Comparison of the PSC-17 and Alternative Mental Health Screens in an At-Risk Primary Care Sample

Autor/inn/en	Gardner, William; Lucas, Amanda; Kolko, David J.; Campo, John V.
Titel	Comparison of the PSC-17 and Alternative Mental Health Screens in an At-Risk Primary Care Sample
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 46 (2007) 5, S.611 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Check Lists; Measures (Individuals); Validity; Screening Tests; Pediatrics; Mental Disorders; Children; Adolescents; Patients; Primary Health Care; Anxiety; Depression (Psychology); Psychopathology; Attention Deficit Disorders; Hyperactivity; Comparative Analysis; Child Behavior Checklist + Suchen Sie Ihr Suchwort? Checkliste; Messdaten; Gültigkeit; Screening-Verfahren; Klinische Sozialpädiatrie; Mental illness; Geisteskrankheit; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Patient; Gesundheitsvorsorge; Angst; Psychopathologie; Attention deficit hyperactivity disorder; ADHS; Aufmerksamkeits-Defizit-Hyperaktivitäts-Störung; Aufmerksamkeitsstörung; Hyperaktivität
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 [greater than or equal to]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. (Contains 4 tables and 1 figure.) (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10