Convergent and divergent validity of K-SADS-PL anxiety and attention deficit hyperactivity disorder diagnoses in a clinical sample of school-aged children

Villabø, Marianne A.; Oerbeck, Beate; Skirbekk, Benedicte; Hansen, Berit Hjelde; Kristensen, Hanne Kaae

doi:10.3109/08039488.2015.1125944

Cited by 34 publications

(16 citation statements)

References 28 publications

(22 reference statements)

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“…In a recent study, the convergent and divergent validity of two diagnostic groups, anxiety disorders and ADHD was investigated. It was concluded that the K-SADS-PL generates valid diagnoses of anxiety and ADHD including the predominately inattentive subtype [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

Childhood ADHD and treatment outcome: the role of maternal functioning

Rasmussen

Storebø

Shmueli-Goetz

et al. 2018

Child Adolesc Psychiatry Ment Health

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BackgroundRelatively little is known about the role of maternal functioning in terms of attention deficit hyperactivity disorder (ADHD) symptoms, attachment style and resilience as predictive factors for treatment outcome when offspring are diagnosed with ADHD.ObjectiveTo investigate whether maternal functioning is associated with treatment outcome in children with ADHD.MethodsThe study formed part of a larger naturalistic observational study of children with ADHD. A battery of self-report measures was used to assess selected factors in maternal functioning at the point of referral (baseline data); adult ADHD-symptoms, adult attachment style and adult resilience. Associations between these domains and child treatment response were subsequently examined in a 1-year follow up.ResultsMaternal ADHD-symptoms and degree of resilience were significantly correlated to symptom reduction in offspring diagnosed with ADHD. However, the association between maternal attachment style and child treatment response as measured by the ADHD-RS did not reach statistical significance.ConclusionTo our knowledge, this is the first study to consider potential protective factors along with risk factors in maternal functioning and the impact on child treatment outcome. The study contributes to our knowledge of the potential role of maternal functioning in treatment outcome for children with ADHD.Electronic supplementary materialThe online version of this article (10.1186/s13034-018-0234-3) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Childhood ADHD and treatment outcome: the role of maternal functioning

Rasmussen

Storebø

Shmueli-Goetz

et al. 2018

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

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“…The K-SADS-PL [22,23] is a semi-structured interview in which symptoms of DSM-IV diagnoses are assessed in children and adolescents aged 6 to 18. The K-SADS-PL starts with an unstructured introductory interview, followed by a screen interview, and ends with five supplementary interviews that may or may not be conducted depending on the scores in the screening [22]; kappa = 0.76 for MDD and kappa = 0.84 for any anxiety disorder [28]); a good test-retest and reliability (kappa = 0.90 for MDD; kappa = 0.80 for any anxiety disorder [22]), and a moderate to sufficient convergent validity (r = 0.45-0.47, p < 0.01 for MDD [29]; B = 4.18, p < 0.01 in linear regression analyses concerning any anxiety diagnosis [30]).…”

Section: Schedule For Affective Disorders and Schizophrenia For Schoomentioning

confidence: 99%

Psychometric evaluation of two short versions of the Revised Child Anxiety and Depression Scale

et al. 2020

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Background: Anxiety and depression are common in children and adolescents, which can be detected via selfreport questionnaires in non-clinical settings like the school environment. Two short versions of the Revised Child Anxiety and Depression Scale (i.e., RCADS-25 and RCADS-20) seem to be feasible for administering at schools. The present study evaluated the psychometric properties of the RCADS-25 and RCADS-20 used as screening instruments for anxiety and depression in a general population of schoolchildren and adolescents. Methods: The RCADS-25 was completed by 69,487 schoolchildren and adolescents aged 8 to 18. The RCADS-25 and RCADS-20 broad anxiety scales are equal (15 items), but there are two versions of the major depressive disorder (MDD) scale: the RCADS-25 MDD scale (10 items) and the RCADS-20 MDD scale (5 items). The three scales were assessed on structural validity, internal consistency, test-retest reliability, criterion validity, and hypotheses for construct validity. Results: The RCADS-25/RCADS-20 broad anxiety scale demonstrated a sufficient structural validity (CFI = 0.98, TLI = 0.99, RMSEA = 0.03, SRMR = 0.03), internal consistency (alpha = 0.82), test-retest reliability (ICC = 0.73), criterion validity (AUC = 0.79), and all four hypotheses concerning construct validity were confirmed. The RCADS-25 MDD scale demonstrated a sufficient test-retest reliability (ICC = 0.70) and three out of four hypotheses concerning construct validity were confirmed, but its structural validity was suspect (CFI = 0.89, TLI = 0.94, RMSEA = 0.09, SRMR = 0.06). The RCADS-20 MDD scale demonstrated a sufficient structural validity (CFI = 0.97, TLI = 0.97, RMSEA = 0.08, SRMR = 0.04) and internal consistency (alpha = 0.72). Two out of four hypotheses concerning construct validity were confirmed. The test-retest reliability (ICC = 0.60) was insufficient. Since both MDD scales showed shortcomings, the shortening of the RCADS-25 MDD scale was reexamined post hoc by principal component and reliability analyses. The result was an MDD scale with seven items. Conclusions: The RCADS-25/RCADS-20 broad anxiety scale is valid and reliable for screening schoolchildren and adolescents, but the RCADS-25 and RCADS-20 MDD scales showed shortcomings. An MDD scale of seven items showed acceptable psychometric properties.

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“…In this longitudinal follow-up between 14 and 19 years, psychiatric diagnoses were assessed with the validated instrument Schedule for Affective Disorder and Schizophrenia for School-age Children Present and Lifetime version (K-SADS P/L) [20,21]. The Norwegian translation of the K-SADS P/L has been validated in school-aged children [22] and in Norwegian children with Obsessive Compulsive Disorder as part of a Nordic study [23]. The instrument is widely used in research and clinical practice in Norway [24], and has been further validated in other Nordic countries, with similar languages and medical care [25,26].…”

Section: Outcome Variablementioning

confidence: 99%

Is there an association between full IQ score and mental health problems in young adults? A study with a convenience sample

et al. 2020

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Background: Intelligence is the aggregate or global capacity of the individual to act purposefully, to think rationally and to deal effectively with the environment. Previous studies have shown that individuals with intellectual disability, IQ < 70, have increased risk of being diagnosed with one or more mental disorders. We wanted to investigate if this also applies to individuals with IQ between 70 and 85. Methods: In this study, data was abstracted from a longitudinal follow-up study of individuals with low birth weight and a control group. In the present study, mental health of participants with borderline IQ, defined as a full IQ score 70-84, were compared with mental health of a reference group with full IQ scores ≥85. Mental health at age 19 was assessed using the Schedule for Affective Disorder and Schizophrenia for School-age Children Present and Lifetime (K-SADS P/L) whereby scores meeting the diagnostic criteria for a mental disorder were defined as having mental health problems. In addition the participants completed the ADHD-rating scale and the Autism Spectrum Quotient form (AQ). Logistic regression analyses were used to calculate odds ratio (OR) with 95% confidence intervals (CI) for high scores on the K-SADS.Results: Thirty participants with borderline IQ and 146 controls were included. Sixteen (53%) of the participants with borderline IQ met the diagnostic criteria on the K-SADS for any diagnosis compared with 18 (12%) in the reference group (OR: 6.2; CI: 2.6-14.9). In particular the participants with borderline IQ had excess risk of ADHD and anxiety. These associations were slightly attenuated when adjusted for birth weight and parents' socioeconomic status. Conclusions: 53% of the participants with borderline IQ had increased risk for a research assessed psychiatric diagnosis compared to about one in ten in the reference group. The group with borderline IQ also had higher total scores and higher scores on some sub-scores included in the Autism Spectrum Quotient form. Our results points towards an increased vulnerability for mental illness in individuals with borderline low IQ.Trial registration: The main study is recorded by the Regional Committee for Health Research Ethics in Mid-Norway (as project number 4.2005.2605).

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Convergent and divergent validity of K-SADS-PL anxiety and attention deficit hyperactivity disorder diagnoses in a clinical sample of school-aged children

Abstract: Hjelde; Kristensen, Hanne. Convergent and divergent validity of K-SADS-PL anxiety and attention deficit hyperactivity disorder diagnoses in a clinical sample of school-aged children.

Cited by 34 publications

References 28 publications

Childhood ADHD and treatment outcome: the role of maternal functioning

Childhood ADHD and treatment outcome: the role of maternal functioning

Psychometric evaluation of two short versions of the Revised Child Anxiety and Depression Scale

Is there an association between full IQ score and mental health problems in young adults? A study with a convenience sample

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