 12-to 18-year-old adolescents by comparing it to the K-SADS-Epidemiological Version [34,35] and found a sensitivity of 0.81 and a specificity of 0.84. Shemesh et al [36] also tested the CDI in a pediatric sample of 8-to 19-year-old patients against the K-SADS-PL, resulting in a sensitivity of 0.80 and a specificity of 0.70. The studies of the CDI show diversely fitting values of sensitivity and specificity and thus it is unclear how the measure would perform specifically with pediatric populations.…”

Section: Introductionmentioning

confidence: 97%

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Children’s Depression Screener (ChilD-S): Development and Validation of a Depression Screening Instrument for Children in Pediatric Care

Frühe

Allgaier

Pietsch

et al. 2011

Child Psychiatry Hum Dev

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The aim of the present study was to develop and validate the Children's Depression Screener (ChilD-S) for use in pediatric care. In two pediatric samples, children aged 9-12 (N(I) = 200; N(II) = 246) completed an explorative item pool (subsample I) and a revised item pool (subsample II). Diagnostic accuracy of each of the 22 items from the revised pool was evaluated in order to select the best items for the brief instrument ChilD-S. Areas under the curve (AUCs) of the revised item pool and the ChilD-S were compared. A diagnostic interview, the Kinder-DIPS, served as gold standard. For the purpose of screening for depressive disorders in children, the eight-item ChilD-S (AUC = 0.97) performed just as well as the revised 22-item pool (AUC = 0.94). For the ChilD-S the optimal cut-off point of ≥11 yielded a sensitivity of 0.91 and a specificity of 0.89. The ChilD-S shows high potential for depression screening of children in pediatric care.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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Children’s Depression Screener (ChilD-S): Development and Validation of a Depression Screening Instrument for Children in Pediatric Care

Frühe

Allgaier

Pietsch

et al. 2011

Child Psychiatry Hum Dev

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“…Many physicians believe that feelings of depression and anxiety are normal responses during cancer treatment and therefore may overlook significant impairing symptoms (Kersun 2009). A study by Shemesh et al (2005) demonstrated that a lower cut-off score on the Children’s Depression Inventory (CDI) of 11 and above, instead of 13 to 15, the cut-off score used in the general population, correctly identified 80% of children with depression out of 125 medically ill children, with a specificity of 70%. The CDI has been evaluated in medically ill children and found to be diagnostically accurate in several settings including childhood cancer (Kersun 2009), but Shemesh’s study suggests clinicians should have a low threshold for diagnosing and treating depression in young cancer patients.…”

Section: Assessment/treatmentmentioning

confidence: 99%

Updates in paediatric psycho-oncology

Mavrides

Pao

2014

International Review of Psychiatry

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Childhood cancer accounts for less than 2% of all cancers diagnosed each year. About 12–14,000 children will be diagnosed in a given year with any type of cancer. Over the past fifty years, treatments and cure rates have improved from 10–20% five year survival rates to between 80–85% five year survival rates. Psychosocial support of children with cancer and their families has grown and has been more fully integrated into pediatric care over the past five decades. Increasing acceptance of the importance of addressing mental health has led to oncologists referring patients to specific resources and services. This paper provides updated information on psychosocial issues for those who treat children and adolescents with cancer and focuses on unique challenges for the pediatric psycho-oncologist.

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“…Esse achado encontra respaldo na literatura, que considera a anedonia como o componente mais específico da depressão em doentes crônicos, por ser, dentre toda a sintomatologia depressiva, aquele que menos é afetado pela condição de base 27 . Os escores significativamente maiores no domínio "Humor deprimido" entre os adolescentes estão em concordância com a literatura, que destaca o humor deprimido como um dos sintomas mais prevalentes no adolescente com depressão 16 .…”

Section: ≥ 13unclassified

Sintomas depressivos em crianças e adolescentes com anemia falciforme

Barreto

Cipolotti²

2011

J. bras. psiquiatr.

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rESUMo objetivo: Determinar a frequência de sintomas depressivos em crianças e adolescentes com anemia falciforme, bem como caracterizar e associar tal sintomatologia aos dados individuais. Métodos: Realizou-se um estudo transversal com portadores de anemia falciforme dos 7 aos 17 anos, atendidos em um ambulatório de Hematologia Pediátrica, os quais preencheram o Inventário de Depressão Infantil (CDI). resultados: Foram avaliados 76 pacientes, estabelecendo-se em 13 o ponto de corte. Vinte e seis pacientes (34,2%) apresentavam sintomas sugestivos de depressão. "Não ser tão bom quanto os outros colegas" foi o item mais pontuado, além de ter predominado significativamente naqueles com escore de CDI maior ou igual a 13, assim como as variáveis: ter pais separados ou viúvos e renda familiar mensal menor ou igual a R$ 510,00. O item "preocupação com dores" foi bem pontuado, independentemente da presença de sintomas depressivos (p = 0,1). Conclusão: A depressão em crianças e adolescentes com anemia falciforme ainda é pouco estudada. Os dados obtidos indicam frequência elevada de sintomas depressivos nessa população. Possivelmente, conviver precocemente com a separação dos pais e pertencer a uma família com baixa renda esteja relacionado ao desenvolvimento desses sintomas.

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Assessment of Depression in Medically Ill Children Presenting to Pediatric Specialty Clinics

Cited by 32 publications

References 18 publications

Children’s Depression Screener (ChilD-S): Development and Validation of a Depression Screening Instrument for Children in Pediatric Care

Children’s Depression Screener (ChilD-S): Development and Validation of a Depression Screening Instrument for Children in Pediatric Care

Updates in paediatric psycho-oncology

Sintomas depressivos em crianças e adolescentes com anemia falciforme

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