Sensitivity of clinically hospitalized adolescents' self-report measures to change over time

Abstract

Twenty‐five psychiatrically hospitalized adolescents were assessed on three separate occasions (approximately 2 weeks apart) using the Revised Children's Manifest Anxiety Scale (R‐CMAS), Beck Depression Inventory (BDI), and Children's Attributional Styles Questionnaire Revised (KASTAN) within 1 week of hospitalization. Attending clinicians also rated each subject concurrently on the Anxiety and Depression factors of the Brief Psychiatric Rating Scale for Children (BPRS‐C). Results indicated only modest agreement between self‐report measures and clinician ratings over time. Clinician ratings on both BPRS‐C factors changed significantly over time, while, of the self‐report measures, only the R‐CMAS evidenced significant change. Results were discussed in terms of the construct of “negative affectivity,” method variance in assessment, and clinical implications.

A Systemic Perspective to Understanding Predictors of Therapeutic Goal Attainment for Adolescents in Crisis Residence

“…Fehon, Grilo, and Martino (2000) noted adolescents in crisis residence made progress related to decreases in depressive symptoms but only subtle changes in behavioral issues. This finding was consistent with Nelson, Renzenbrink, and Kapp (1995) who indicated that anxiety and depression decreased during psychiatric hospitalization, but no improvements related to conduct were noted.…”

“…The presence of psychotic problems was also an impediment, as such issues would likely be a hindrance in cognitive processes associated with coping skills and committing to follow-up. Consistent with past research (e.g., Fehon et al, 2000;Nelson et al, 1995), inpatient treatment appears to be more successful with clients who present with mood disorders such as depression and anxiety, and this study is no different. Balkin and Roland (2007) noted a strong relationship between therapeutic goal attainment and a decrease in psychiatric symptoms.…”

A Systemic Perspective to Understanding Predictors of Therapeutic Goal Attainment for Adolescents in Crisis Residence

“…Fehon, Grilo, and Martino (2000) noted adolescents in crisis residence made progress related to decreases in depressive symptoms but only subtle changes in behavioral issues. This finding was consistent with Nelson, Renzenbrink, and Kapp (1995) who indicated that anxiety and depression decreased during psychiatric hospitalization, but no improvements related to conduct were noted.…”

“…The presence of psychotic problems was also an impediment, as such issues would likely be a hindrance in cognitive processes associated with coping skills and committing to follow-up. Consistent with past research (e.g., Fehon et al, 2000;Nelson et al, 1995), inpatient treatment appears to be more successful with clients who present with mood disorders such as depression and anxiety, and this study is no different. Balkin and Roland (2007) noted a strong relationship between therapeutic goal attainment and a decrease in psychiatric symptoms.…”

Systematic Review of the Properties of Tools Used to Measure Outcomes in Anxiety Intervention Studies for Children with Autism Spectrum Disorders

“…Only one study reported test-retest reliability, which was high (one week r = .88; five week r = .77). One study hypothesised stability of scores for psychiatric inpatients over a 4 week period, but instead found reduction in anxiety not substantiated by clinical rating [70]. Both content validity and structural validity appear strong.…”

A Systemic Perspective to Understanding Predictors of Therapeutic Goal Attainment for Adolescents in Crisis Residence

“…Fehon, Grilo, and Martino (2000) noted adolescents in crisis residence made progress related to decreases in depressive symptoms but only subtle changes in behavioral issues. This finding was consistent with Nelson, Renzenbrink, and Kapp (1995) who indicated that anxiety and depression decreased during psychiatric hospitalization, but no improvements related to conduct were noted.…”

“…The presence of psychotic problems was also an impediment, as such issues would likely be a hindrance in cognitive processes associated with coping skills and committing to follow-up. Consistent with past research (e.g., Fehon et al, 2000;Nelson et al, 1995), inpatient treatment appears to be more successful with clients who present with mood disorders such as depression and anxiety, and this study is no different. Balkin and Roland (2007) noted a strong relationship between therapeutic goal attainment and a decrease in psychiatric symptoms.…”

Systematic Review of the Properties of Tools Used to Measure Outcomes in Anxiety Intervention Studies for Children with Autism Spectrum Disorders

“…Only one study reported test-retest reliability, which was high (one week r = .88; five week r = .77). One study hypothesised stability of scores for psychiatric inpatients over a 4 week period, but instead found reduction in anxiety not substantiated by clinical rating [70]. Both content validity and structural validity appear strong.…”

A Systemic Perspective to Understanding Predictors of Therapeutic Goal Attainment for Adolescents in Crisis Residence

“…Fehon, Grilo, and Martino (2000) noted adolescents in crisis residence made progress related to decreases in depressive symptoms but only subtle changes in behavioral issues. This finding was consistent with Nelson, Renzenbrink, and Kapp (1995) who indicated that anxiety and depression decreased during psychiatric hospitalization, but no improvements related to conduct were noted.…”

“…The presence of psychotic problems was also an impediment, as such issues would likely be a hindrance in cognitive processes associated with coping skills and committing to follow-up. Consistent with past research (e.g., Fehon et al, 2000;Nelson et al, 1995), inpatient treatment appears to be more successful with clients who present with mood disorders such as depression and anxiety, and this study is no different. Balkin and Roland (2007) noted a strong relationship between therapeutic goal attainment and a decrease in psychiatric symptoms.…”

Systematic Review of the Properties of Tools Used to Measure Outcomes in Anxiety Intervention Studies for Children with Autism Spectrum Disorders

“…Only one study reported test-retest reliability, which was high (one week r = .88; five week r = .77). One study hypothesised stability of scores for psychiatric inpatients over a 4 week period, but instead found reduction in anxiety not substantiated by clinical rating [70]. Both content validity and structural validity appear strong.…”