Establishing a training plan and estimating inter-rater reliability across the multi-site Texas childhood trauma research network

Shahidullah, Jeffrey D.; Custer, James; Widales-Benitez, Oscar; Aksan, Nazan; Hatchell, Carly; Newport, D. Jeffrey; Wagner, Karen Dineen; Storch, Eric A.; Claassen, Cynthia A.; Garrett, Amy; Ugalde, Irma; Weber, Wade; Nemeroff, Charles B.; Rathouz, Paul J.

doi:10.1016/j.psychres.2023.115168

Cited by 3 publications

(3 citation statements)

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“…In support of this training and monitoring process, Shahidullah et al. (2023) found that item‐level interrater reliability estimates from TX‐CTRN interviewers were high for all three structured interviews, TESI‐C: Mdn κ = .79, 95% lower confidence bound (LCB) = .66; CAPS‐CA‐5: Mdn κ = .71, 95% LCB = .62, MINI‐MDE Mdn κ = .87, 95% LCB = .82. Due the trauma‐focused nature of the broader registry study, symptom‐level data from the TESI‐C and CAPS‐CA‐5 were collected for research purposes and entered into an electronic database system at each of the 12 research sites.…”

Section: Methodsmentioning

confidence: 97%

“…Shahidullah et al. (2023) provide a more detailed overview of the study infrastructure and the interviewer training and monitoring protocol for this multisite study. Interviewer training consisted of a series of didactic learning modules and accompanying knowledge assessments.…”

Section: Methodsmentioning

confidence: 99%

“…All interviewers completed a comprehensive set of training and monitoring procedures to ensure fidelity of measure administration prior to administering the study measures. Shahidullah et al (2023) provide a more detailed overview of the study infrastructure and the interviewer training and monitoring protocol for this multisite study. Interviewer training consisted of a series of didactic learning modules and accompanying knowledge assessments.…”

Section: Methodsmentioning

confidence: 99%

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Comparing diagnostic criteria for posttraumatic stress disorder in a diverse sample of trauma‐exposed youth

Dodd,

Kirk,

Rathouz

et al. 2024

Journal of Traumatic Stress

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Divergent conceptualization of posttraumatic stress disorder (PTSD) within the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM‐5) and International Statistical Classification of Diseases and Related Health Problems (11th ed..; ICD‐11) significantly confounds both research and practice. Using a diverse sample of trauma‐exposed youth (N = 1,542, age range: 8–20 years), we compared these two diagnostic approaches along with an expanded version of the ICD‐11 PTSD criteria that included three additional reexperiencing symptoms (ICD‐11+). Within the sample, PTSD was more prevalent using the DSM‐5 criteria (25.7%) compared to the ICD‐11 criteria (16.0%), with moderate agreement between these diagnostic systems, κ = .57. The inclusion of additional reexperiencing symptoms (i.e., ICD‐11+) reduced this discrepancy in prevalence (24.7%) and increased concordance with DSM‐5 criteria, κ = .73. All three PTSD classification systems exhibited similar comorbidity rates with major depressive episode (MDE) or generalized anxiety disorder (GAD; 78.0%–83.6%). Most youths who met the DSM‐5 PTSD criteria also met the criteria for ICD‐11 PTSD, MDE, or GAD (88.4%), and this proportion increased when applying the ICD‐11+ criteria (95.5%). Symptom‐level analyses identified reexperiencing/intrusions and negative alterations in cognition and mood symptoms as primary sources of discrepancy between the DSM‐5 and ICD‐11 PTSD diagnostic systems. Overall, these results challenge assertions that nonspecific distress and diagnostically overlapping symptoms within DSM‐5 PTSD inflate comorbidity with depressive and anxiety disorders. Further, they support the argument that the DSM‐5 PTSD criteria can be refined and simplified without reducing the overall prevalence of psychiatric diagnoses in youth.

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Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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