Computerized Adaptive Tests for Rapid and Accurate Assessment of Psychopathology Dimensions in Youth.
<bold>Objective: </bold>At least half of youths with mental disorders are unrecognized and untreated. Rapid, accurate assessment of child mental disorders could facilitate identification and referral and potentially reduce the occurrence of functional disability that stems from early-onset mental di...
| Publicado en: | Journal of the American Academy of Child & Adolescent Psychiatry Vol. 59; no. 11; pp. 1264 - 1274 |
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| Autores principales: | , , , , , , , , , |
| Formato: | journal article |
| Publicado: |
Elsevier B.V.
Nov2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=146655987&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 146655987 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 08908567 JAM jtl: Journal of the American Academy of Child & Adolescent Psychiatry issn: 08908567 maglogo: N pubinfo: dt: Nov2020 vid: 59 iid: 11 pid: 467 pub: Elsevier B.V. artinfo: ui: 146655987 10.1016/j.jaac.2019.08.009 ppf: 1264 ppct: 10 formats: tig: atl: Computerized Adaptive Tests for Rapid and Accurate Assessment of Psychopathology Dimensions in Youth. aug: au: Gibbons, Robert D. Kupfer, David J. Frank, Ellen Lahey, Benjamin B. George-Milford, Brandie A. Biernesser, Candice L. Porta, Giovanna Moore, Tara L. Kim, Jong Bae Brent, David A. affil: University of Chicago, Illinois University of Pittsburgh School of Medicine, Pennsylvania UPMC Western Psychiatric Hospital, Pittsburgh, Pennsylvania UPMC Western Psychiatric Hospital and the University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania HealthRhythms, Inc., New York Center for Health Statistics, University of Chicago, Illinois su: Child psychiatry Item response theory Generalized anxiety disorder Oppositional defiant disorder in children Computer adaptive testing Receiver operating characteristic curves sug: subj: Child psychiatry Item response theory Generalized anxiety disorder Oppositional defiant disorder in children Computer adaptive testing Receiver operating characteristic curves keyword: adaptive testing child and adolescent psychopathology diagnosis measurement multidimensional item response theory adaptive testing child and adolescent psychopathology diagnosis measurement multidimensional item response theory ab: <bold>Objective: </bold>At least half of youths with mental disorders are unrecognized and untreated. Rapid, accurate assessment of child mental disorders could facilitate identification and referral and potentially reduce the occurrence of functional disability that stems from early-onset mental disorders.<bold>Method: </bold>Computerized adaptive tests (CATs) based on multidimensional item response theory were developed for depression, anxiety, mania/hypomania, attention-deficit/hyperactivity disorder, conduct disorder, oppositional defiant disorder, and suicidality, based on parent and child ratings of 1,060 items each. In phase 1, CATs were developed from 801 participants. In phase 2, predictive, discriminant, and convergent validity were tested against semi-structured research interviews for diagnoses and suicidality in 497 patients and 104 healthy controls. Overall strength of association was determined by area under the receiver operating characteristic curve (AUC).<bold>Results: </bold>The child and parent independently completed the Kiddie-Computerized Adaptive Tests (K-CATs) in a median time of 7.56 and 5.03 minutes, respectively, with an average of 7 items per domain. The K-CATs accurately captured the presence of diagnoses (AUCs from 0.83 for generalized anxiety disorder to 0.92 for major depressive disorder) and suicidal ideation (AUC = 0.996). Strong correlations with extant measures were found (r ≥ 0.60). Test-retest reliability averaged r = 0.80.<bold>Conclusion: </bold>These K-CATs provide a new approach to child psychopathology screening and measurement. Testing can be completed by child and parent in less than 8 minutes and yields results that are highly convergent with much more time-consuming structured clinical interviews and dimensional severity assessment and measurement. Testing of the implementation of the K-CAT is now indicated. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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