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Table 3.4.10 continued
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
Shemesh et al
2005
[67]
USA
Design
Cross sectional
Setting
Primary care clinics
Population
125 children, consecutively
referred with somatic illnesses
considered to have an emotional
problem but not under current
psychiatric care
Inclusion criteria
Age 8–19 years old
English or Spanish speaking,
diagnosed with somatic disorder
≥6 months previously
Index test
CDI
Reference test
Best estimate diagnosis
on a consensus meeting
based on all information
including K-SADS-PL
(parent & children)
Number of patients
n=102 (58% girls)
Mean age: 13.4 years
Drop-out rate
21%
Rater, index test
Children’s self rating
Rater training, index test
NA
Rater, reference test
Doctorate level psychology
interns
Rater training, reference test
Training sessions using taped
interviews and at least two
supervised patient interviews
Interobserver reliability
κ K-SADS vs best estimate:
0.688
CDI, cut off 12.5
for depressive disorders
Sensitivity: 60%
Specificity: 78%
Moderate
Comments
Sampling method
Adequate
Blinding
Satisfactory
Handling of missing data
Not reported
Exclusion criteria
Cognitive barriers that precluded
understanding of the
study procedure, medical illness
that required an inpatient admission
during the evaluation, active suicidal
risk or current suicidal ideation,
current psychiatric treatment
Prevalence depressive disorders
20% (16/81)
CDI = Children’s depression inventory; DSM-IV = Diagnostic and statistical manual
of mental disorder, fourth edition; ICD-10 = International statistical classification of
diseases and related health problems, tenth revision; K-SADS = Kiddie-schedule for
affective disorders and schizophrenia for school-age children; K-SADS-PL = Kiddieschedule
for affective disorders and schizophrenia for school-age children present
and life time; MDD = Major depressive disorder; NA = Not applicable
168 diagnostik och uppföljning av förstämningssyndrom
KAPITEL 3 • Systematisk litteraturgenomgång
169