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Validation of diagnoses of distress disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A).
Int J Methods Psychiatr Res. 2012 Mar; 21(1):41-51.IJ

Abstract

Research diagnostic interviews need to discriminate between closely related disorders in order to allow comorbidity among mental disorders to be studied reliably. Yet conventional studies of diagnostic validity generally focus on single disorders and do not examine discriminant validity. The current study examines the validity of fully-structured diagnoses of closely-related distress disorders (generalized anxiety disorder, post-traumatic stress disorder, major depressive episode, and dysthymic disorder) in the lay-administered Composite International Diagnostic Interview Version 3.0 (CIDI) with independent clinical diagnoses based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS) in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). The NCS-A is a national survey of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) among 10,148 adolescents. A probability sub-sample of 347 of these adolescents and their parents were administered blinded follow-up K-SADS interviews. Good concordance [area under the receiver operating characteristic curve (AUC)] was found between diagnoses based on the CIDI and the K-SADS for generalized anxiety disorder (AUC = 0.78), post-traumatic stress disorder (AUC = 0.79), and major depressive episode/dysthymic disorder (AUC = 0.86). Further, the CIDI was able to effectively discriminate among different types of distress disorders in the sub-sample of respondents with any distress disorder.

Authors+Show Affiliations

School of Education, Boston University, Boston, MA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

22086845

Citation

Green, Jennifer Greif, et al. "Validation of Diagnoses of Distress Disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A)." International Journal of Methods in Psychiatric Research, vol. 21, no. 1, 2012, pp. 41-51.
Green JG, Avenevoli S, Gruber MJ, et al. Validation of diagnoses of distress disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). Int J Methods Psychiatr Res. 2012;21(1):41-51.
Green, J. G., Avenevoli, S., Gruber, M. J., Kessler, R. C., Lakoma, M. D., Merikangas, K. R., Sampson, N. A., & Zaslavsky, A. M. (2012). Validation of diagnoses of distress disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). International Journal of Methods in Psychiatric Research, 21(1), 41-51. https://doi.org/10.1002/mpr.357
Green JG, et al. Validation of Diagnoses of Distress Disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). Int J Methods Psychiatr Res. 2012;21(1):41-51. PubMed PMID: 22086845.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validation of diagnoses of distress disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). AU - Green,Jennifer Greif, AU - Avenevoli,Shelli, AU - Gruber,Michael J, AU - Kessler,Ronald C, AU - Lakoma,Matthew D, AU - Merikangas,Kathleen Ries, AU - Sampson,Nancy A, AU - Zaslavsky,Alan M, Y1 - 2011/11/15/ PY - 2010/07/23/received PY - 2010/12/08/revised PY - 2011/04/05/accepted PY - 2011/11/17/entrez PY - 2011/11/17/pubmed PY - 2012/7/28/medline SP - 41 EP - 51 JF - International journal of methods in psychiatric research JO - Int J Methods Psychiatr Res VL - 21 IS - 1 N2 - Research diagnostic interviews need to discriminate between closely related disorders in order to allow comorbidity among mental disorders to be studied reliably. Yet conventional studies of diagnostic validity generally focus on single disorders and do not examine discriminant validity. The current study examines the validity of fully-structured diagnoses of closely-related distress disorders (generalized anxiety disorder, post-traumatic stress disorder, major depressive episode, and dysthymic disorder) in the lay-administered Composite International Diagnostic Interview Version 3.0 (CIDI) with independent clinical diagnoses based on the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS) in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). The NCS-A is a national survey of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) among 10,148 adolescents. A probability sub-sample of 347 of these adolescents and their parents were administered blinded follow-up K-SADS interviews. Good concordance [area under the receiver operating characteristic curve (AUC)] was found between diagnoses based on the CIDI and the K-SADS for generalized anxiety disorder (AUC = 0.78), post-traumatic stress disorder (AUC = 0.79), and major depressive episode/dysthymic disorder (AUC = 0.86). Further, the CIDI was able to effectively discriminate among different types of distress disorders in the sub-sample of respondents with any distress disorder. SN - 1557-0657 UR - https://www.unboundmedicine.com/medline/citation/22086845/Validation_of_diagnoses_of_distress_disorders_in_the_US_National_Comorbidity_Survey_Replication_Adolescent_Supplement__NCS_A__ L2 - https://doi.org/10.1002/mpr.357 DB - PRIME DP - Unbound Medicine ER -