Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Obsessive-compulsive scale of the child behavior checklist: Specificity, sensitivity, and predictive power
Autore:
Nelson, EC; Hanna, GL; Hudziak, JJ; Botteron, KN; Heath, AC; Todd, RD;
Indirizzi:
Washington Univ, Sch Med, Dept Psychiat, St Louis, MO 63108 USA WashingtonUniv St Louis MO USA 63108 pt Psychiat, St Louis, MO 63108 USA Univ Michigan, Sch Med, Ann Arbor, MI USA Univ Michigan Ann Arbor MI USAUniv Michigan, Sch Med, Ann Arbor, MI USA Univ Vermont, Sch Med, Burlington, VT 05405 USA Univ Vermont Burlington VT USA 05405 t, Sch Med, Burlington, VT 05405 USA
Titolo Testata:
PEDIATRICS
fascicolo: 1, volume: 108, anno: 2001,
pagine: NIL_89 - NIL_93
SICI:
0031-4005(200107)108:1<NIL_89:OSOTCB>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIAGNOSTIC INTERVIEW SCHEDULE; STREPTOCOCCAL INFECTIONS; PSYCHIATRIC-DISORDERS; ADOLESCENTS; COMORBIDITY; POPULATION; PREVALENCE; TRICHOTILLOMANIA; EPIDEMIOLOGY; CONVERGENCE;
Keywords:
Child Behavior Checklist; obsessive-compulsive disorder; screening;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Nelson, EC Washington Univ, Sch Med, Dept Psychiat, 40 N Kingshighway,Suite1, St Louis, MO 63108 USA Washington Univ 40 N Kingshighway,Suite1 St Louis MO USA 63108
Citazione:
E.C. Nelson et al., "Obsessive-compulsive scale of the child behavior checklist: Specificity, sensitivity, and predictive power", PEDIATRICS, 108(1), 2001, pp. NIL_89-NIL_93

Abstract

Objective. To create an obsessive-compulsive disorder subscale (OCS) of the Child Behavior Checklist (CBCL) and to determine its internal consistency, sensitivity, specificity, and positive and negative predictive power to identify obsessive-compulsive disorder (OCD) in children and adolescents. Methods. Three samples of equal size (n = 73) of children and adolescents,matched for age, gender, and race, were selected for these analyses: 1) a clinically ascertained OCD group, 2) a psychiatrically treated group whose records revealed no evidence of OCD, and 3) a general population control group. An OCS was created by applying factor analysis to 11 CBCL items. Examinations of internal consistency, sensitivity, specificity, and positive andnegative predictive value were undertaken. Results. Of 11 items hypothesized to predict OCD, 8 items were retained after factor analyses (smallest factor loading: 0.49) and used to calculate OCS scores. The retained items displayed excellent internal consistency (Cronbach's alpha coefficient = 0.84). OCD participants had significantly higher OCS scores than either psychiatrically treated or general population control groups. With the use of the 2 cutoff scores closest to the true rate ofOCD in the overall sample, sensitivity was 75.3% to 84.9%, specificity was82.2% to 92.5%, positive predictive value was 70.5% to 83.3%, and negativepredictive value was 88.2% to 91.6%. Conclusion. The performance of the proposed CBCL OCS compares favorably with that of the only previously studied screening instrument for OCD, the Leyton Obsessional Inventory-Child Version. Unlike the Leyton Obsessional Inventory-Child Version, the CBCL is already in widespread use as a screen formost other forms of psychopathology. As the performance of the CBCL OCS will need to be replicated in other sample populations, data with various cutoff levels are provided to enable investigators and clinicians to tailor its use to specific study populations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 16:09:20