Diagnostic Efficiency of the Child and Adolescent Symptom Inventory (CASI-4R) Depression Subscales for identifying Youth Mood Disorders

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  • March 20, 2019
Creator
  • Salcedo, Stephanie
    • Affiliation: College of Arts and Sciences, Department of Psychology and Neuroscience
Abstract
  • This study examined the diagnostic and clinical utility of the Child and Adolescent Symptom Inventory (CASI-4R) depression and dysthymia subscales (caregiver and teacher report) for detecting youth mood disorders in outpatient mental health clinics (N=700). Semi-structured interviews (KSADS) with youth participants and their caregivers determined psychiatric diagnoses. CASI-4R depressive symptom severity and symptom count scores predicted mood disorder diagnoses. Both caregiver versions of the CASI-4R subscales significantly identified youth mood disorders (AUCs = .78 - .79, ps <.001). Teacher reports did not significantly predict mood disorder diagnosis (AUCs = .54, ps > .05). Caregiver subscale cutoff scores were calculated to assist in ruling in (DLR = 3.39) or ruling out (DLR = 0.36) presence of a mood disorder. The CASI-4R depression subscales caregiver report can help identify youth mood disorders. Using DLRs may help clinicians to identify youth mood disorders and improve diagnostic accuracy via these brief subscales.
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  • In Copyright
Advisor
  • Youngstrom, Eric
  • Hussong, Andrea
  • Jones, Deborah
Degree
  • Master of Arts
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2016
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