William Gardner1, Amanda Lucas2, David J Kolko2, John V Campo2. 1. Drs. Gardner and Campo and Ms. Lucas are with the Center for Innovation in Pediatric Practice, Columbus Children's Research Institute and the Departments of Pediatrics and Psychiatry at The Ohio State University; and Dr. Kolko is with the Department of Psychiatry at the University of Pittsburgh Medical Center. Electronic address: gardnerw@pediatrics.ohio-state.edu. 2. Drs. Gardner and Campo and Ms. Lucas are with the Center for Innovation in Pediatric Practice, Columbus Children's Research Institute and the Departments of Pediatrics and Psychiatry at The Ohio State University; and Dr. Kolko is with the Department of Psychiatry at the University of Pittsburgh Medical Center.
Abstract
OBJECTIVE: To validate the 17-item version of the Pediatric Symptom Checklist (PSC-17) as a screen for common pediatric mental disorders in primary care. METHOD: Patients were 269 children and adolescents (8-15 years old) whose parents completed the PSC-17 in primary care waiting rooms. Children were later assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL). The PSC-17's subscales were compared with K-SADS-PL diagnoses and measures of anxiety, depression, general psychopathology, functioning, and impairment. RESULTS: In receiver operating characteristics analyses, the PSC-17 subscales performed as well as competing screens (Child Depression Inventory, the parent and child Screens for Child Anxiety-Related Disorders) and Child Behavior Checklist subscales (Aggressive, Anxious-Depressed, Attention, Externalizing, Internalizing, and Total) in predicting diagnoses of attention-deficit/hyperactivity disorder, externalizing disorders, and depression (area under the curve > or =0.80). The instrument was less successful with anxiety (area under the curve = 0.68). None of the screens were highly sensitive, many were insensitive, and all would have low positive predictive value in low-risk primary care populations. CONCLUSIONS: The PSC-17 and its subscales are briefer than alternative questionnaires, but performed as well as those instruments in detecting common mental disorders in primary care. Continued research is needed to develop brief yet sensitive assessment instruments appropriate for primary care.
OBJECTIVE: To validate the 17-item version of the Pediatric Symptom Checklist (PSC-17) as a screen for common pediatric mental disorders in primary care. METHOD:Patients were 269 children and adolescents (8-15 years old) whose parents completed the PSC-17 in primary care waiting rooms. Children were later assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL). The PSC-17's subscales were compared with K-SADS-PL diagnoses and measures of anxiety, depression, general psychopathology, functioning, and impairment. RESULTS: In receiver operating characteristics analyses, the PSC-17 subscales performed as well as competing screens (ChildDepression Inventory, the parent and child Screens for ChildAnxiety-Related Disorders) and Child Behavior Checklist subscales (Aggressive, Anxious-Depressed, Attention, Externalizing, Internalizing, and Total) in predicting diagnoses of attention-deficit/hyperactivity disorder, externalizing disorders, and depression (area under the curve > or =0.80). The instrument was less successful with anxiety (area under the curve = 0.68). None of the screens were highly sensitive, many were insensitive, and all would have low positive predictive value in low-risk primary care populations. CONCLUSIONS: The PSC-17 and its subscales are briefer than alternative questionnaires, but performed as well as those instruments in detecting common mental disorders in primary care. Continued research is needed to develop brief yet sensitive assessment instruments appropriate for primary care.
Authors: Andrea E Spencer; Cindy Chiang; Natalie Plasencia; Joseph Biederman; Ying Sun; Carolina Gebara; Michael Jellinek; J Michael Murphy; Bonnie T Zima Journal: J Health Care Poor Underserved Date: 2019
Authors: Laura P Richardson; Evette Ludman; Elizabeth McCauley; Jeff Lindenbaum; Cindy Larison; Chuan Zhou; Greg Clarke; David Brent; Wayne Katon Journal: JAMA Date: 2014-08-27 Impact factor: 56.272
Authors: Laura P Richardson; Elizabeth McCauley; David C Grossman; Carolyn A McCarty; Julie Richards; Joan E Russo; Carol Rockhill; Wayne Katon Journal: Pediatrics Date: 2010-11-01 Impact factor: 7.124
Authors: Maria Paz Guzman; Michael Jellinek; Myriam George; Marcela Hartley; Ana Maria Squicciarini; Katia M Canenguez; Karen A Kuhlthau; Recai Yucel; Gwyne W White; Javier Guzman; J Michael Murphy Journal: Eur Child Adolesc Psychiatry Date: 2011-06-07 Impact factor: 4.785
Authors: Robert D Gibbons; David J Kupfer; Ellen Frank; Benjamin B Lahey; Brandie A George-Milford; Candice L Biernesser; Giovanna Porta; Tara L Moore; Jong Bae Kim; David A Brent Journal: J Am Acad Child Adolesc Psychiatry Date: 2019-08-26 Impact factor: 8.829
Authors: R Christopher Sheldrick; Brandi S Henson; Shela Merchant; Emily N Neger; J Michael Murphy; Ellen C Perrin Journal: Acad Pediatr Date: 2012-08-22 Impact factor: 3.107
Authors: R Christopher Sheldrick; Brandi S Henson; Emily N Neger; Shela Merchant; J Michael Murphy; Ellen C Perrin Journal: Acad Pediatr Date: 2012-10-23 Impact factor: 3.107