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Adrian Angold - One of the best experts on this subject based on the ideXlab platform.
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test retest reliability of the preschool age Psychiatric Assessment papa
Journal of the American Academy of Child and Adolescent Psychiatry, 2006Co-Authors: Helen L Egger, Alaattin Erkanli, Gordon Keeler, Edward Potts, Barbara Keith Walter, Adrian AngoldAbstract:ABSTRACT Objective To examine the test-retest reliability of a new interviewer-based Psychiatric diagnostic measure (the Preschool Age Psychiatric Assessment) for use with parents of preschoolers aged 2 to 5 years. Method A total of 1,073 parents of children attending a large pediatric clinic completed the Child Behavior Checklist 1 1/2-5. For 18 months, 193 parents of high scorers and 114 parents of low scorers were interviewed on two occasions an average of 11 days apart. Results Estimates of diagnostic reliability were very similar to those obtained from interviews with parents of older children and adults, with kappas ranging from 0.36 to 0.79. Test-retest intraclass correlations for DSM-IV syndrome scale scores ranged from 0.56 to 0.89. There were no significant differences in reliability by age, sex, or race (African American versus non-African American). Conclusions The Preschool Age Psychiatric Assessment provides a reasonably reliable standardized measure of DSM-IV Psychiatric symptoms and disorders in preschoolers for use in both research and clinical service evaluations of preschoolers as young as 2 years old. J. AM. ACAD. Child Adolesc. Psychiatry, 2006;45(5):538-549
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the child and adolescent Psychiatric Assessment capa
Journal of the American Academy of Child and Adolescent Psychiatry, 2000Co-Authors: Adrian Angold, Elizabeth J CostelloAbstract:ABSTRACT Objective To describe the Child and Adolescent Psychiatric Assessment (CAPA). The base interview covers the age range from 9 to 17 years. Method The interview glossary that provides detailed operational definitions of symptoms and severity ratings is described, and psychometric data and further developments of the interview are presented. Results Across 5,962 parent-child interviews, the core sections of the CAPA (Psychiatric symptoms, functional impairment, demographics, family structure and functioning) took on average 59 minutes for children and 66 minutes for parents. Test-retest reliability for diagnoses ranged from κ = 0.55 for conduct disorder (CD) to κ = 1.0 for substance abuse/dependence. Validity as judged by 10 different criteria was good. Developments of the CAPA include a shorter "gateway" version using core symptoms as screen items, a Spanish version, and versions for twin studies, use with young adults (YAPA), and preschool-age children (PAPA). Conclusions There is a place in both research and clinical settings for a rigorously operationalized interview (such as the CAPA) that focuses on ensuring that respondents understand what is being asked and on clearly defining levels of symptom severity and functional impairment.
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the child and adolescent Psychiatric Assessment capa
Psychological Medicine, 1995Co-Authors: Adrian Angold, M Prendergast, A Cox, R Harrington, Emily Simonoff, Michael RutterAbstract:Great advances have been made during the last 20 years in the development of structured and semi-structured interviews for use with Psychiatric patients. However, in the field of child and adolescent psychiatry there have been weaknesses in the specification and definition of both symptoms and the psychosocial impairments resulting from Psychiatric disorder. Furthermore, most of the available interviews for use with children have been tied to a single diagnostic system (DSM-III, DSM-III-R, or ICD-9). This has meant that symptom coverage has been limited and nosological comparisons have been inhibited. The Child and Adolescent Psychiatric Assessment (CAPA) represents an attempt to remedy some of these shortcomings. This paper outlines the principles adopted in the CAPA to improve the standardization, reliability and meaningfulness of symptom and diagnostic ratings. The CAPA is an interviewer-based diagnostic interview with versions for use with children and their parents, focused on symptoms occurring during the preceding 3 month period, adapted for Assessments in both clinical and epidemiological research.
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a test retest reliability study of child reported Psychiatric symptoms and diagnoses using the child and adolescent Psychiatric Assessment capa c
Psychological Medicine, 1995Co-Authors: Adrian Angold, Elizabeth J CostelloAbstract:Seventy-seven 10-18-year-old Psychiatric in-patients and out-patients took part in a test-retest study of the Child and Adolescent Psychiatric Assessment (CAPA). They were interviewed on two occasions several days apart. Overall reliability of diagnosis ranged from kappa = 0.55 (conduct disorder) to 1.0 (substance abuse or dependence). In general, reliability for scale scores of psychopathology was somewhat lower in out-patients than in-patients, though the opposite was the case for anxiety disorders and psychosocial incapacity and the reliability of the diagnosis of conduct disorder--the only individual diagnosis sufficiently common to permit this comparison. Unreliability of reports of behavioural problems was found to be related to admitting to being a liar in the first interview. The implications of these results for the use of the CAPA are discussed.
Elizabeth J Costello - One of the best experts on this subject based on the ideXlab platform.
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childhood somatic complaints predict generalized anxiety and depressive disorders during young adulthood in a community sample
Psychological Medicine, 2015Co-Authors: Lilly Shanahan, Helen L Egger, William E. Copeland, Nancy Zucker, Carmen L Bondy, Elizabeth J CostelloAbstract:Background Children with somatic complaints are at increased risk for emotional disorders during childhood. Whether this elevated risk extends into young adulthood – and to which specific disorders – has rarely been tested with long-term prospective-longitudinal community samples. Here we test whether frequent and recurring stomach aches, headaches, and muscle aches during childhood predict emotional disorders in adulthood after accounting for childhood Psychiatric and physical health status and psychosocial adversity. Method The Great Smoky Mountains Study is a community representative sample with 1420 participants. Children/adolescents were assessed 4–7 times between ages 9–16 years. They were assessed again up to three times between ages 19–26 years. Childhood somatic complaints were coded when subjects or their parents reported frequent and recurrent headaches, stomach aches, or muscular/joint aches at some point when children were aged 9–16 years. Psychiatric disorders were assessed with the Child and Adolescent Psychiatric Assessment and the Young Adult Psychiatric Assessment. Results Frequent and recurrent somatic complaints in childhood predicted adulthood emotional disorders. After controlling for potential confounders, predictions from childhood somatic complaints were specific to later depression and generalized anxiety disorder. Long-term predictions did not differ by sex. Somatic complaints that persisted across developmental periods were associated with the highest risk for young adult emotional distress disorders. Conclusions Children from the community with frequent and recurrent physical distress are at substantially increased risk for emotional distress disorders during young adulthood. Preventions and interventions for somatic complaints could help alleviate this risk.
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the child and adolescent Psychiatric Assessment capa
Journal of the American Academy of Child and Adolescent Psychiatry, 2000Co-Authors: Adrian Angold, Elizabeth J CostelloAbstract:ABSTRACT Objective To describe the Child and Adolescent Psychiatric Assessment (CAPA). The base interview covers the age range from 9 to 17 years. Method The interview glossary that provides detailed operational definitions of symptoms and severity ratings is described, and psychometric data and further developments of the interview are presented. Results Across 5,962 parent-child interviews, the core sections of the CAPA (Psychiatric symptoms, functional impairment, demographics, family structure and functioning) took on average 59 minutes for children and 66 minutes for parents. Test-retest reliability for diagnoses ranged from κ = 0.55 for conduct disorder (CD) to κ = 1.0 for substance abuse/dependence. Validity as judged by 10 different criteria was good. Developments of the CAPA include a shorter "gateway" version using core symptoms as screen items, a Spanish version, and versions for twin studies, use with young adults (YAPA), and preschool-age children (PAPA). Conclusions There is a place in both research and clinical settings for a rigorously operationalized interview (such as the CAPA) that focuses on ensuring that respondents understand what is being asked and on clearly defining levels of symptom severity and functional impairment.
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a test retest reliability study of child reported Psychiatric symptoms and diagnoses using the child and adolescent Psychiatric Assessment capa c
Psychological Medicine, 1995Co-Authors: Adrian Angold, Elizabeth J CostelloAbstract:Seventy-seven 10-18-year-old Psychiatric in-patients and out-patients took part in a test-retest study of the Child and Adolescent Psychiatric Assessment (CAPA). They were interviewed on two occasions several days apart. Overall reliability of diagnosis ranged from kappa = 0.55 (conduct disorder) to 1.0 (substance abuse or dependence). In general, reliability for scale scores of psychopathology was somewhat lower in out-patients than in-patients, though the opposite was the case for anxiety disorders and psychosocial incapacity and the reliability of the diagnosis of conduct disorder--the only individual diagnosis sufficiently common to permit this comparison. Unreliability of reports of behavioural problems was found to be related to admitting to being a liar in the first interview. The implications of these results for the use of the CAPA are discussed.
Howard Meltzer - One of the best experts on this subject based on the ideXlab platform.
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the national Psychiatric morbidity surveys of great britain initial findings from the household survey
International Review of Psychiatry, 2003Co-Authors: Rachel Jenkins, Glyn Lewis, Paul Bebbington, T Brugha, Michael Farrell, B Gill, Howard MeltzerAbstract:This paper describes the Household Survey from the National Survey of Psychiatric Morbidity. This covered a sample drawn at random from the population of Britain, with the exception of the Highlands and Islands of Scotland. The Postcode Address File was used as the sampling frame. Nearly 13,000 adults aged 16-65 were selected for interview, of which 10,108 (79.4%) were successfully interviewed. Eight percent could not be contacted and 13% refused interview. Psychiatric Assessment was carried out by lay interviewers using the CIS-R. Subjects were also screened for psychosis, and screen-positive individuals were examined by psychiatrists using SCAN. Sixteen per cent of subjects scored above the standard cut-off of 12 on the CIS-R. The overall one-week prevalence of neurotic disorder was 12.3% in males and 19.5% in females. Unmarried and post-marital groups had high rates of disorder, as did single parents and people living on their own. Respondents in Social Class I had notably lower rates of neurotic disor...
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nicotine alcohol and drug dependence and Psychiatric comorbidity results of a national household survey
International Review of Psychiatry, 2003Co-Authors: Michael Farrell, Rachel Jenkins, Glyn Lewis, Paul Bebbington, T Brugha, Samantha Howes, John Marsden, Colin Taylor, Howard MeltzerAbstract:There is a well-recognized relationship between substance use disorders and other Psychiatric disorders. This relationship has been well documented in a range of population-based studies. This study aims to report on consumption patterns of and dependence on nicotine, alcohol, and non-prescribed drugs and to report on the levels of Psychiatric morbidity in these groups. A national household study of Psychiatric morbidity was conducted in England and Wales. Psychiatric Assessment was based on the Clinical Interview Schedule-Revised (CIS-R). Measures of nicotine, alcohol and drug use and dependence were obtained. This paper compares the levels of Psychiatric morbidity in the non-dependent and the nicotine-, alcohol- and drug-dependent cases. Twelve per cent of the non-dependent population were assessed as having any Psychiatric disorder compared with 22% of the nicotine-dependent, 30% of the alcohol-dependent, and 45% of the drug-dependent population. There is a clear relationship between dependence on nicotine, alcohol, and drugs and other Psychiatric morbidity.
Michael Rutter - One of the best experts on this subject based on the ideXlab platform.
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the child and adolescent Psychiatric Assessment capa
Psychological Medicine, 1995Co-Authors: Adrian Angold, M Prendergast, A Cox, R Harrington, Emily Simonoff, Michael RutterAbstract:Great advances have been made during the last 20 years in the development of structured and semi-structured interviews for use with Psychiatric patients. However, in the field of child and adolescent psychiatry there have been weaknesses in the specification and definition of both symptoms and the psychosocial impairments resulting from Psychiatric disorder. Furthermore, most of the available interviews for use with children have been tied to a single diagnostic system (DSM-III, DSM-III-R, or ICD-9). This has meant that symptom coverage has been limited and nosological comparisons have been inhibited. The Child and Adolescent Psychiatric Assessment (CAPA) represents an attempt to remedy some of these shortcomings. This paper outlines the principles adopted in the CAPA to improve the standardization, reliability and meaningfulness of symptom and diagnostic ratings. The CAPA is an interviewer-based diagnostic interview with versions for use with children and their parents, focused on symptoms occurring during the preceding 3 month period, adapted for Assessments in both clinical and epidemiological research.
Rachel Jenkins - One of the best experts on this subject based on the ideXlab platform.
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the national Psychiatric morbidity surveys of great britain initial findings from the household survey
International Review of Psychiatry, 2003Co-Authors: Rachel Jenkins, Glyn Lewis, Paul Bebbington, T Brugha, Michael Farrell, B Gill, Howard MeltzerAbstract:This paper describes the Household Survey from the National Survey of Psychiatric Morbidity. This covered a sample drawn at random from the population of Britain, with the exception of the Highlands and Islands of Scotland. The Postcode Address File was used as the sampling frame. Nearly 13,000 adults aged 16-65 were selected for interview, of which 10,108 (79.4%) were successfully interviewed. Eight percent could not be contacted and 13% refused interview. Psychiatric Assessment was carried out by lay interviewers using the CIS-R. Subjects were also screened for psychosis, and screen-positive individuals were examined by psychiatrists using SCAN. Sixteen per cent of subjects scored above the standard cut-off of 12 on the CIS-R. The overall one-week prevalence of neurotic disorder was 12.3% in males and 19.5% in females. Unmarried and post-marital groups had high rates of disorder, as did single parents and people living on their own. Respondents in Social Class I had notably lower rates of neurotic disor...
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nicotine alcohol and drug dependence and Psychiatric comorbidity results of a national household survey
International Review of Psychiatry, 2003Co-Authors: Michael Farrell, Rachel Jenkins, Glyn Lewis, Paul Bebbington, T Brugha, Samantha Howes, John Marsden, Colin Taylor, Howard MeltzerAbstract:There is a well-recognized relationship between substance use disorders and other Psychiatric disorders. This relationship has been well documented in a range of population-based studies. This study aims to report on consumption patterns of and dependence on nicotine, alcohol, and non-prescribed drugs and to report on the levels of Psychiatric morbidity in these groups. A national household study of Psychiatric morbidity was conducted in England and Wales. Psychiatric Assessment was based on the Clinical Interview Schedule-Revised (CIS-R). Measures of nicotine, alcohol and drug use and dependence were obtained. This paper compares the levels of Psychiatric morbidity in the non-dependent and the nicotine-, alcohol- and drug-dependent cases. Twelve per cent of the non-dependent population were assessed as having any Psychiatric disorder compared with 22% of the nicotine-dependent, 30% of the alcohol-dependent, and 45% of the drug-dependent population. There is a clear relationship between dependence on nicotine, alcohol, and drugs and other Psychiatric morbidity.
