Child and Adolescent Behavior Inventory (CABI): A New Instrument for Epidemiological Studies and Pre-Clinical Evaluation

Background: Some questionnaires have already been elaborated to collect information from parents of children and adolescents, both as preparation for clinical evaluation and for screening and epidemiological studies. Here a new questionnaire, the CABI, is proposed, and it is validated in a population of 8-10 year-old children. Compared to existing questionnaires, the CABI has been organized so as to be of medium length, with items concerning the most significant symptoms indicated by the DSM-IV-TR for the pertinent disorders, and covering a wider range than existing instruments. There is no charge for its use. Methods: The answers of the parents of 302 children in the last 3 years of primary school provided the normative data. A discriminant validation was done for internalizing and externalizing disorders and as a comparison with self-administered anxiety and depression scales. Exploratory factor analysis and internal consistency were also performed. Results: Distribution of scores on the main scales in the normal population shows positive skewness, with the most frequent score being zero. A highly discriminant capability was found in regard to the sample of children with internalizing and externalizing disorders, with high correlation with the self-administered anxiety and depression scales. Conclusion: The CABI appears to be capable, at least for 8-10 year-old children, of effectively discriminating those with pathological symptoms from those without. Compared with the widely- used CBCL, it has the advantages of a lower number of items, which should facilitate parental collaboration especially in epidemiological studies, and of being free of charge.

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Joint developmental trajectories of internalizing and externalizing disorders between childhood and adolescence

Development and Psychopathology ◽

10.1017/s0954579416000572 ◽

2016 ◽

Vol 29 (3) ◽

pp. 919-928 ◽

Cited By ~ 27

Author(s):

Michel G. Nivard ◽

Gitta H. Lubke ◽

Conor V. Dolan ◽

David M. Evans ◽

Beate St. Pourcain ◽

...

Keyword(s):

Developmental Trajectories ◽

Specific Treatment ◽

Externalizing Disorders ◽

Childhood And Adolescence ◽

Multinomial Regression ◽

Treatment Needs ◽

Growth Mixture Models ◽

Growth Mixture ◽

Dsm Iv ◽

Internalizing And Externalizing

AbstractThis study sought to identify trajectories of DSM-IV based internalizing (INT) and externalizing (EXT) problem scores across childhood and adolescence and to provide insight into the comorbidity by modeling the co-occurrence of INT and EXT trajectories. INT and EXT were measured repeatedly between age 7 and age 15 years in over 7,000 children and analyzed using growth mixture models. Five trajectories were identified for both INT and EXT, including very low, low, decreasing, and increasing trajectories. In addition, an adolescent onset trajectory was identified for INT and a stable high trajectory was identified for EXT. Multinomial regression showed that similar EXT and INT trajectories were associated. However, the adolescent onset INT trajectory was independent of high EXT trajectories, and persisting EXT was mainly associated with decreasing INT. Sex and early life environmental risk factors predicted EXT and, to a lesser extent, INT trajectories. The association between trajectories indicates the need to consider comorbidity when a child presents with INT or EXT disorders, particularly when symptoms start early. This is less necessary when INT symptoms start at adolescence. Future studies should investigate the etiology of co-occurring INT and EXT and the specific treatment needs of these severely affected children.

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Child and Adolescent Behavior Inventory (CABI): A New Instrument for Epidemiological Studies and Pre-Clinical Evaluation

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901915010044 ◽

2019 ◽

Vol 15 (1) ◽

pp. 44-48

Author(s):

Carlo Cianchetti ◽

Andrea Pittau ◽

Valeria Carta ◽

Grazia Campus ◽

Roberta Littarru ◽

...

Keyword(s):

Clinical Evaluation ◽

Child And Adolescent ◽

Adolescent Behavior ◽

Epidemiological Studies ◽

New Instrument

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Confirmatory test of two factors and four subtypes of bipolar disorder based on lifetime psychiatric co-morbidity

Psychological Medicine ◽

10.1017/s0033291715000185 ◽

2015 ◽

Vol 45 (10) ◽

pp. 2181-2196 ◽

Cited By ~ 7

Author(s):

P. O. Monahan ◽

T. Stump ◽

W. H. Coryell ◽

J. Harezlak ◽

G. A. Marcoulides ◽

...

Keyword(s):

Latent Class ◽

Externalizing Disorders ◽

Model Fit ◽

Confirmatory Test ◽

Course Of Illness ◽

First Degree Relatives ◽

Co Morbidity ◽

Two Factors ◽

Dsm Iv ◽

Internalizing And Externalizing

BackgroundThe first aim was to use confirmatory factor analysis (CFA) to test a hypothesis that two factors (internalizing and externalizing) account for lifetime co-morbid DSM-IV diagnoses among adults with bipolar I (BPI) disorder. The second aim was to use confirmatory latent class analysis (CLCA) to test the hypothesis that four clinical subtypes are detectible: pure BPI; BPI plus internalizing disorders only; BPI plus externalizing disorders only; and BPI plus internalizing and externalizing disorders.MethodA cohort of 699 multiplex BPI families was studied, ascertained and assessed (1998–2003) by the National Institute of Mental Health Genetics Initiative Bipolar Consortium: 1156 with BPI disorder (504 adult probands; 594 first-degree relatives; and 58 more distant relatives) and 563 first-degree relatives without BPI. Best-estimate consensus DSM-IV diagnoses were based on structured interviews, family history and medical records. MPLUS software was used for CFA and CLCA.ResultsThe two-factor CFA model fit the data very well, and could not be improved by adding or removing paths. The four-class CLCA model fit better than exploratory LCA models or post-hoc-modified CLCA models. The two factors and four classes were associated with distinctive clinical course and severity variables, adjusted for proband gender. Co-morbidity, especially more than one internalizing and/or externalizing disorder, was associated with a more severe and complicated course of illness. The four classes demonstrated significant familial aggregation, adjusted for gender and age of relatives.ConclusionsThe BPI two-factor and four-cluster hypotheses demonstrated substantial confirmatory support. These models may be useful for subtyping BPI disorders, predicting course of illness and refining the phenotype in genetic studies.

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The diagnostic validity of depression scales and clinical judgement in the Kurdistan region of Iraq

International Psychiatry ◽

10.1192/s1749367600003416 ◽

2012 ◽

Vol 9 (4) ◽

pp. 96-98 ◽

Cited By ~ 1

Author(s):

Zerak Al-salihy ◽

Twana A. Rahim ◽

Mahmud Q. Mahmud ◽

Asma S. Muhyaldin ◽

Alex J. Mitchell

Keyword(s):

Rating Scale ◽

Depression Scale ◽

Epidemiological Studies ◽

Mental Health Practitioners ◽

Clinical Judgement ◽

Kurdistan Region ◽

Health Practitioners ◽

Patient Health ◽

Dsm Iv ◽

Depression Scales

We aimed to find the depression rating scale with the greatest accuracy when applied by psychiatrists in Iraqi Kurdistan. We recruited 200 patients with primary depression and 200 controls living in the Kurdistan region of Iraq. The Mini International Neuropsychiatry Inventory (MINI) was used as a gold standard for DSM-IV depression. We also used: the two-item and the nine-item versions of the Patient Health Questionnaire (PHQ2, PHQ9), the Hospital Anxiety and Depression Scale (HADS), the Calgary Depression Scale for Schizophrenia (CDSS) and the Centre for Epidemiological Studies Depression (CES-D) scale. Interviews were performed by psychiatrists who also rated their clinical judgement using the Clinical Global Impression (CGI) scale and other mental health practitioners. All scales and tools performed with high accuracy and reliability. The least accurate tool was the PHQ2; however, with only two items it was efficient. Sensitivity and specificity for all tools were above 90%. Clinicians using the CGI were accurate in their clinical judgement. The CDSS appeared to be the most accurate scale for DSM-IV major depression and the PHQ2 the most efficient. However, only the CDSS appeared to offer an advantage over psychiatrists' judgement.

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CAMPAS: new instrument for measuring symptoms and needs for cancer patients at home: measurement characteristics for anxiety and depression scales

European Journal of Cancer ◽

10.1016/s0959-8049(01)82045-1 ◽

2001 ◽

Vol 37 ◽

pp. S430

Author(s):

G. Ewing ◽

M. Rogers ◽

C. Todd ◽

J. McCabe ◽

A. Martin ◽

...

Keyword(s):

Cancer Patients ◽

Anxiety And Depression ◽

New Instrument ◽

Depression Scales ◽

At Home

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Subclinical hypothyroidism: psychiatric disorders and symptoms

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462007000200013 ◽

2007 ◽

Vol 29 (2) ◽

pp. 157-159 ◽

Cited By ~ 28

Author(s):

Cloyra Almeida ◽

Marco Antônio Brasil ◽

Antônio José Leal Costa ◽

Fabiola A A Reis ◽

Vaneska Reuters ◽

...

Keyword(s):

Depressive Symptoms ◽

Psychiatric Disorders ◽

Subclinical Hypothyroidism ◽

Elevated Serum ◽

Anxiety Symptoms ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Axis I ◽

Dsm Iv ◽

Depression Scales

OBJECTIVE: To evaluate the prevalence of psychiatric disorders and symptoms in patients with subclinical hypothyroidism. METHOD: Ninety-four outpatients with at least two elevated serum thyrotrophin levels (> 4 µU/ml) and normal FT4, and 43 euthyroid outpatients, both groups from HUCFF-UFRJ, were evaluated. Psychiatric diagnosis was based on the Structured Clinical Interview Diagnostic for the DSM-IV axis I (SCID-I/DSM-IV), the psychopathological symptoms on Hamilton anxiety and depression scales, and the Beck Inventory. RESULTS: Our data showed an increased prevalence of psychiatric disorders in the subclinical hypothyroidism patients when compared to the euthyroid group (45.7% vs 25.6%; p = 0.025), mood disorders being the most frequent. The prevalence of depressive symptoms based on Beck's Scale among subclinical hypothyroidism patients was about 2.3 times higher than among euthyroid ones (45.6% vs 20.9%, p = 0.006). Anxiety symptoms were also more frequent among subclinical hypothyroidism patients (87.0% vs 60.5%, p < 0.001), mainly clinical anxiety (44.6% vs 23.3%; p = 0.001). CONCLUSION: Our results showed a significant association of subclinical hypothyroidism with psychiatric disorders and an increased frequency of subsyndromic depression and anxiety symptoms in subclinical hypothyroidism in relation to the euthyroid group.

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Normative data for the Hospital Anxiety and Depression Scales (HADS) in multiple sclerosis

Social Care and Neurodisability ◽

10.1108/20420911211286579 ◽

2012 ◽

Vol 3 (4) ◽

pp. 172-178 ◽

Cited By ~ 2

Author(s):

Lizzy Atkins ◽

Gavin Newby ◽

John Pimm

Keyword(s):

Multiple Sclerosis ◽

Normative Data ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Depression Scales

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The contribution of familial internalizing and externalizing liability factors to borderline personality disorder

Psychological Medicine ◽

10.1017/s0033291713003140 ◽

2014 ◽

Vol 44 (11) ◽

pp. 2397-2407 ◽

Cited By ~ 11

Author(s):

J. I. Hudson ◽

M. C. Zanarini ◽

K. S. Mitchell ◽

L. W. Choi-Kain ◽

J. G. Gunderson

Keyword(s):

Major Depressive Disorder ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Depressive Disorder ◽

Externalizing Disorders ◽

Diagnostic Interview ◽

Borderline Personality ◽

Major Depressive ◽

Dsm Iv ◽

Internalizing And Externalizing

BackgroundIndividuals with borderline personality disorder (BPD) frequently display co-morbid mental disorders. These disorders include ‘internalizing’ disorders (such as major depressive disorder and anxiety disorders) and ‘externalizing’ disorders (such as substance use disorders and antisocial personality disorder). It is hypothesized that these disorders may arise from latent ‘internalizing’ and ‘externalizing’ liability factors. Factor analytic studies suggest that internalizing and externalizing factors both contribute to BPD, but the extent to which such contributions are familial is unknown.MethodParticipants were 368 probands (132 with BPD; 134 without BPD; and 102 with major depressive disorder) and 885 siblings and parents of probands. Participants were administered the Diagnostic Interview for DSM-IV Personality Disorders, the Revised Diagnostic Interview for Borderlines, and the Structured Clinical Interview for DSM-IV.ResultsOn confirmatory factor analysis of within-person associations of disorders, BPD loaded moderately on internalizing (factor loading 0.53, s.e. = 0.10, p < 0.001) and externalizing latent variables (0.48, s.e. = 0.10, p < 0.001). Within-family associations were assessed using structural equation models of familial and non-familial factors for BPD, internalizing disorders, and externalizing disorders. In a Cholesky decomposition model, 84% (s.e. = 17%, p < 0.001) of the association of BPD with internalizing and externalizing factors was accounted for by familial contributions.ConclusionsFamilial internalizing and externalizing liability factors are both associated with, and therefore may mutually contribute to, BPD. These familial contributions account largely for the pattern of co-morbidity between BPD and internalizing and externalizing disorders.

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