title: Implementing the K-SADS-PL as a standard diagnostic tool: Effects on clinical diagnoses.
abstract: Diagnostic interviews are valuable tools for generating reliable and valid psychiatric diagnoses. However, little is known about the diagnostic effects of implementing such an interview into the standard diagnostic procedure of a child psychiatric clinic. Therefore, we reviewed discharge diagnoses of psychiatric patients (age: 8-12 years; combined sample of inpatients and day hospital patients) over two intervals before and after implementing the semi-structured diagnostic interview K-SADS-PL as a diagnostic tool during intake. Each interval was a two year period spanning from 2009-2010 (pre sample; n=177) and from 2012-2013 (post sample; n=132). The number of diagnoses per patient and the co-morbidity rate increased significantly in the post sample. Furthermore, the percentage of children with a nonspecific diagnosis "other mixed disorders of conduct and emotions" (ICD-10: F92.8) decreased significantly after using the K-SADS-PL. Regarding the main diagnostic categories, a significant increase in the number of anxiety disorders and stress-related and somatoform disorders was found in the post sample. The results suggest that implementing a semi-structured interview into the daily routine of child psychiatry may have a substantial impact on discharge diagnoses. Practical implications are discussed and ideas for future research are given.
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany. Electronic address: tmatuschek@life.uni-leipzig.de.
authors.forename: Tina
authors.initials: T
authors.lastname: Matuschek
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany.
authors.forename: Sonia
authors.initials: S
authors.lastname: Jaeger
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Stadelmann
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany.
authors.forename: Katrin
authors.initials: K
authors.lastname: Dölling
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany.
authors.forename: Madlen
authors.initials: M
authors.lastname: Grunewald
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany.
authors.forename: Steffi
authors.initials: S
authors.lastname: Weis
authors.affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany.
authors.forename: Kai
authors.initials: K
authors.lastname: von Klitzing
authors.affiliation: LIFE - Leipzig Research Center for Civilization Diseases, Universität Leipzig, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Universität Leipzig, Liebigstrasse 20a, Haus 6, 04103 Leipzig, Germany.
authors.forename: Mirko
authors.initials: M
authors.lastname: Döhnert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results; D055815:Young Adult
keywords: Child psychiatry; Diagnostic interview; Discharge diagnosis