[article]
| Titre : |
Relation of symptom-induced impairment with other illness parameters in clinic-referred youth |
| Type de document : |
Texte imprimé et/ou numérique |
| Auteurs : |
Kenneth D. GADOW, Auteur ; Aaron J. KAAT, Auteur ; Luc LECAVALIER, Auteur |
| Article en page(s) : |
p.1198-1207 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Psychiatric disorder impairment diagnosis children ADHD |
| Index. décimale : |
PER Périodiques |
| Résumé : |
Objective To examine the relation of caregiver ratings of psychiatric symptom-induced impairment with number and severity of symptoms and informant agreement in consecutive child psychiatry outpatient referrals. Methods Parents and teachers completed a broadband DSM-IV-referenced rating scale with disorder-specific impairment for 636 youth (6–18 years). Illness parameters included impairment, number and severity of symptoms, and their combination (symptom + impairment) as well as categorical (cut-off) and dimensional scoring. Results Agreement between impairment and other illness parameters showed considerable variation as a function of type of parameter, disorder, and informant, but to lesser extent age and gender. Many youth who met impairment cut-off for specific disorders did not meet symptom cut-off. Conversely, most youth who met symptom cut-off were impaired. Symptom cut-off evidenced greater convergence with impairment cut-off than combined symptom + impairment cut-offs. Severity of impairment was moderately to highly correlated with number and severity of symptoms. Parents' and teachers' ratings indicated little disorder-specific agreement about youth who met impairment cut-off, symptom cut-off, or combined symptom + impairment cut-off. Therefore, sole reliance on one informant greatly underestimates the pervasiveness of impairment. Conclusion Findings are consistent with the notion that each illness parameter represents a unique conceptual construct, which has important clinical and research implications. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.12077 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217 |
in Journal of Child Psychology and Psychiatry > 54-11 (November 2013) . - p.1198-1207
[article] Relation of symptom-induced impairment with other illness parameters in clinic-referred youth [Texte imprimé et/ou numérique] / Kenneth D. GADOW, Auteur ; Aaron J. KAAT, Auteur ; Luc LECAVALIER, Auteur . - p.1198-1207. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 54-11 (November 2013) . - p.1198-1207
| Mots-clés : |
Psychiatric disorder impairment diagnosis children ADHD |
| Index. décimale : |
PER Périodiques |
| Résumé : |
Objective To examine the relation of caregiver ratings of psychiatric symptom-induced impairment with number and severity of symptoms and informant agreement in consecutive child psychiatry outpatient referrals. Methods Parents and teachers completed a broadband DSM-IV-referenced rating scale with disorder-specific impairment for 636 youth (6–18 years). Illness parameters included impairment, number and severity of symptoms, and their combination (symptom + impairment) as well as categorical (cut-off) and dimensional scoring. Results Agreement between impairment and other illness parameters showed considerable variation as a function of type of parameter, disorder, and informant, but to lesser extent age and gender. Many youth who met impairment cut-off for specific disorders did not meet symptom cut-off. Conversely, most youth who met symptom cut-off were impaired. Symptom cut-off evidenced greater convergence with impairment cut-off than combined symptom + impairment cut-offs. Severity of impairment was moderately to highly correlated with number and severity of symptoms. Parents' and teachers' ratings indicated little disorder-specific agreement about youth who met impairment cut-off, symptom cut-off, or combined symptom + impairment cut-off. Therefore, sole reliance on one informant greatly underestimates the pervasiveness of impairment. Conclusion Findings are consistent with the notion that each illness parameter represents a unique conceptual construct, which has important clinical and research implications. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.12077 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217 |
|
Relation of symptom-induced impairment with other illness parameters in clinic-referred youth in Journal of Child Psychology and Psychiatry, 54-11 (November 2013)
