The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients
Objective: The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) is a widely used semi-structured diagnostic interview in child and adolescent psychiatry. However, given the extensive use of the K-SADS-PL in clinical practice and rese...
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doaj-07e1debaa67a40a0b144009404c69f512020-11-24T21:33:50ZengElsevierComprehensive Psychiatry0010-440X2020-01-0196The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatientsTakeshi Nishiyama0Satoshi Sumi1Hiroto Watanabe2Futoshi Suzuki3Yukiko Kuru4Tomoko Shiino5Takuma Kimura6Chaochen Wang7Yingsong Lin8Maya Ichiyanagi9Kou Hirai10Department of Public Health, Nagoya City University Graduate School of Medicine, Nagoya, Japan; Department of Child and Adolescent Psychiatry, Kamibayashi Memorial Hospital, Ichinomiya, Japan; Corresponding author at: Department of Public Health, Nagoya City University Graduate School of Medicine, 1 Kawasumi, Mizuho-ku, Nagoya, Japan 467-8602.Department of Child and Adolescent Psychiatry, Kamibayashi Memorial Hospital, Ichinomiya, JapanDepartment of Public Health, Nagoya City University Graduate School of Medicine, Nagoya, JapanDepartment of Child and Adolescent Psychiatry, Kamibayashi Memorial Hospital, Ichinomiya, Japan; Research Center for Child Mental Development, University of Fukui, Fukui, JapanDepartment of Public Health, Aichi Medical University School of Medicine, Nagakute, JapanResearch Center for Child Mental Development, University of Fukui, Fukui, JapanDepartment of Early Childhood Education and Care, Nagoya Management Junior College, Owariasahi, JapanDepartment of Public Health, Aichi Medical University School of Medicine, Nagakute, JapanDepartment of Public Health, Aichi Medical University School of Medicine, Nagakute, JapanDepartment of Child and Adolescent Psychiatry, Kamibayashi Memorial Hospital, Ichinomiya, JapanDepartment of Child and Adolescent Psychiatry, Kamibayashi Memorial Hospital, Ichinomiya, JapanObjective: The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) is a widely used semi-structured diagnostic interview in child and adolescent psychiatry. However, given the extensive use of the K-SADS-PL in clinical practice and research and its adaptation for use in many languages and cultures, validation studies of the instrument are scarce. This study was designed to examine the inter-rater reliability, criterion validity and construct validity of the updated instrument, the K-SADS-PL for DSM-5, in Japanese outpatients totaling 95 children and adolescents. Method: We translated and adapted the updated instrument into Japanese using a standard forward-backward translation procedure. Two of nine experienced clinicians independently made diagnoses using the interview for each patient in a conjoint session. Discrepancies in diagnosis between two clinicians were resolved by consensus, and the consensus diagnosis was compared with a “best-estimate” diagnosis made by five experienced clinicians using all available data sources for patients who were blinded to the diagnosis using the K-SADS-PL for DSM-5. The “best-estimate” diagnosis of ASD was also based on the Diagnostic Interview for Social and Communication Disorders. Results: The inter-rater reliability was very good, as shown by κ ≥ 0.8 for all disorders examined: autism spectrum disorder (ASD), attention-deficit hyperactivity disorder, tic disorders, selective mutism, enuresis and encopresis. The criterion validity was good, as shown by κ ≥ 0.6 for all disorders examined, except for ASD (κ = 0.59). This study also revealed good construct validity of the instrument by confirming the expected associations with each scale from the Social Responsiveness Scale-2nd edition and the Strengths and Difficulties Questionnaire. Conclusion: These results suggest that the K-SADS-PL for DSM-5 generates valid diagnoses in child and adolescent psychiatry. Keywords: Child and adolescent psychiatry, Semi-structured interview, Reliability, Validityhttp://www.sciencedirect.com/science/article/pii/S0010440X19300719 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Takeshi Nishiyama Satoshi Sumi Hiroto Watanabe Futoshi Suzuki Yukiko Kuru Tomoko Shiino Takuma Kimura Chaochen Wang Yingsong Lin Maya Ichiyanagi Kou Hirai |
spellingShingle |
Takeshi Nishiyama Satoshi Sumi Hiroto Watanabe Futoshi Suzuki Yukiko Kuru Tomoko Shiino Takuma Kimura Chaochen Wang Yingsong Lin Maya Ichiyanagi Kou Hirai The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients Comprehensive Psychiatry |
author_facet |
Takeshi Nishiyama Satoshi Sumi Hiroto Watanabe Futoshi Suzuki Yukiko Kuru Tomoko Shiino Takuma Kimura Chaochen Wang Yingsong Lin Maya Ichiyanagi Kou Hirai |
author_sort |
Takeshi Nishiyama |
title |
The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients |
title_short |
The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients |
title_full |
The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients |
title_fullStr |
The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients |
title_full_unstemmed |
The Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for DSM-5: A validation for neurodevelopmental disorders in Japanese outpatients |
title_sort |
kiddie schedule for affective disorders and schizophrenia present and lifetime version (k-sads-pl) for dsm-5: a validation for neurodevelopmental disorders in japanese outpatients |
publisher |
Elsevier |
series |
Comprehensive Psychiatry |
issn |
0010-440X |
publishDate |
2020-01-01 |
description |
Objective: The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) is a widely used semi-structured diagnostic interview in child and adolescent psychiatry. However, given the extensive use of the K-SADS-PL in clinical practice and research and its adaptation for use in many languages and cultures, validation studies of the instrument are scarce. This study was designed to examine the inter-rater reliability, criterion validity and construct validity of the updated instrument, the K-SADS-PL for DSM-5, in Japanese outpatients totaling 95 children and adolescents. Method: We translated and adapted the updated instrument into Japanese using a standard forward-backward translation procedure. Two of nine experienced clinicians independently made diagnoses using the interview for each patient in a conjoint session. Discrepancies in diagnosis between two clinicians were resolved by consensus, and the consensus diagnosis was compared with a “best-estimate” diagnosis made by five experienced clinicians using all available data sources for patients who were blinded to the diagnosis using the K-SADS-PL for DSM-5. The “best-estimate” diagnosis of ASD was also based on the Diagnostic Interview for Social and Communication Disorders. Results: The inter-rater reliability was very good, as shown by κ ≥ 0.8 for all disorders examined: autism spectrum disorder (ASD), attention-deficit hyperactivity disorder, tic disorders, selective mutism, enuresis and encopresis. The criterion validity was good, as shown by κ ≥ 0.6 for all disorders examined, except for ASD (κ = 0.59). This study also revealed good construct validity of the instrument by confirming the expected associations with each scale from the Social Responsiveness Scale-2nd edition and the Strengths and Difficulties Questionnaire. Conclusion: These results suggest that the K-SADS-PL for DSM-5 generates valid diagnoses in child and adolescent psychiatry. Keywords: Child and adolescent psychiatry, Semi-structured interview, Reliability, Validity |
url |
http://www.sciencedirect.com/science/article/pii/S0010440X19300719 |
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