OBJECTIVE: The Diagnostic Interview Schedule for Children IV (DISC) has been used extensively in research and screening. Despite wide use, little information exists on the validity of the DISC for diagnosing tic disorders. METHODS: Participants were 181 youth with expert clinician-diagnosed Tourette syndrome (TS). RESULTS: Using expert clinician-diagnosed TS as the gold standard, the sensitivity of the DISC-Y (youth, 0.27) and DISC-P (parent, 0.44) was poor. The DISC-Y identified 29.7% of youth with diagnosed TS whereas the DISC-P identified 47.4% of cases. Only 54% of cases of TS were detected by either the DISC-Y or -P. Diagnostic agreement between the DISC and expert clinician diagnosis was poor. The DISC-Y/P results did not differ as a function of tic severity. CONCLUSIONS: Despite utility for assessing child psychiatric disorders, the sensitivity of the DISC for detecting TS appears poor. This study suggests that DISC has low agreement with expert clinician diagnosis of TS. Findings highlight the need for modification of the DISC and/or the identification and development of more sensitive measures for TS screening.
OBJECTIVE: The Diagnostic Interview Schedule for Children IV (DISC) has been used extensively in research and screening. Despite wide use, little information exists on the validity of the DISC for diagnosing tic disorders. METHODS:Participants were 181 youth with expert clinician-diagnosed Tourette syndrome (TS). RESULTS: Using expert clinician-diagnosed TS as the gold standard, the sensitivity of the DISC-Y (youth, 0.27) and DISC-P (parent, 0.44) was poor. The DISC-Y identified 29.7% of youth with diagnosed TS whereas the DISC-P identified 47.4% of cases. Only 54% of cases of TS were detected by either the DISC-Y or -P. Diagnostic agreement between the DISC and expert clinician diagnosis was poor. The DISC-Y/P results did not differ as a function of tic severity. CONCLUSIONS: Despite utility for assessing childpsychiatric disorders, the sensitivity of the DISC for detecting TS appears poor. This study suggests that DISC has low agreement with expert clinician diagnosis of TS. Findings highlight the need for modification of the DISC and/or the identification and development of more sensitive measures for TS screening.
Authors: P S Jensen; M Rubio-Stipec; G Canino; H R Bird; M K Dulcan; M E Schwab-Stone; B B Lahey Journal: J Am Acad Child Adolesc Psychiatry Date: 1999-12 Impact factor: 8.829
Authors: Adam B Lewin; Eric A Storch; Christine A Conelea; Douglas W Woods; Samuel H Zinner; Cathy L Budman; Lawrence D Scahill; Scott N Compton; John T Walkup; Tanya K Murphy Journal: J Anxiety Disord Date: 2011-03
Authors: Michael H Bloch; Bradley S Peterson; Lawrence Scahill; Jessica Otka; Lily Katsovich; Heping Zhang; James F Leckman Journal: Arch Pediatr Adolesc Med Date: 2006-01
Authors: Danielle C Cath; Tammy Hedderly; Andrea G Ludolph; Jeremy S Stern; Tara Murphy; Andreas Hartmann; Virginie Czernecki; Mary May Robertson; Davide Martino; A Munchau; R Rizzo Journal: Eur Child Adolesc Psychiatry Date: 2011-04 Impact factor: 4.785
Authors: Lawrence Scahill; Gerald Erenberg; Cheston M Berlin; Cathy Budman; Barbara J Coffey; Joseph Jankovic; Louise Kiessling; Robert A King; Roger Kurlan; Anthony Lang; Jonathan Mink; Tanya Murphy; Samual Zinner; John Walkup Journal: NeuroRx Date: 2006-04
Authors: E F Augustine; H R Adams; R H Bitsko; E van Wijngaarden; A H Claussen; A Thatcher; C E Hanks; A B Lewin; T G O'Connor; A Vierhile; M L Danielson; R Kurlan; T K Murphy; J W Mink Journal: Pediatr Neurol Date: 2016-11-08 Impact factor: 3.372
Authors: Melissa L Danielson; Rebecca H Bitsko; Joseph R Holbrook; Sana N Charania; Angelika H Claussen; Robert E McKeown; Steven P Cuffe; Julie Sarno Owens; Steven W Evans; Lorraine Kubicek; Kate Flory Journal: Child Psychiatry Hum Dev Date: 2021-06