PMID- 28278596 OWN - NLM STAT- MEDLINE DCOM- 20190826 LR - 20191008 IS - 1537-4424 (Electronic) IS - 1537-4416 (Print) IS - 1537-4416 (Linking) VI - 47 IP - 5 DP - 2018 Sep-Oct TI - Diagnostic Efficiency of the Child and Adolescent Symptom Inventory (CASI-4R) Depression Subscale for Identifying Youth Mood Disorders. PG - 832-846 LID - 10.1080/15374416.2017.1280807 [doi] AB - This study examined the diagnostic and clinical utility of the Child and Adolescent Symptom Inventory-4 R (CASI-4 R) Depressive and Dysthymia subscale for detecting mood disorders in youth (ages 6-12; M = 9.37) visiting outpatient mental health clinics. Secondary analyses (N = 700) utilized baseline data from the Longitudinal Assessment of Manic Symptoms study. Semistructured interviews with youth participants and their parents/caregivers determined psychiatric diagnoses. Caregivers and teachers completed the CASI-4 R. CASI-4 R depressive symptom severity and symptom count scores each predicted mood disorder diagnoses. Both caregiver scores (symptom severity and symptom count) of the CASI-4 R subscale significantly identified youth mood disorders (areas under the curve [AUCs] = .78-.79, ps < .001). The symptom severity version showed a small but significant advantage. Teacher symptom severity report did not significantly predict mood disorder diagnosis (AUC = .56, p > .05), whereas the teacher symptom count report corresponded to a small effect size (AUC = .61, p < .05). The CASI-4 R Depression scale showed strong incrememental validity even controlling for the other CASI-4 R scales. Caregiver subscale cutoff scores were calculated to assist in ruling in (diagnostic likelihood ratio [DLR] = 3.73) or ruling out (DLR = 0.18) presence of a mood disorder. The CASI-4 R Depressive subscale caregiver report can help identify youth mood disorders, and using DLRs may help improve diagnostic accuracy. FAU - Salcedo, Stephanie AU - Salcedo S AD - b Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill. FAU - Chen, Yen-Ling AU - Chen YL AD - a Department of Psychology, University of Nevada, Las Vegas. FAU - Youngstrom, Eric A AU - Youngstrom EA AD - b Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill. FAU - Fristad, Mary A AU - Fristad MA AD - c Department of Psychiatry, Ohio State University. FAU - Gadow, Kenneth D AU - Gadow KD AD - d Department of Psychiatry , Stony Brook University. FAU - Horwitz, Sarah M AU - Horwitz SM AD - e Department of Child and Adolescent Psychiatry, NYU Langone Medical Center. FAU - Frazier, Thomas W AU - Frazier TW AD - f Pediatric Institute, Cleveland Clinic. FAU - Arnold, L Eugene AU - Arnold LE AD - c Department of Psychiatry, Ohio State University. FAU - Phillips, Mary L AU - Phillips ML AD - g Department of Psychiatry, University of Pittsburgh. FAU - Birmaher, Boris AU - Birmaher B AD - g Department of Psychiatry, University of Pittsburgh. FAU - Kowatch, Robert A AU - Kowatch RA AD - h Department of Psychiatry, Ohio State University Medical Center and Nationwide Children's Hospital. FAU - Findling, Robert L AU - Findling RL AD - i Department of Psychiatry and Behavioral Sciences, Johns Hopkins University and Kennedy Krieger Institute. LA - eng GR - R01 MH073801/MH/NIMH NIH HHS/United States GR - R01 MH073816/MH/NIMH NIH HHS/United States GR - R01 MH073953/MH/NIMH NIH HHS/United States GR - R01 MH073967/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20170302 PL - England TA - J Clin Child Adolesc Psychol JT - Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 JID - 101133858 MH - Adolescent MH - Caregivers/psychology MH - Child MH - Depression/*diagnosis/epidemiology/*psychology MH - *Diagnostic and Statistical Manual of Mental Disorders MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Mood Disorders/*diagnosis/epidemiology/*psychology MH - Parents/psychology MH - Psychiatric Status Rating Scales MH - Reproducibility of Results PMC - PMC5801256 MID - NIHMS909686 EDAT- 2017/03/11 06:00 MHDA- 2019/08/27 06:00 PMCR- 2018/09/01 CRDT- 2017/03/11 06:00 PHST- 2017/03/11 06:00 [pubmed] PHST- 2019/08/27 06:00 [medline] PHST- 2017/03/11 06:00 [entrez] PHST- 2018/09/01 00:00 [pmc-release] AID - 10.1080/15374416.2017.1280807 [doi] PST - ppublish SO - J Clin Child Adolesc Psychol. 2018 Sep-Oct;47(5):832-846. doi: 10.1080/15374416.2017.1280807. Epub 2017 Mar 2.