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dc.contributor.authorSveen, Trude Hamre
dc.contributor.authorBerg-Nielsen, Turid Suzanne
dc.contributor.authorLydersen, Stian
dc.contributor.authorWichstrøm, Lars
dc.date.accessioned2019-04-09T16:00:04Z
dc.date.available2019-04-09T16:00:04Z
dc.date.created2016-08-04T10:32:02Z
dc.date.issued2016
dc.identifier.issn0031-4005
dc.identifier.urihttp://hdl.handle.net/11250/2593902
dc.description.abstractOBJECTIVE: To inform primary care screening and preventive intervention efforts, the authors examined the screening efficiency of the parent version of the Strengths and Difficulties Questionnaire (SDQP4-16) for persistent disorders relative to transient disorders and its capacity to distinguish between the two. METHODS: Persistence and transience in preschool-onset psychiatric disorders were identified by using data from a large population-based cohort study in Norwegian children initially assessed at age 4 and followed up at age 6 (n = 1038). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnoses at both time points were assigned by using the Preschool Age Psychiatric Assessment Interview, against which the SDQP4-16 was compared through receiver operating characteristics analysis. RESULTS: The screening efficiency for persistent disorders exceeded that for transient disorders with a specificity of 86.1%, a sensitivity of 79.3%, and an area under the curve value of 0.85. The SDQP4-16 was able to discriminate persistent disorders from transient disorders at an area under the curve value of 0.71. At the selected cutoff of 10, the negative predictive value was 99.6%, whereas the positive predictive value was 9.5%, partly due to the low prevalence (1.8%) of persistent disorders. CONCLUSIONS: The SDQP4-16 is a sensitive tool for detecting persistent psychiatric disorders in young children. However, a large proportion of positive screens are nonpersistent cases, as indicated by the high false-positive rate. Thus, the clinical utility of the SDQP4-16 in primary care screening for persistent disorders is uncertain, particularly in samples in which the rate of psychiatric disorders is low.nb_NO
dc.language.isoengnb_NO
dc.publisherAmerican Academy of Pediatricsnb_NO
dc.titleScreening for persistent psychopathology in 4-year-old childrennb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.volume138nb_NO
dc.source.journalPediatricsnb_NO
dc.source.issue4nb_NO
dc.identifier.doi10.1542/peds.2015-1648
dc.identifier.cristin1370470
dc.relation.projectNorges forskningsråd: 228685nb_NO
dc.relation.projectSamarbeidsorganet mellom Helse Midt-Norge og NTNU: 46045800nb_NO
dc.description.localcodeCopyright © 2016 by the American Academy of Pediatrics. Locked due to copyright restrictions.nb_NO
cristin.unitcode194,67,40,0
cristin.unitcode194,65,35,5
cristin.unitnameInstitutt for psykologi
cristin.unitnameRKBU Midt-Norge - Regionalt kunnskapssenter for barn og unge - psykisk helse og barnevern
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode2


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