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

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  • March 20, 2019
  • Salcedo, Stephanie
    • Affiliation: College of Arts and Sciences, Department of Psychology and Neuroscience
  • 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.
Date of publication
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Rights statement
  • In Copyright
  • Youngstrom, Eric
  • Hussong, Andrea
  • Jones, Deborah
  • Master of Arts
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2016

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