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ERIC Number: EJ1026000
Record Type: Journal
Publication Date: 2013-Nov
Pages: 10
Abstractor: As Provided
ISSN: ISSN-0021-9630
Relation of Symptom-Induced Impairment with Other Illness Parameters in Clinic-Referred Youth
Gadow, Kenneth D.; Kaat, Aaron J.; Lecavalier, Luc
Journal of Child Psychology and Psychiatry, v54 n11 p1198-1207 Nov 2013
Objective: To examine the relation of caregiver ratings of psychiatric symptom-induced impairment with number and severity of symptoms and informant agreement in consecutive child psychiatry outpatient referrals. Methods: Parents and teachers completed a broadband "DSM-IV"-referenced rating scale with disorder-specific impairment for 636 youth (6-18 years). Illness parameters included impairment, number and severity of symptoms, and their combination (symptom + impairment) as well as categorical (cut-off) and dimensional scoring. Results: Agreement between impairment and other illness parameters showed considerable variation as a function of type of parameter, disorder, and informant, but to lesser extent age and gender. Many youth who met impairment cut-off for specific disorders did not meet symptom cut-off. Conversely, most youth who met symptom cut-off were impaired. Symptom cut-off evidenced greater convergence with impairment cut-off than combined symptom + impairment cut-offs. Severity of impairment was moderately to highly correlated with number and severity of symptoms. Parents' and teachers' ratings indicated little disorder-specific agreement about youth who met impairment cut-off, symptom cut-off, or combined symptom + impairment cut-off. Therefore, sole reliance on one informant greatly underestimates the pervasiveness of impairment. Conclusion: Findings are consistent with the notion that each illness parameter represents a unique conceptual construct, which has important clinical and research implications.
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A