dc.contributor.author | Sveen, Trude Hamre | |
dc.contributor.author | Berg-Nielsen, Turid Suzanne | |
dc.contributor.author | Lydersen, Stian | |
dc.contributor.author | Wichstrøm, Lars | |
dc.date.accessioned | 2019-04-09T16:00:04Z | |
dc.date.available | 2019-04-09T16:00:04Z | |
dc.date.created | 2016-08-04T10:32:02Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 0031-4005 | |
dc.identifier.uri | http://hdl.handle.net/11250/2593902 | |
dc.description.abstract | OBJECTIVE: 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.iso | eng | nb_NO |
dc.publisher | American Academy of Pediatrics | nb_NO |
dc.title | Screening for persistent psychopathology in 4-year-old children | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | acceptedVersion | nb_NO |
dc.source.volume | 138 | nb_NO |
dc.source.journal | Pediatrics | nb_NO |
dc.source.issue | 4 | nb_NO |
dc.identifier.doi | 10.1542/peds.2015-1648 | |
dc.identifier.cristin | 1370470 | |
dc.relation.project | Norges forskningsråd: 228685 | nb_NO |
dc.relation.project | Samarbeidsorganet mellom Helse Midt-Norge og NTNU: 46045800 | nb_NO |
dc.description.localcode | Copyright © 2016 by the American Academy of Pediatrics. Locked due to copyright restrictions. | nb_NO |
cristin.unitcode | 194,67,40,0 | |
cristin.unitcode | 194,65,35,5 | |
cristin.unitname | Institutt for psykologi | |
cristin.unitname | RKBU Midt-Norge - Regionalt kunnskapssenter for barn og unge - psykisk helse og barnevern | |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 2 | |