The Diagnostic Interview Schedule for Children-Revised Version (DISC-R): II. Test-Retest Reliability

Schwab‐Stone, Mary; Fisher, Prudence; Piacentini, John; Shaffer, David; Davies, Mark; Briggs, Margaret

doi:10.1097/00004583-199305000-00024

Cited by 181 publications

(91 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The versions of the DISC used in the current study have been shown to possess acceptable to excellent psychometric properties, especially when used with clinical populations Jensen et al, 1995;Schwab-Stone et al, 1993, 1996Shaffer et al, 1996). Reliability between SA and maternal reports is generally higher for externalizing symptoms, rather than internalizing symptoms .…”

Section: Assessments Emergency Room Assessments Prior To Er Care (Timmentioning

confidence: 87%

The 18-month impact of an emergency room intervention for adolescent female suicide attempters.

Rotheram‐Borus¹,

Piacentini²,

Cantwell³

et al. 2000

Journal of Consulting and Clinical Psychology

Self Cite

161

170

View full text Add to dashboard Cite

Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancing adherence to outpatient therapy by providing a soap opera video regarding suicidality, a family therapy session, and staff training; or (b) standard ER care. The adjustment of the SA and their mothers was evaluated over 18 months (follow-up, 92%) using linear mixed model regression analyses. SA's adjustment improved over time on most mental health indices. Rates of suicide reattempts (12.4%) and suicidal reideation (29.8%) were lower than anticipated and similar across ER conditions. The specialized ER care condition was associated with significantly lower depression scores by the SA and lower maternal ratings on family cohesion. Significant interactions of intervention condition with the SA's initial level of psychiatric symptomatology indicated that the intervention's impact was greatest on maternal emotional distress and family cohesion among SA who were highly symptomatic. SA's attendance at therapy sessions following the ER visit was significantly associated with only one outcome-family adaptability. Specialized ER interventions may have substantial and sustained impact over time, particularly for the parents of youth with high psychiatric symptomatology. Adolescent suicide attempts are a significant problem, with 7.7% of high school students reporting attempts and 2.6% saying their attempt required medical attention (Centers for Disease Control and Prevention [CDC], 1998). Adolescent suicide attempters (SA) are at increased risk for repeat attempts, long-term psychiatric symptoms, and academic, social, and behavioral problems (Shaffer & Piacentini, 1994). In spite of their great need for mental health intervention, fewer than 50% of adolescent attempters are referred for psychotherapy following their emergency room (ER) visit (Piacentini et al., 1995; Spirito, Brown, Overholser, & Fritz, 1989), and a large proportion of these individuals fail to attend their initial treatment session. Of those who do attend, many do not complete treatment (Piacentini et al., 1995; Spirito et al., 1989). Nonattendance to follow-up treatment by suicidal adolescents is especially disturbing, considering that psychiatric intervention can reduce subsequent attempts and social maladjustment (Rotheram-Borus, Piacentini, Miller, Graae, & Castro-Bianco, 1994; Shaffer & Piacentini, 1994). There are many reasons why individuals fail to attend treatment following an ER visit for a suicide attempt. Repetitive evaluations, lengthy waiting periods, bureaucratic registration procedures, and

show abstract

Section: Assessments Emergency Room Assessments Prior To Er Care (Timmentioning

confidence: 87%

The 18-month impact of an emergency room intervention for adolescent female suicide attempters.

Rotheram‐Borus¹,

Piacentini²,

Cantwell³

et al. 2000

Journal of Consulting and Clinical Psychology

Self Cite

161

170

View full text Add to dashboard Cite

show abstract

“…The DISC-R and UM-CIDI were based on criteria in the revised third edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association 1987), and both were intended for use by interviewers without clinical training. Researchers have reported good to excellent interrater and test-retest reliability and satisfactory validity on the DISC-R Schwab-Stone et al 1993;Shaffer et al 1993) and on the CIDI, from which the UM-CIDI was derived (Wittchen 1994). In this study, practice interviews were checked for accuracy, but statistical measures of reliability were not calculated.…”

Section: Methodsmentioning

confidence: 96%

“…Piacentini et al 1993;Schwab-Stone et al 1993;Shaffer et al 1993) and on the CIDI, from which the UM-CIDI was derived (Wittchen 1994). In this study, practice interviews were checked for accuracy, but statistical measures of reliability were not calculated.…”

Section: Institutes Of Health Guidelines (Us Department Of Health Amentioning

confidence: 99%

A Dimensional Model of Psychopathology Among Homeless Adolescents: Suicidality, Internalizing, and Externalizing Disorders

Yoder

Longley

Whitbeck

et al. 2007

J Abnorm Child Psychol

View full text Add to dashboard Cite

The present study examined associations among dimensions of suicidality and psychopathology in a sample of 428 homeless adolescents (56.3% female). Confirmatory factor analysis results provided support for a three-factor model in which suicidality (measured with lifetime suicidal ideation and suicide attempts), internalizing disorders (assessed with lifetime diagnoses of major depressive episode and post-traumatic stress disorder), and externalizing disorders (indicated by lifetime diagnoses of conduct disorder, alcohol abuse, and drug abuse) were positively intercorrelated. The findings illustrate the utility of a dimensional approach that integrates suicidality and psychopathology into one model. KeywordsPsychopathology; Suicidality; Internalizing; Externalizing; Homeless adolescents Dimensions of adolescent suicidality and psychopathology are of increased concern to clinicians and researchers (Bridge et al. 2006;Verona et al. 2004). This interest can be attributed to the relatively high prevalence of adolescent suicidal ideation and suicide attempts (Evans et al. 2005) and to suicide being the third leading cause of death among youths ages 15-24 in the USA (Hoyert et al. 2006). Research also indicates both suicidal ideation and suicide attempts increase the risk for completed suicide (Brown et al. 2000). This pattern of increased liability for suicide risk has led to a broader conceptualization of a suicide spectrum ranging from suicidal ideation to attempted and completed suicide (Lewinsohn et al. 1996).Moreover, psychiatric disorders are among the strongest correlates of adolescent suicidality (Bridge et al. 2006). Mood disorders are robust correlates, but post-traumatic stress disorder, conduct disorder, and substance use disorders are also associated with suicidality (Bridge et al. 2006;Evans et al. 2004). Krueger (1999), informed by the work of Achenbach (Achenbach and McConaughy 1997), developed a dimensional model of psychopathology and clustered psychiatric diagnoses into internalizing and externalizing disorders. As specific psychiatric disorders from both clusters are related to suicidal ideation and attempts, there is interest in linking the suicide spectrum to these broader dimensions of psychopathology (Hills et al. 2005;Verona et al. 2004).Our study expands on this work by including the internalizing and externalizing dimensions of psychopathology in a structural model of adolescent suicidality using a sample of homeless adolescents. Suicidality is measured with lifetime suicidal ideation and suicide attempts, internalizing psychopathology with lifetime diagnoses of major depressive episode and posttraumatic stress disorder, and externalizing psychopathology with lifetime diagnoses of conduct disorder, alcohol abuse, and drug abuse. We use confirmatory factor analysis to examine covariances among dimensions of suicidality, internalizing, and externalizing disorders. Internalizing and Externalizing DisordersAchenbach used an empirical approach to derive two broad dimensions (internalizing...

show abstract

“…[32][33][34][35][36][37][38][39][40] The PGA is a 7-point scale ranging from 1 (no impairments) to 7 (needs 24-hour supervision due to severe impairments). For children who were being treated with stimulant medications, parents were asked to complete rating scales describing their child' s behavior on and off medication (eg, before the medication took effect in the morning).…”

Section: Determination Of Psychiatric Disorders At Timementioning

confidence: 99%

Attention-Deficit/Hyperactivity Disorder in Young Children: Predictors of Diagnostic Stability

Law¹,

Sideridis

Prock

et al. 2014

Pediatrics

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Approximately 50% of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) at ,7 years of age in the community do not meet criteria for ADHD over time. There is a need to examine predictors of diagnostic stability in young children with ADHD. WHAT THIS STUDY ADDS:Predictors of diagnostic stability from early to middle childhood include child' s baseline externalizing and internalizing symptoms, parental history of psychopathology, and socioeconomic status. These predictors may guide treatment planning at the time of ADHD diagnosis. abstract OBJECTIVES: The goals of this study were (1) to provide estimates of diagnostic stability for a sample of young children diagnosed with attention-deficit/hyperactivity disorder (ADHD) after undergoing comprehensive multidisciplinary assessments and (2) to identify baseline child and family characteristics that predict diagnostic stability over time. METHODS:Children aged 3 to 6 years, 11 months consecutively diagnosed with ADHD after multidisciplinary consultations at a tertiary care clinic between 2003 and 2008 were recontacted in 2012 and 2013 (N = 120). At follow-up, the primary outcome was the proportion of children who continued to meet diagnostic criteria for ADHD. To identify predictors of diagnostic stability, logistic regression models were used. In addition, a latent class model was used to independently classify subjects into distinct clusters. RESULTS:In this cohort, 70.4% of the children contacted at followup continued to meet diagnostic criteria for ADHD. Predictors of diagnostic stability included externalizing and internalizing symptoms at baseline, parental history of psychopathology, and family socioeconomic status. The latent class model independently identified 3 distinct profiles: (1) children who no longer met ADHD criteria; (2) children with persistent ADHD and high parental psychopathology; and (3) children with persistent ADHD and low family socioeconomic status. CONCLUSIONS:Young children who underwent comprehensive developmental and psychological assessments before receiving an ADHD diagnosis, had higher rates of diagnostic stability than in previous studies of community samples. Child and family factors that predict diagnostic stability have the potential to guide treatment planning for children diagnosed with ADHD before 7 years of age. Pediatrics

show abstract

The Diagnostic Interview Schedule for Children-Revised Version (DISC-R): II. Test-Retest Reliability

Cited by 181 publications

References 14 publications

The 18-month impact of an emergency room intervention for adolescent female suicide attempters.

The 18-month impact of an emergency room intervention for adolescent female suicide attempters.

A Dimensional Model of Psychopathology Among Homeless Adolescents: Suicidality, Internalizing, and Externalizing Disorders

Attention-Deficit/Hyperactivity Disorder in Young Children: Predictors of Diagnostic Stability

Contact Info

Product

Resources

About