TY - JOUR
T1 - Systematic review
T2 - Classification accuracy of behavioral screening measures for use in integrated primary care settings
AU - Lavigne, John V.
AU - Meyers, Kathryn Mendelsohn
AU - Feldman, Marissa
N1 - Publisher Copyright:
© 2016 The Author. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved.
PY - 2016/11
Y1 - 2016/11
N2 - Objective To examine the classification accuracy of measures of overall psychopathology recommended for pediatric primary care screening. Method A systematic review identified relevant instruments described in the literature. Subsequent systematic reviews identified studies of sensitivity (SE) and specificity (SP) of each measure for various cutoffs and different criteria for disorder (e.g., caseness determined by structured interview, exceeding a cutoff score, referral for psychiatric evaluation). Results Measures include the Child Behavior Checklist (CBCL), Pediatric Symptom Checklist (PSC), Strengths and Difficulties Questionnaire (SDQ), Brief Infant-Toddler Social Emotional Assessment (BITSEA), and the Ages and Stages Questionnaire: Social-Emotional scale (ASQ:SE). For three measures (CBCL, PSC, and SDQ) studied extensively, achieving relatively high SE and SP values (≥.70) simultaneously occurred in only 30-55% of the studies reviewed. There are relatively few studies of the ASQ:SE and BITSEA, or of relatively new measures. Discussion Documented utility of these measures as screening instruments is limited.
AB - Objective To examine the classification accuracy of measures of overall psychopathology recommended for pediatric primary care screening. Method A systematic review identified relevant instruments described in the literature. Subsequent systematic reviews identified studies of sensitivity (SE) and specificity (SP) of each measure for various cutoffs and different criteria for disorder (e.g., caseness determined by structured interview, exceeding a cutoff score, referral for psychiatric evaluation). Results Measures include the Child Behavior Checklist (CBCL), Pediatric Symptom Checklist (PSC), Strengths and Difficulties Questionnaire (SDQ), Brief Infant-Toddler Social Emotional Assessment (BITSEA), and the Ages and Stages Questionnaire: Social-Emotional scale (ASQ:SE). For three measures (CBCL, PSC, and SDQ) studied extensively, achieving relatively high SE and SP values (≥.70) simultaneously occurred in only 30-55% of the studies reviewed. There are relatively few studies of the ASQ:SE and BITSEA, or of relatively new measures. Discussion Documented utility of these measures as screening instruments is limited.
KW - Pediatrics
KW - Psychometrics
KW - Screening
KW - Sensitivity
KW - Specificity
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U2 - 10.1093/jpepsy/jsw049
DO - 10.1093/jpepsy/jsw049
M3 - Review article
C2 - 27289069
AN - SCOPUS:85014175220
SN - 0146-8693
VL - 41
SP - 1091
EP - 1109
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 10
ER -