On Diagnosing Rare Disorders Rarely: Appropriate Use of Screening Instruments / Andrew F. CLARK in Journal of Child Psychology and Psychiatry, 40-2 (February 1999)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 40-2 (February 1999) . - p.287-290 Titre : On Diagnosing Rare Disorders Rarely: Appropriate Use of Screening Instruments Type de document : Texte imprimé et/ou numérique Auteurs : Andrew F. CLARK, Auteur ; Richard HARRINGTON, Auteur Année de publication : 1999 Article en page(s) : p.287-290 Langues : Anglais (eng) Mots-clés : Mental health assessment  screening  base rate  child Index. décimale : PER Périodiques Résumé : The main aim of this study was to determine whether child mental health professionals who regularly use questionnaires to screen for mental disorders know that these questionnaires have a low predictive value when the base rate of a disorder is low. The study was based on a representative sample of professionals who used questionnaires regularly to screen for mental disorders. They were set a problem in which a clinic sample was screened with a questionnaire that, at a certain cut-point, had 80% sensitivity and 80% specificity, and in which the true base rate of disorder was 10%. Only 10% (5/48) of respondents answered correctly that just 30% of individuals who scored above this cut-point would actually have the disorder and more than half of respondents believed that 80% would have the disorder. Both users and designers of questionnaires need to be more aware of and explicit about their drawbacks as screens for mental disorders. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124 [article] On Diagnosing Rare Disorders Rarely: Appropriate Use of Screening Instruments [Texte imprimé et/ou numérique] / Andrew F. CLARK, Auteur ; Richard HARRINGTON, Auteur . - 1999 . - p.287-290. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 40-2 (February 1999) . - p.287-290 Mots-clés : Mental health assessment  screening  base rate  child Index. décimale : PER Périodiques Résumé : The main aim of this study was to determine whether child mental health professionals who regularly use questionnaires to screen for mental disorders know that these questionnaires have a low predictive value when the base rate of a disorder is low. The study was based on a representative sample of professionals who used questionnaires regularly to screen for mental disorders. They were set a problem in which a clinic sample was screened with a questionnaire that, at a certain cut-point, had 80% sensitivity and 80% specificity, and in which the true base rate of disorder was 10%. Only 10% (5/48) of respondents answered correctly that just 30% of individuals who scored above this cut-point would actually have the disorder and more than half of respondents believed that 80% would have the disorder. Both users and designers of questionnaires need to be more aware of and explicit about their drawbacks as screens for mental disorders. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124

Practitioner Review: Treatment of Schizophrenia in Childhood and Adolescence / Andrew F. CLARK in Journal of Child Psychology and Psychiatry, 39-8 (November 1998)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 39-8 (November 1998) . - p.1071-1081 Titre : Practitioner Review: Treatment of Schizophrenia in Childhood and Adolescence Type de document : Texte imprimé et/ou numérique Auteurs : Andrew F. CLARK, Auteur ; Shôn W. LEWIS, Auteur Année de publication : 1998 Article en page(s) : p.1071-1081 Langues : Anglais (eng) Mots-clés : Schizophrenia  treatment  antipsychotics  childhood  adolescence Index. décimale : PER Périodiques Résumé : This paper reviews the management of schizophrenia occurring during childhood and adolescence. It considers the clinical features of the disorder particular to its early onset before providing a practical framework for assessment and treatment based upon a critical review of the available literature. A multi-modal approach to treatment encompassing the individual and their family is adopted with the roles of pharmacological, psychological, and environmental interventions all considered. The place of the newer “atypical” antipsychotic agents and the likelihood that they will soon become the first-line drugs of choice is particularly discussed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124 [article] Practitioner Review: Treatment of Schizophrenia in Childhood and Adolescence [Texte imprimé et/ou numérique] / Andrew F. CLARK, Auteur ; Shôn W. LEWIS, Auteur . - 1998 . - p.1071-1081. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 39-8 (November 1998) . - p.1071-1081 Mots-clés : Schizophrenia  treatment  antipsychotics  childhood  adolescence Index. décimale : PER Périodiques Résumé : This paper reviews the management of schizophrenia occurring during childhood and adolescence. It considers the clinical features of the disorder particular to its early onset before providing a practical framework for assessment and treatment based upon a critical review of the available literature. A multi-modal approach to treatment encompassing the individual and their family is adopted with the roles of pharmacological, psychological, and environmental interventions all considered. The place of the newer “atypical” antipsychotic agents and the likelihood that they will soon become the first-line drugs of choice is particularly discussed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124

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