Rausch, Jana ORCID: 0000-0002-8063-0998, Bickman, Leonard ORCID: 0000-0002-0746-3791, Geldermann, Nina ORCID: 0000-0002-9801-7374, Oswald, Felix ORCID: 0000-0003-1270-8885, Gehlen, Danny ORCID: 0000-0001-7316-6157, Görtz-Dorten, Anja ORCID: 0000-0002-5874-2520, Döpfner, Manfred ORCID: 0000-0002-7929-0463 and Hautmann, Christopher ORCID: 0000-0001-5155-3762 (2024). A semi-structured interview for the dimensional assessment of internalizing and externalizing symptoms in children and adolescents: Interview Version of the Symptoms and Functioning Severity Scale (SFSS-I). Child and Adolescent Psychiatry and Mental Health, 18 (1). pp. 1-14. Springer Nature. ISSN 1753-2000

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Abstract

[Artikel-Nr.: 106] Background: This study evaluates the psychometric properties of the newly developed semi-structured interview, Interview Version of the Symptoms and Functioning Severity Scale (SFSS-I), which is designed to provide a dimensional assessment of internalizing and externalizing symptoms. Methods: Multi-informant baseline data from the OPTIE study was used, involving 358 children and adolescents aged 6 to 17 years ( M = 11.54, SD = 3.4, n = 140 [39.1%] were female). Participants were screened for internalizing and externalizing symptoms. For validity analyses, caregiver (Child Behavior Checklist), youth (Youth Self Report), and teacher ratings (Teacher Report Form) were used. We performed Receiver Operating Characteristic (ROC) analyses to evaluate the effectiveness of the SFSS-I subscales in distinguishing between children and adolescents diagnosed with internalizing and externalizing disorders, as determined by clinical judgement in routine care. Results: Confirmatory factor analyses supported a correlated two-factor model for internalizing and externalizing symptoms. Acceptable to good internal consistencies (α = 0.76 to 0.89; ω = 0.76 to 0.90) and excellent interrater reliability on the scale level (ICC ≥ 0.91) was found. The ROC analyses showed an acceptable accuracy in identifying internalizing diagnoses (AUC = 0.76) and excellent accuracy for externalizing diagnoses (AUC = 0.84). Conclusion: The SFSS-I demonstrates potential as a clinically-rated instrument for screening and routine outcome monitoring, offering utility in both clinical practice and research settings for the dimensional assessment of broad psychopathological dimensions. Trial registration: German Clinical Trials Register (DRKS) DRKS00016737 ( https://www.drks.de/DRKS00016737 ). Registered 17 September, 2019.

Item Type: Article
Creators:
Creators
Email
ORCID
ORCID Put Code
Rausch, Jana
UNSPECIFIED
UNSPECIFIED
Bickman, Leonard
UNSPECIFIED
UNSPECIFIED
Geldermann, Nina
UNSPECIFIED
UNSPECIFIED
Oswald, Felix
UNSPECIFIED
UNSPECIFIED
Gehlen, Danny
UNSPECIFIED
UNSPECIFIED
Görtz-Dorten, Anja
UNSPECIFIED
UNSPECIFIED
Döpfner, Manfred
UNSPECIFIED
UNSPECIFIED
Hautmann, Christopher
UNSPECIFIED
UNSPECIFIED
URN: urn:nbn:de:hbz:38-815788
Identification Number: 10.1186/s13034-024-00788-y
Journal or Publication Title: Child and Adolescent Psychiatry and Mental Health
Volume: 18
Number: 1
Page Range: pp. 1-14
Number of Pages: 14
Date: 24 August 2024
Publisher: Springer Nature
ISSN: 1753-2000
Language: English
Faculty: Faculty of Medicine
Divisions: Faculty of Medicine > Kinder- und Jugendmedizin > Klinik und Poliklinik für Kinder- und Jugendmedizin
Subjects: Medical sciences Medicine
Uncontrolled Keywords:
Keywords
Language
Psychometrics ; Clinical interviews ; Semi-structured interviews ; Symptom severity ; Children and adolescents ; Internalizing and externalizing symptoms
English
['eprint_fieldname_oa_funders' not defined]: Publikationsfonds UzK
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/81578

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