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Diagnostic accuracy...
Diagnostic accuracy of the Montgomery-Åsberg Depression Rating Scale parent report among adolescent psychiatric outpatients
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- Torres Soler, Catalina (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Vastmanlands Cty Hosp, Clin Res Ctr, Vasteras, Sweden.
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- Olofsdotter, Susanne (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Vastmanlands Cty Hosp, Clin Res Ctr, Vasteras, Sweden.
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- Vadlin, Sofia (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Vastmanlands Cty Hosp, Clin Res Ctr, Vasteras, Sweden.
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- Ramklint, Mia, Docent (författare)
- Uppsala universitet,Psykiatri, Akademiska sjukhuset,Uppsala Univ, Akad Sjukhuset, Dept Neurosci, Uppsala, Sweden.
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- Nilsson, Kent W. (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Vastmanlands Cty Hosp, Clin Res Ctr, Vasteras, Sweden.
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- Sonnby, Karin (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Vastmanlands Cty Hosp, Clin Res Ctr, Vasteras, Sweden.
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(creator_code:org_t)
- 2017-12-19
- 2018
- Engelska.
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Ingår i: Nordic Journal of Psychiatry. - : Taylor & Francis Group. - 0803-9488 .- 1502-4725. ; 72:3, s. 184-190
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: The diagnostic accuracy of the parent report of the Montgomery-Åsberg Depression Rating Scale (MADRS-P) for the screening of major depressive disorder (MDD) in adolescents has not been evaluated.AIM: The aim was to explore the psychometric properties and diagnostic accuracy of the MADRS-P in general child and adolescent psychiatric outpatient services in Sweden.METHOD: The study was a validation and a diagnostic accuracy study. Consecutive adolescent psychiatric patients (n = 101, 45 males, mean age 15 years) were assessed with a diagnostic interview, the Kiddie Schedule of Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime version (K-SADS-PL), as a reference test. Thereafter, their parents reported on the MADRS-P. Both categorical MDD diagnoses and dimensional MDD symptom severity scores were obtained from the K-SADS-PL.RESULTS: The internal consistency of the MADRS-P, measured with Cronbach's alpha, was 0.846. The concurrent validity, assessed by Spearman's rho as a correlation between the K-SADS MDD symptom severity score and the MADRS-P score, was 0.580. The area under the curve in a receiver operating characteristic analysis for all participants was 0.786 (95% confidence interval 0.694-0.877, p < .001). At a cut-off of 10, sensitivity was 0.86, specificity 0.54, positive predictive value 0.59 and negative predictive value 0.84.CONCLUSIONS: The parent-rated MADRS-P showed similar psychometric properties as previously shown for the self-rated MADRS-S in adults. Although the MADRS-P has acceptable diagnostic accuracy for screening for MDD in adolescents in a general psychiatric setting, it cannot be used alone for diagnosing MDD.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Nyckelord
- Depression
- adolescents
- parents
- questionnaire
- validation study
- Psychiatry
- Psykiatri
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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