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Titolo:
Validity of structured clinical evaluations in adolescents with conduct and substance problems
Autore:
Crowley, TJ; Mikulich, SK; Ehlers, KM; Whitmore, EA; MacDonald, MJ;
Indirizzi:
Univ Colorado, Sch Med, Dept Psychiat, Subst Dependence Div, Denver, CO 80262 USA Univ Colorado Denver CO USA 80262 st Dependence Div, Denver, CO 80262 USA
Titolo Testata:
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
fascicolo: 3, volume: 40, anno: 2001,
pagine: 265 - 273
SICI:
0890-8567(200103)40:3<265:VOSCEI>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
MENTAL-DISORDERS; CHILDREN; ALCOHOL; ADHD; PREVALENCE; GENDER; PSYCHOPATHOLOGY; HYPERACTIVITY; DEPRESSION; DEPENDENCE;
Keywords:
substance abuse; substance dependence; conduct disorder;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Crowley, TJ Univ Colorado, Sch Med, Dept Psychiat, Subst Dependence Div, 4200 E 9th Ave, Denver, CO 80262 USA Univ Colorado 4200 E 9th Ave Denver CO USA 80262 CO 80262 USA
Citazione:
T.J. Crowley et al., "Validity of structured clinical evaluations in adolescents with conduct and substance problems", J AM A CHIL, 40(3), 2001, pp. 265-273

Abstract

Objective: To determine discriminative and convergent validity for certainstructured diagnostic assessments among adolescents with conduct and substance problems. Method: Patients were 87 adolescents (both genders) in treatment for conduct and substance problems. Most controls (n = 85; both genders) came from patients' neighborhoods. Assessments included Diagnostic Interview Schedule for Children, Composite International Diagnostic instrument-Substance Abuse Module, Child Behavior Checklist, and others. Patients' dataguided clinical care. Results: Youths' self-reports significantly discriminated patients from controls in DSM-IV conduct and substance use disorders (CD, SUD) and in numerous associated measures. CD and SUD symptoms correlated strongly. However, some patients apparently minimized symptoms. Youths' self-reports did not discriminate patients from controls in attention-deficit/hyperactivity disorder (ADHD) or major depression (MDD). Parent information raised prevalence rates of ADHD and MDD, which then discriminated patients from controls. However, patients and parents usually disagreed on MDD and ADHD diagnoses. Conclusions: Despite some dissimulation, patients' self-reports of CD and SUD correlated highly and had superb discriminative validity, making them useful for treatment and research. Self-reports of ADHD and MDD, apparently lacking discriminative validity, are less useful. Parent reports improve these discriminations but present additional problems.

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Documento generato il 28/01/20 alle ore 14:53:59