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Prediction of major affective disorders in adolescents by self-report measures


Aebi, M; Winkler Metzke, C; Steinhausen, H C (2009). Prediction of major affective disorders in adolescents by self-report measures. Journal of Affective Disorders, 115(1-2):140-149.

Abstract

BACKGROUND: The Youth Self-Report (YSR) has been used widely as a screening instrument for adolescent psychopathology. The present study aimed at a test of the diagnostic accuracy of the various YSR-scales including a DSM-oriented affective problem scale (YSR AFF) in the prediction of depressive episodes and a comparison with results based on the Center of Epidemiologic Studies-Depression Scale (CES-D). METHODS: A consecutive clinical sample of 140 adolescents diagnosed with major depressive episodes according to ICD-10 criteria was compared to a sample of 140 non-referred controls matched by age and sex from a community survey. All subjects responded both to the YSR and CES-D. Diagnoses were provided by the treating clinicians. Receiver Operating Characteristics (ROC) analyses were performed and cut-off scores were calculated based on quality efficiency statistics. RESULTS: The YSR AFF scale was found to have high diagnostic accuracy and showed quite comparable results to the CES-D scale. None of the other multivariate model showed a better performance in the identification of major depression disorders. Based on quality efficiency indicator analyses, scores between 5 and 9 on the YSR AFF scale and between 12 and 31 on the CES-D scale served best in the prediction of clinical depressive episodes in adolescents. LIMITATIONS: No formal reliability test of the diagnoses was available. CONCLUSION: The DSM-oriented YSR AFF scale shows a high diagnostic accuracy and can be recommended for the clinical assessment of depression in adolescents.

BACKGROUND: The Youth Self-Report (YSR) has been used widely as a screening instrument for adolescent psychopathology. The present study aimed at a test of the diagnostic accuracy of the various YSR-scales including a DSM-oriented affective problem scale (YSR AFF) in the prediction of depressive episodes and a comparison with results based on the Center of Epidemiologic Studies-Depression Scale (CES-D). METHODS: A consecutive clinical sample of 140 adolescents diagnosed with major depressive episodes according to ICD-10 criteria was compared to a sample of 140 non-referred controls matched by age and sex from a community survey. All subjects responded both to the YSR and CES-D. Diagnoses were provided by the treating clinicians. Receiver Operating Characteristics (ROC) analyses were performed and cut-off scores were calculated based on quality efficiency statistics. RESULTS: The YSR AFF scale was found to have high diagnostic accuracy and showed quite comparable results to the CES-D scale. None of the other multivariate model showed a better performance in the identification of major depression disorders. Based on quality efficiency indicator analyses, scores between 5 and 9 on the YSR AFF scale and between 12 and 31 on the CES-D scale served best in the prediction of clinical depressive episodes in adolescents. LIMITATIONS: No formal reliability test of the diagnoses was available. CONCLUSION: The DSM-oriented YSR AFF scale shows a high diagnostic accuracy and can be recommended for the clinical assessment of depression in adolescents.

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18 citations in Web of Science®
21 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Child and Adolescent Psychiatry
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:May 2009
Deposited On:15 Dec 2008 13:32
Last Modified:05 Apr 2016 12:37
Publisher:Elsevier
ISSN:0165-0327
Additional Information:Epub 2008 Oct 22
Publisher DOI:10.1016/j.jad.2008.09.017
PubMed ID:18947881
Permanent URL: http://doi.org/10.5167/uzh-6539

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