Håkan Jarbin1,2, Markus Andersson1,2, Maria Råstam3,4, Tord Ivarsson5,6. 1. a Department of Clinical Sciences, Child and Adolescent Psychiatry , Lund University , Lund , Sweden. 2. b Department of Child and Adolescent Psychiatry , Region Halland , Halmstad , Sweden. 3. c Department of Psychiatry and Neurochemistry , Lund University , Lund , Sweden. 4. d Gillberg Neuropsychiatry Centre , University of Gothenburg , Gothenburg , Sweden. 5. e Clinical Research Department , The Center for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP) , Oslo , Norway. 6. f Department of Child and Adolescent Psychiatry , Specialmottagningen/OCD, Queen Silvia Children's Hospital , Gothenburg , Sweden.
Abstract
BACKGROUND: The schedule for affective disorders and schizophrenia for school-age children (K-SADS) is one of the most commonly used standardized diagnostic interviews in child and adolescent psychiatry. Validity studies are scarce, and limited to concurrent validity with other measures and clinical diagnoses. AIMS: To evaluate the K-SADS interview in an outpatient child and adolescent psychiatry (CAP) setting with a Longitudinal Expert All Data (LEAD) procedure. METHODS: CAP residents performed a K-SADS-PL interview with the revised 2009 version containing the new PDD section on 239 clinically referred outpatients of 6-17 years old and their parent(s). A consensus LEAD diagnosis by two senior clinicians 1.2 (SD = 0.6) years later was based on clinical records including the K-SADS and subsequent information from further assessments, information from teachers and other informants, outcome of treatment, and at least three visits after the K-SADS. RESULTS: Predictive validity for K-SADS vs LEAD diagnoses were good-to-excellent for broader categories of anxiety disorders (κ = 0.94), depressive (κ = 0.91), behavioural (κ = 0.91) and tic (κ = 0.81) disorders, good for ADHD (κ = 0.80), and good-to-moderate for autism spectrum disorders (κ = 0.62). Bipolar, psychotic, and eating disorders were too few to be analysed. CONCLUSION: The K-SADS diagnoses elicited from an interview with the child and one from parents on one occasion have an excellent validity for most major child psychiatric disorders. ADHD can be reliably diagnosed at one visit, but clinicians need to stay alert for possible undiagnosed ADHD. Diagnosing autism with K-SADS-PL 2009 version at one visit is not advisable.
BACKGROUND: The schedule for affective disorders and schizophrenia for school-age children (K-SADS) is one of the most commonly used standardized diagnostic interviews in child and adolescent psychiatry. Validity studies are scarce, and limited to concurrent validity with other measures and clinical diagnoses. AIMS: To evaluate the K-SADS interview in an outpatientchild and adolescent psychiatry (CAP) setting with a Longitudinal Expert All Data (LEAD) procedure. METHODS: CAP residents performed a K-SADS-PL interview with the revised 2009 version containing the new PDD section on 239 clinically referred outpatients of 6-17 years old and their parent(s). A consensus LEAD diagnosis by two senior clinicians 1.2 (SD = 0.6) years later was based on clinical records including the K-SADS and subsequent information from further assessments, information from teachers and other informants, outcome of treatment, and at least three visits after the K-SADS. RESULTS: Predictive validity for K-SADS vs LEAD diagnoses were good-to-excellent for broader categories of anxiety disorders (κ = 0.94), depressive (κ = 0.91), behavioural (κ = 0.91) and tic (κ = 0.81) disorders, good for ADHD (κ = 0.80), and good-to-moderate for autism spectrum disorders (κ = 0.62). Bipolar, psychotic, and eating disorders were too few to be analysed. CONCLUSION: The K-SADS diagnoses elicited from an interview with the child and one from parents on one occasion have an excellent validity for most major childpsychiatric disorders. ADHD can be reliably diagnosed at one visit, but clinicians need to stay alert for possible undiagnosed ADHD. Diagnosing autism with K-SADS-PL 2009 version at one visit is not advisable.
Authors: Þórhildur Ólafsdóttir; Bernhard Weidle; Tord Ivarsson; Davíð R M A Højgaard; Karin Melin; Judith Becker Nissen; Nor Christian Torp; Per Hove Thomsen; Gudmundur Skarphedinsson Journal: Child Psychiatry Hum Dev Date: 2022-01-11
Authors: Kelsey E Hagan; Brittany E Matheson; Nandini Datta; Alexa M L'Insalata; Z Ayotola Onipede; Sasha Gorrell; Sangeeta Mondal; Cara M Bohon; Daniel Le Grange; James D Lock Journal: Psychol Med Date: 2021-05-06 Impact factor: 7.723
Authors: Frederike Y Scheper; Ceciel R M Groot; Annelou L C de Vries; Theodorus A H Doreleijers; Lucres M C Jansen; Carlo Schuengel Journal: J Child Psychol Psychiatry Date: 2018-11-17 Impact factor: 8.982