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DClinPsy Portfolio Volume 1 of 3 - University of Hertfordshire ...

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White et al (1999) suggested making modifications to the cut-<strong>of</strong>fs to reflect lower rates <strong>of</strong><br />

depression among adolescents than among adults and higher rates <strong>of</strong> anxiety. For<br />

screening, the higher cut-<strong>of</strong>fs (10 for depression and 12 for anxiety) minimise the<br />

probability <strong>of</strong> false positives. In clinical settings, the lower cut-<strong>of</strong>fs (7 for depression and<br />

9 for anxiety) minimise false negatives.<br />

5) Background Information<br />

The information sought included the number, age and gender <strong>of</strong> siblings, ethnicity, living<br />

arrangements, learning sets at school for the subjects Maths, English and Science, family<br />

history <strong>of</strong> obesity and <strong>of</strong> mental illness, use <strong>of</strong> non prescribed drugs and alcohol and<br />

certain life experiences such as house/school moves, loss <strong>of</strong> a family member/friend<br />

accidents, illnesses, bullying, hospitalisations and abuse.<br />

These questions were asked in order to acquire information regarding the context <strong>of</strong> the<br />

individuals. These factors were thought to have potential relevance for the interpretation<br />

<strong>of</strong> the results.<br />

BMI<br />

In addition, a calculation <strong>of</strong> the Body Mass Index (BMI) was undertaken, which uses a<br />

child’s weight and height as well as their age to indicate body fatness. BMI is considered<br />

a reliable indicator <strong>of</strong> body fatness for most children and adolescents (Lask and Bryant-<br />

Waugh, 2000). In this study the BMI was used to indicate body fatness and was<br />

calculated using the Center for Disease Control and Prevention website. It is calculated<br />

by dividing weight in Kg by square <strong>of</strong> length/height (m2). After BMI is calculated for<br />

children and adolescence, the BMI number is plotted on the BMI-for-age growth charts<br />

(for either girls or boys) to obtain a percentile ranking. Percentiles are the most<br />

commonly used indicator to assess the size and growth patterns <strong>of</strong> individual children.<br />

The percentile indicates the relative position <strong>of</strong> the child’s BMI number among children<br />

<strong>of</strong> the same sex and age. The growth charts show the weight status categories used with<br />

children and adolescence.<br />

156

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