Diagnosis and assessment of depression and suicidality using the NIMH Diagnostic Interview Schedule for Children (DISC-2.3).
The diagnostic Interview Schedule for Children (DISC-2.3) was studied in a sample of 265 adolescent inpatients to determine type and concurrent validity of depressive symptoms and depressive disorder diagnoses for different DISC-2.3 informants (parent, adolescent, both). The Children's Depression Rating Scale--Revised, Reynolds Adolescent Depression Scale (RADS), Suicide Ideation Questionnaire--Junior, Spectrum of Suicide Behavior Scale, and clinical consensus diagnoses were used to assess concurrent validity. Results indicated that (1) parents, compared to adolescents, reported a higher prevalence of all depressive symptoms with the exception of weight change; (2) DISC-2.3 depressive and suicidality symptoms were related positively to independent validating criteria for all informant conditions, suggesting good concurrent validity; (3) the DISC-2.3 both informant condition correctly identified the most depressive disorders; and (4) the parent, but not the adolescent, DISC-2.3 Informant condition contributed to the prediction of clinical consensus diagnoses of depression after taking into account RADS scores.
King
C A
CA
Department of Psychiatry, University of Michigan Medical School, An Arbor 48109, USA.
Katz
S H
SH
Ghaziuddin
N
N
Brand
E
E
Hill
E
E
McGovern
L
L
D000293:Adolescent; D000296:Adolescent Psychiatry / Q000379:methods*; D000298:Adolescent, Hospitalized / Q000523:psychology* / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D002648:Child; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis*; D003866:Depressive Disorder / Q000175:diagnosis; D005260:Female; D006801:Humans; D016013:Likelihood Functions; D016015:Logistic Models; D008297:Male; D016555:Matched-Pair Analysis; D010290:Parents / Q000523:psychology; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics / Q000592:standards*; D012016:Reference Values; D015203:Reproducibility of Results; D012647:Self-Assessment; D012680:Sensitivity and Specificity; D013405:Suicide / Q000523:psychology