Journal of the American Academy of Child & Adolescent Psychiatry
Original ArticlesA Comparison of Measures of Adjustment, Symptoms, and Impairment among Children with Chronic Medical Conditions
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Cited by (58)
Examining psychotropic medication use among youth in the U.S. by race/ethnicity and psychological impairment
2017, General Hospital PsychiatryCitation Excerpt :The CIS has excellent psychometric properties, correlates well with the Children's Global Assessment Scale, referral for mental health services, academic performance and school difficulties [27,25], and has been shown to have reliability and validity among diverse racial, ethnic and socioeconomic populations [28]. We utilized a cutoff score of 16 in this pediatric sample, which has shown moderate agreement with DSM diagnoses (kappa, 0.48; sensitivity, 0.44; specificity, 0.96; positive predictive value, 0.79) [29]. To assess disparities under conditions of greater sensitivity, we conducted sensitivity analyses lowering the cutoff score to 12 +.
Medical and Psychiatric Comorbidities in Children and Adolescents: A Guide to Issues and Treatment Approaches
2010, Nursing Clinics of North AmericaCitation Excerpt :These include the health care context, specifically illness management, adherence to care, and the child’s response to medical procedures, school context, such as academic performance and school attendance, and peer context, such as relationships and interactions with peers.4 Poor psychological adjustment to a medical illness is characterized by emotional distress, developmental delays, poor adherence to medical treatment, poor peer relationships, poor school performance, and behavioral problems.4,6 In addition to models of psychological adjustment, stress and coping models have been developed to illustrate the factors that influence a child’s response to a chronic medical illness.
Comparing the convergent validity and clinical utility of the Behavior Assessment System for Children-Parent Rating Scales and Child Behavior Checklist in children with epilepsy
2008, Epilepsy and BehaviorCitation Excerpt :The high rates of psychopathology captured during the current study cannot be regarded as definitive estimates of psychopathology in this population given that quantitative rating scales may not accurately capture the true level of symptomotology in chronically ill populations. CBCL scores, in particular, have reportedly been over-sensitive to impairment in this cohort [41,42]. Although commonly-administered in studies of children with medical illnesses including cystic fibrosis [43], diabetes mellitus [44], cancer [45], asthma [46], and inflammatory bowel disease [47], concerns exist regarding the usefulness of the CBCL in populations with chronic somatic complaints.
Adjunctive Treatments for Childhood Disorders
2008, Evidence-Based Adjunctive TreatmentsDepression and Anxiety in Children at the End of Life
2007, Pediatric Clinics of North AmericaCitation Excerpt :The use of standardized screening measures is also an option. It was originally thought that self-report screening measures, which are sometimes used in the general pediatric population, were invalid in chronically ill patients [29–31]. However, the Children's Depression Inventory (CDI) and other similar measures have been evaluated in medically ill children and were found to be reasonably accurate in predicting depression and distress [23,32–34].
This study was supported by a Scientist Development Award for Clinicians ( K20 MH-00864) from the NIMH, Rockville, MD; a Biomedical Research Support Grant ( RR05353) from the Division of Research Resources, NIH, Bethesda, MD; a grant from the Stanford Center for the Study of Families, Children, & Youth (to E.S.H.); a National Research Service Award ( T32 MH-15169) (to R.D.C.); and funding from the Staunton Farm Foundation, Pittsburgh (to K.J.K.).