A semi-structured interview for the dimensional assessment of internalizing and externalizing symptoms in children and adolescents: Interview Version of the Symptoms and Functioning Severity Scale (SFSS-I).

IF 3.4 3区 医学 Q1 PEDIATRICS
Jana Rausch, Leonard Bickman, Nina Geldermann, Felix Oswald, Danny Gehlen, Anja Görtz-Dorten, Manfred Döpfner, Christopher Hautmann
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引用次数: 0

Abstract

Background: This study evaluates the psychometric properties of the newly developed semi-structured interview, Interview Version of the Symptoms and Functioning Severity Scale (SFSS-I), which is designed to provide a dimensional assessment of internalizing and externalizing symptoms.

Methods: Multi-informant baseline data from the OPTIE study was used, involving 358 children and adolescents aged 6 to 17 years (M = 11.54, SD = 3.4, n = 140 [39.1%] were female). Participants were screened for internalizing and externalizing symptoms. For validity analyses, caregiver (Child Behavior Checklist), youth (Youth Self Report), and teacher ratings (Teacher Report Form) were used. We performed Receiver Operating Characteristic (ROC) analyses to evaluate the effectiveness of the SFSS-I subscales in distinguishing between children and adolescents diagnosed with internalizing and externalizing disorders, as determined by clinical judgement in routine care.

Results: Confirmatory factor analyses supported a correlated two-factor model for internalizing and externalizing symptoms. Acceptable to good internal consistencies (α = 0.76 to 0.89; ω = 0.76 to 0.90) and excellent interrater reliability on the scale level (ICC ≥ 0.91) was found. The ROC analyses showed an acceptable accuracy in identifying internalizing diagnoses (AUC = 0.76) and excellent accuracy for externalizing diagnoses (AUC = 0.84).

Conclusion: The SFSS-I demonstrates potential as a clinically-rated instrument for screening and routine outcome monitoring, offering utility in both clinical practice and research settings for the dimensional assessment of broad psychopathological dimensions.

Trial registration: German Clinical Trials Register (DRKS) DRKS00016737 ( https://www.drks.de/DRKS00016737 ). Registered 17 September, 2019.

对儿童和青少年的内化和外化症状进行维度评估的半结构化访谈:症状与功能严重程度量表(SFSS-I)访谈版。
研究背景本研究评估了新开发的半结构式访谈--症状和功能严重程度量表访谈版(SFSS-I)的心理测量特性,该量表旨在对内化和外化症状进行维度评估:方法:采用 OPTIE 研究中的多信息基线数据,涉及 358 名 6 至 17 岁的儿童和青少年(男 = 11.54,女 = 140 [39.1%])。研究人员对参与者进行了内化和外化症状筛查。在有效性分析中,我们使用了照顾者(儿童行为检查表)、青少年(青少年自我报告)和教师(教师报告表)的评分。我们进行了ROC(Receiver Operating Characteristic)分析,以评估SFSS-I子量表在区分被诊断为内化障碍和外化障碍的儿童和青少年方面的有效性:结果:确认性因子分析支持内化症状和外化症状的相关双因子模型。该量表的内部一致性(α = 0.76 至 0.89;ω = 0.76 至 0.90)可接受至良好,且在量表水平上具有极佳的互测可靠性(ICC ≥ 0.91)。ROC分析表明,内化诊断的识别准确率可接受(AUC = 0.76),外化诊断的识别准确率极高(AUC = 0.84):结论:SFSS-I具有作为筛查和常规结果监测的临床评定工具的潜力,可在临床实践和研究环境中对广泛的精神病理学维度进行维度评估:德国临床试验注册中心(DRKS)DRKS00016737 ( https://www.drks.de/DRKS00016737 )。注册时间:2019 年 9 月 17 日。
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来源期刊
Child and Adolescent Psychiatry and Mental Health
Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY
CiteScore
7.00
自引率
3.60%
发文量
84
审稿时长
16 weeks
期刊介绍: Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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