Content agreement of depressive symptomatology in children and adolescents: a review of eighteen self-report questionnaires.

Autor: Vilar A; Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain.; Institut de Neuropsiquiatria I Addiccions (INAD), Hospital de Dia Infanto Juvenil Litoral Mar, Parc de Salut Mar, Barcelona, Spain., Sánchez-Martínez N; Department of Medicine, Universitat Internacional de Catalunya (UIC), C/Josep Trueta S/N (Hospital Universitari General de Catalunya, Sant Cugat del Vallès, 08195, Barcelona, Spain., Blasco MJ; CIBER Epidemiología Y Salud Pública (CIBERESP), Madrid, Spain.; Health Services Research Group, IMIM- Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain., Álvarez-Salazar S; Department of Medicine, Universitat Internacional de Catalunya (UIC), C/Josep Trueta S/N (Hospital Universitari General de Catalunya, Sant Cugat del Vallès, 08195, Barcelona, Spain., Batlle Vila S; Institut de Neuropsiquiatria I Addiccions (INAD), Direcció Procés Atenció Comunitària I Programes Especials. Parc de Salut Mar, Barcelona, Spain.; Department of Medicine and Life Sciences, Universitat Pompeu Fabra (UPF), Barcelona, Spain., G Forero C; Department of Medicine, Universitat Internacional de Catalunya (UIC), C/Josep Trueta S/N (Hospital Universitari General de Catalunya, Sant Cugat del Vallès, 08195, Barcelona, Spain. cgarciaf@uic.es.
Jazyk: angličtina
Zdroj: European child & adolescent psychiatry [Eur Child Adolesc Psychiatry] 2024 Jul; Vol. 33 (7), pp. 2019-2033. Date of Electronic Publication: 2022 Aug 13.
DOI: 10.1007/s00787-022-02056-w
Abstrakt: Identifying major depression in children and adolescents is more challenging than in adults. Questionnaires are often used for screening or guiding clinical assessment. Several instruments of different lengths are used as equivalent measures in diagnostic decisions. In this paper, we explore to what extent 18 commonly used depression scales for children and adolescents explore depression clinical symptoms as established by standard DSM-5 diagnosis criteria. We analyzed scale content adequacy by examining the overlap between scale contents and consensus clinical symptoms, the diagnostic time frame for active symptom assessment, and readability for the target age group. The 18 scales encompassed 52 distinct symptoms. These scales included just 50% of clinical symptoms required for diagnosis. The content overlap was low; on average, 29% of symptoms coincide across scales. Half of the scales did not use the standard period for active symptom appraisal, and some did not include a period for assessment. The reading levels on six scales were inappropriate for the scale's target population age group. The substantial heterogeneity in defining the depressive syndrome, the low overlap among scales, different periods of a positive diagnosis, and mismatch of reading competence for detecting may lead to heterogeneity in clinical diagnoses when using different scales. Improving the content of self-report in terms of homogeneity of diagnostic criteria would lead to better diagnostic decisions and patient management.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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