Implementing the K-SADS-PL as a standard diagnostic tool: Effects on clinical diagnoses

Abstract Diagnostic interviews are valuable tools for generating reliable and valid psychiatric diagnoses. However, little is known about the diagnostic effects of implementing such an interview into the standard diagnostic procedure of a child psychiatric clinic. Therefore, we reviewed discharge di...

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Bibliographic Details
Published in:Psychiatry research 2016-02, Vol.236, p.119-124
Main Authors: Matuschek, Tina, Jaeger, Sonia, Stadelmann, Stephanie, Dölling, Katrin, Grunewald, Madlen, Weis, Steffi, von Klitzing, Kai, Döhnert, Mirko
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Animals
Child psychiatry
Diagnostic interview
Discharge diagnosis
Female
Humans
International Classification of Diseases
Male
Mental Disorders - diagnosis
Middle Aged
Psychiatric Status Rating Scales
Psychiatry
Psychometrics
Reproducibility of Results
Young Adult
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Summary:Abstract Diagnostic interviews are valuable tools for generating reliable and valid psychiatric diagnoses. However, little is known about the diagnostic effects of implementing such an interview into the standard diagnostic procedure of a child psychiatric clinic. Therefore, we reviewed discharge diagnoses of psychiatric patients (age: 8–12 years; combined sample of inpatients and day hospital patients) over two intervals before and after implementing the semi-structured diagnostic interview K-SADS-PL as a diagnostic tool during intake. Each interval was a two year period spanning from 2009–2010 (pre sample; n =177) and from 2012–2013 (post sample; n =132). The number of diagnoses per patient and the co-morbidity rate increased significantly in the post sample. Furthermore, the percentage of children with a nonspecific diagnosis “other mixed disorders of conduct and emotions” (ICD-10: F92.8) decreased significantly after using the K-SADS-PL. Regarding the main diagnostic categories, a significant increase in the number of anxiety disorders and stress-related and somatoform disorders was found in the post sample. The results suggest that implementing a semi-structured interview into the daily routine of child psychiatry may have a substantial impact on discharge diagnoses. Practical implications are discussed and ideas for future research are given.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2015.12.021