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Table 3.4.10 Sensitivity and specificity for Children’s Depression Inventory
(CDI) as screening instrument for depression with semistructured or structured
interviews as reference standard.
Author
Year
Reference
Country
Study design
Setting
Population
Inclusion & exclusion criteria
Prevalence
Index test
Reference test
Number of patients
Drop-out rate
Rater
Rater training
Interobserver reliability
Sensitivity
Specificity
Study quality
Comments
Sørensen et al
2005
[68]
Denmark
Design
Cross sectional, clinical study
Setting
Psychiatry, in and outpatients
from a psychiatric Hospital
for Children and Adolescents
Population
n=221 children, consecutively
referred to psychiatry for the
first time because of any mental
problem
Inclusion criteria
Age: 8–13 years
Exclusion criteria
Communication problems
Prevalence MDD
13%
Index test
CDI
Reference test
K-SADS-PL
(children & parents)
Number of patients
n=199 (26% girls;
12 inpatients)
Mean age: 10.6 years
Drop-out rate
25%
Rater of index test
Children
Rater training, index test
NA
Rater of reference test
Clinicians
Rater training
Training course in ICD-10/
DSM-IV and K-SADS-PL
Interobserver reliability
Total agreement on
3 consecutive videos as
entry criterion. The rater
re-assessed 20 interviews
during the study
MDD κ 0.76
MDD at cut off 12
K-SADS child
Sensitivity: 79%
Specificity: 66%
MDD at cut off 12
K-SADS parent
Sensitivity: 63%
Specificity: 64%
Moderate
Comments
Sampling method
Adequate
Blinding
Probably blind.
The interviews were
performed after the
CDI had been filled in
Handling of missing data
Not reported
Other comments
14 boys and 8 girls
were excluded due
to communication
problems but they
did not differ in
gender or age
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166 diagnostik och uppföljning av förstämningssyndrom
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