Übereinstimmung von klinischer Diagnose, strukturierten Interviews und Selbstbeurteilungsfragebögen bei Depression im Kindes- und Jugendalter

Dolle, Kathrin; Schulte‐Körne, Gerd; Hofacker, N. von; Izat, Yonca; Allgaier, Antje-Kathrin

doi:10.1024/1422-4917/a000200

Cited by 17 publications

(8 citation statements)

References 21 publications

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“…Results of the present study further support the use of structured interviews in clinical practice. The results of Dolle, Schulte‐Körne, von Hofacker, Izat, and Allgaier () on the low agreement between clinical diagnoses and diagnoses based on structured interviews also emphasize the application of structured interviews in the diagnostic process in clinical practice.…”

Section: Discussionmentioning

confidence: 95%

Acceptance of a structured diagnostic interview in children, parents, and interviewers

Neuschwander

In‐Albon

Meyer

et al. 2017

Int J Methods Psych Res

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The objective of this study was to investigate the satisfaction and acceptance of a structured diagnostic interview in clinical practice and in a research setting. Using the Structured Diagnostic Interview for Mental Disorders in Children and Adolescents (Kinder-DIPS), 28 certified interviewers conducted 202 interviews (115 with parents, 87 with children). After each interview, children, parents, and interviewers completed a questionnaire assessing the overall satisfaction (0 = not at all satisfied to 100 = totally satisfied) and acceptance (0 = completely disagree to 3 = completely agree) with the interview. Satisfaction ratings were highly positive, all means >82. The mean of the overall acceptance for children was 2.43 (standard deviation [SD] = 0.41), 2.54 (SD = 0.33) of the parents, 2.30 (SD = 0.43) of the children's interviewers, and 2.46 (SD = 0.32) of the parents' interviewers. Using separate univariate regression models, significant predictors for higher satisfaction and acceptance with the interview are higher children's Global Assessment of Functioning, fewer number of children's diagnoses, shorter duration of the interview, a research setting, female sex of the interviewer, and older age of the interviewer. Results indicate that structured diagnostic interviews are highly accepted by children, parents, and interviewers. Importantly, this is true for different treatment settings.

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Section: Discussionmentioning

confidence: 95%

Acceptance of a structured diagnostic interview in children, parents, and interviewers

Neuschwander

In‐Albon

Meyer

et al. 2017

Int J Methods Psych Res

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“…The inconsistency was attributed to both over and under reporting by parents (Lauth et al, 2010). Similarly, in another study, Dolle et al (2012) reported low agreement between child and parent diagnostic interviews. De Los Reyes and Kazdin (2005) reviewed studies seeking to identify informant characteristics that influence such discrepancies and found that parent proxy report on adolescent mental health symptoms is often biased.…”

Section: Introductionmentioning

confidence: 83%

Depression and suicidal behavior in adolescents: a multi-informant and multi-methods approach to diagnostic classification

et al. 2014

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Background: Informant discrepancies have been reported between parent and adolescent measures of depressive disorders and suicidality. We aimed to examine the concordance between adolescent and parent ratings of depressive disorder using both clinical interview and questionnaire measures and assess multi-informant and multi-method approaches to classification.Method: Within the context of assessment of eligibility for a randomized clinical trial, 50 parent–adolescent pairs (mean age of adolescents = 15.0 years) were interviewed separately with a structured diagnostic interview for depression, the KID-SCID. Adolescent self-report and parent-report versions of the Strengths and Difficulties Questionnaire, the Short Mood and Feelings Questionnaire and the Depressive Experiences Questionnaire were also administered. We examined the diagnostic concordance rates of the parent vs. adolescent structured interview methods and the prediction of adolescent diagnosis via questionnaire methods.Results: Parent proxy reporting of adolescent depression and suicidal thoughts and behavior is not strongly concordant with adolescent report. Adolescent self-reported symptoms on depression scales provide a more accurate report of diagnosable adolescent depression than parent proxy reports of adolescent depressive symptoms. Adolescent self-report measures can be combined to improve the accuracy of classification. Parents tend to over report their adolescent’s depressive symptoms while under reporting their suicidal thoughts and behavior.Conclusion: Parent proxy report is clearly less reliable than the adolescent’s own report of their symptoms and subjective experiences, and could be considered inaccurate for research purposes. While parent report would still be sought clinically where an adolescent refuses to provide information, our findings suggest that parent reporting of adolescent suicidality should be interpreted with caution.

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“…Dabei ist Kappa jedoch von der Sensitivität und Spezifität der jeweiligen Beurteilung sowie von der Prävalenz des festgestellten Störungsbildes abhängig. So fällt Kappa bei mangelhafter Güte der Beurteilung geringer aus und nähert sich bei sehr hohen oder sehr niedrigen Prävalenzen dem Wert null [Thompson und Walter, 1988;Dolle et al, 2012].…”

Section: Statistische Auswertungunclassified

Diagnoseerhebung mit strukturiertem Interview: Übereinstimmung von klinischem Urteil und Kinder-DIPS

Weber¹,

Christiansen²,

Chavanon³

2020

Verhaltenstherapie

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Psychische Störungen • Kinder-und Jugendlichenpsychotherapie • Diagnose • Strukturiertes Interview • Reliabilität Zusammenfassung Ziel: Ziel der vorliegenden Studie war es zu prüfen, inwieweit die im ambulanten Erstgespräch generierte klinische Diagnose mit der festgestellten Diagnose mittels strukturiertem Interview (Kinder-DIPS) übereinstimmt. Zudem sollten beide Diagnosen hinsichtlich der konvergenten Validität mit entsprechenden Skalen gängiger Fremd-und Selbstbeurteilungsfragebögen (CBCL, YSR und TRF) untersucht werden. Methode: Der Datensatz einer kinder-und jugendpsychotherapeutischen Hochschulambulanz wurde anhand von 107 Patientinnen und Patienten im Alter zwischen 4 und 18 Jahren hinsichtlich der diagnostischen Übereinstimmung mittels Kappa-Koeffizient überprüft. Zuvor wurde die Interrater-Reliabilität der in der Ambulanz durchgeführten Kinder-DIPS-Interviews durch Gegencodieren von 30 Interviewvideos von Psychotherapeutinnen in Ausbildung durch einen erfahrenen Psychotherapeuten bestimmt. Ergebnisse: Auf den untersuchten Ebenen (spezifische Störung, Störungsoberklasse und Störungsart) wur-den mäßige bis gute Übereinstimmungen erzielt. Die nach Erstgespräch und Kinder-DIPS diagnostizierten externalisierenden Störungen gehen mit höheren Werten auf den externalen Problemskalen der Fremdbeurteilungsbögen einher, wohingegen ermittelte internalisierende Störungen mit höheren Werten auf der internalen Problemskala des Selbstbeurteilungsbogens assoziiert sind. Bezüglich der Interrater-Reliabilität konnte anhand der untersuchten 30 Fälle eine hohe Übereinstimmung gefunden werden. Schlussfolgerungen: Der Einsatz des Kinder-DIPS in der Praxis bietet sich an, um die im Erstgespräch gestellte Verdachtsdiagnose präziser abzuprüfen. Therapeutinnen in Ausbildung profitieren von der Durchführung und stellen reliable Diagnosen.

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Übereinstimmung von klinischer Diagnose, strukturierten Interviews und Selbstbeurteilungsfragebögen bei Depression im Kindes- und Jugendalter

Abstract: Clinicians may profit from conducting structured interviews. Strategies for dealing with conflicting information from children and parents should be tested empirically and described in detail.

Cited by 17 publications

References 21 publications

Acceptance of a structured diagnostic interview in children, parents, and interviewers

Acceptance of a structured diagnostic interview in children, parents, and interviewers

Depression and suicidal behavior in adolescents: a multi-informant and multi-methods approach to diagnostic classification

Diagnoseerhebung mit strukturiertem Interview: Übereinstimmung von klinischem Urteil und Kinder-DIPS

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