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December 1994, Vol 148, No. 12 >
Article | December 1994

Performance of Screening Tools for Mental Health Problems in Chronically Ill Children FREE

Michael S. Jellinek, MD; J. Michael Murphy, EdD
Arch Pediatr Adolesc Med. 1994;148(12):1354-1355. doi:10.1001/archpedi.1994.02170120116028.
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Given psychiatry's limited understanding of the specific impact of chronic illness, we agree with Canning and Kelleher1 that no first-stage screen is a "good enough" means of identifying psychosocial dysfunction in chronically ill children. However, we would like to clarify some of their results regarding the sensitivity of the Pediatric Symptom Checklist (PSC) and question their conclusions concerning psychosocial screening.

Canning and Kelleher1 tested the performance of the PSC by comparing case classification on the PSC with the presence or absence of a Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition (DSM-III-R) diagnosis using the Diagnostic Interview Schedule for Children (DISC) version 2.1 as a gold standard. Parent and child reports were gathered by trained lay interviewers. By contrast, the PSC has been validated based on impairment, not diagnosis, using the Children's Global Assessment Scale (CGAS) ratings by clinicians with doctorate degrees.2,3 As a measure

REFERENCES

1 +
Canning EH, Kelleher K.  Performance of screening tools for mental health problems in chronically ill children . Arch Pediatr Med . 1994;;148:272-278.
2 +
Jellinek MS, Murphy JM, Robinson J, et al.  Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction . J Pediatr . 1988;;112: 201-209.
3 +
Murphy JM, Reede J, Jellinek MS, et al.  Screening for psychosocial dysfunction in inner-city children: further validation of the Pediatric Symptom Checklist . J Am Acad Child Adolesc Psychiatry . 1992;;31:221-232.
4 +
Costello EJ, Edelbrock C, Dulcan MK, Kalas R, Klaric SH. The National Institute of Mental Health Diagnostic Interview Schedule for Children: Final Report . Rockville, Md: National Institute of Mental Health; 1984;.
5 +
Costello EJ, Burns B, Angold A, Leaf PJ.  How can epidemiology improve mental health services for children and adolescents? J Am Acad Child Adolesc Psychiatry . 1993;;32:1106-1114.
6 +
Schwartz-Gould M, Wunsch-Hitzig MA, Dohrenweld B.  Estimating the prevalence of childhood psychopathology: a critical review . J Am Acad Child Psychiatry . 1981;;20:462-476.
7 +
Rutter M, Tizard J, Wightmore K. Education, Health and Behavior . London, England: Longman Inc; 1970;.
8 +
Schaffer D, Gould MS, Brasio J, et al.  A Children's Global Assessment Scale (CGAS) . Arch Gen Psychiatry . 1983;;40:1228-1231.
9 +
Steinhausen H.  Global assessment of psychopathology . J Am Acad Child Adolesc Psychiatry . 1987;;26:203-206.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Canning EH, Kelleher K.  Performance of screening tools for mental health problems in chronically ill children . Arch Pediatr Med . 1994;;148:272-278.
2 +
Jellinek MS, Murphy JM, Robinson J, et al.  Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction . J Pediatr . 1988;;112: 201-209.
3 +
Murphy JM, Reede J, Jellinek MS, et al.  Screening for psychosocial dysfunction in inner-city children: further validation of the Pediatric Symptom Checklist . J Am Acad Child Adolesc Psychiatry . 1992;;31:221-232.
4 +
Costello EJ, Edelbrock C, Dulcan MK, Kalas R, Klaric SH. The National Institute of Mental Health Diagnostic Interview Schedule for Children: Final Report . Rockville, Md: National Institute of Mental Health; 1984;.
5 +
Costello EJ, Burns B, Angold A, Leaf PJ.  How can epidemiology improve mental health services for children and adolescents? J Am Acad Child Adolesc Psychiatry . 1993;;32:1106-1114.
6 +
Schwartz-Gould M, Wunsch-Hitzig MA, Dohrenweld B.  Estimating the prevalence of childhood psychopathology: a critical review . J Am Acad Child Psychiatry . 1981;;20:462-476.
7 +
Rutter M, Tizard J, Wightmore K. Education, Health and Behavior . London, England: Longman Inc; 1970;.
8 +
Schaffer D, Gould MS, Brasio J, et al.  A Children's Global Assessment Scale (CGAS) . Arch Gen Psychiatry . 1983;;40:1228-1231.
9 +
Steinhausen H.  Global assessment of psychopathology . J Am Acad Child Adolesc Psychiatry . 1987;;26:203-206.

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