Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings
<p>Abstract</p> <p>Background</p> <p>Clinician-rated measures are used extensively in child and adolescent mental health services (CAMHS). The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a short clinician-rated measure developed for ord...
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| Format: | Article |
| Language: | English |
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BMC
2010-11-01
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| Series: | Child and Adolescent Psychiatry and Mental Health |
| Online Access: | http://www.capmh.com/content/4/1/29 |
| _version_ | 1811280249634160640 |
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| author | Kvernmo Siv Langsrud Øyvind Hanssen-Bauer Ketil Heyerdahl Sonja |
| author_facet | Kvernmo Siv Langsrud Øyvind Hanssen-Bauer Ketil Heyerdahl Sonja |
| author_sort | Kvernmo Siv |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Clinician-rated measures are used extensively in child and adolescent mental health services (CAMHS). The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a short clinician-rated measure developed for ordinary clinical practice, with increasing use internationally. Several studies have investigated its psychometric properties, but there are few data on its correspondence with other methods, rated by other informants. We compared the HoNOSCA with the well-established Achenbach System of Empirically Based Assessment (ASEBA) questionnaires: the Child Behavior Checklist (CBCL), the Teacher's Report Form (TRF), and the Youth Self-Report (YSR).</p> <p>Methods</p> <p>Data on 153 patients aged 6-17 years at seven outpatient CAMHS clinics in Norway were analysed. Clinicians completed the HoNOSCA, whereas parents, teachers, and adolescents filled in the ASEBA forms. HoNOSCA <it>total score </it>and nine of its scales were compared with similar ASEBA scales. With a multiple regression model, we investigated how the ASEBA ratings predicted the clinician-rated HoNOSCA and whether the different informants' scores made any unique contribution to the prediction of the HoNOSCA scales.</p> <p>Results</p> <p>We found moderate correlations between the total problems rated by the clinicians (HoNOSCA) and by the other informants (ASEBA) and good correspondence between eight of the nine HoNOSCA scales and the similar ASEBA scales. The exception was HoNOSCA scale 8 <it>psychosomatic symptoms </it>compared with the ASEBA s<it>omatic problems </it>scale. In the regression analyses, the CBCL and TRF <it>total problems </it>scores together explained 27% of the variance in the HoNOSCA <it>total scores </it>(23% for the age group 11-17 years, also including the YSR). The CBCL provided unique information for the prediction of the HoNOSCA <it>total score</it>, HoNOSCA scale 1 <it>aggressive behaviour</it>, HoNOSCA scale 2 <it>overactivity or attention problems</it>, HoNOSCA scale 9 <it>emotional symptoms</it>, and HoNOSCA scale 10 <it>peer problems; </it>the TRF for all these except HoNOSCA scale 9 <it>emotional symptoms; </it>and the YSR for HoNOSCA scale 9 <it>emotional symptoms </it>only.</p> <p>Conclusion</p> <p>This study supports the concurrent validity of the HoNOSCA. It also demonstrates that parents, teachers and adolescents all contribute unique information in relation to the clinician-rated HoNOSCA, indicating that the HoNOSCA ratings reflect unique perspectives from multiple informants.</p> |
| first_indexed | 2024-04-13T01:11:24Z |
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| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-04-13T01:11:24Z |
| publishDate | 2010-11-01 |
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| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-af29089f1d01447c9d5e5a7f6db014972022-12-22T03:09:10ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002010-11-01412910.1186/1753-2000-4-29Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratingsKvernmo SivLangsrud ØyvindHanssen-Bauer KetilHeyerdahl Sonja<p>Abstract</p> <p>Background</p> <p>Clinician-rated measures are used extensively in child and adolescent mental health services (CAMHS). The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a short clinician-rated measure developed for ordinary clinical practice, with increasing use internationally. Several studies have investigated its psychometric properties, but there are few data on its correspondence with other methods, rated by other informants. We compared the HoNOSCA with the well-established Achenbach System of Empirically Based Assessment (ASEBA) questionnaires: the Child Behavior Checklist (CBCL), the Teacher's Report Form (TRF), and the Youth Self-Report (YSR).</p> <p>Methods</p> <p>Data on 153 patients aged 6-17 years at seven outpatient CAMHS clinics in Norway were analysed. Clinicians completed the HoNOSCA, whereas parents, teachers, and adolescents filled in the ASEBA forms. HoNOSCA <it>total score </it>and nine of its scales were compared with similar ASEBA scales. With a multiple regression model, we investigated how the ASEBA ratings predicted the clinician-rated HoNOSCA and whether the different informants' scores made any unique contribution to the prediction of the HoNOSCA scales.</p> <p>Results</p> <p>We found moderate correlations between the total problems rated by the clinicians (HoNOSCA) and by the other informants (ASEBA) and good correspondence between eight of the nine HoNOSCA scales and the similar ASEBA scales. The exception was HoNOSCA scale 8 <it>psychosomatic symptoms </it>compared with the ASEBA s<it>omatic problems </it>scale. In the regression analyses, the CBCL and TRF <it>total problems </it>scores together explained 27% of the variance in the HoNOSCA <it>total scores </it>(23% for the age group 11-17 years, also including the YSR). The CBCL provided unique information for the prediction of the HoNOSCA <it>total score</it>, HoNOSCA scale 1 <it>aggressive behaviour</it>, HoNOSCA scale 2 <it>overactivity or attention problems</it>, HoNOSCA scale 9 <it>emotional symptoms</it>, and HoNOSCA scale 10 <it>peer problems; </it>the TRF for all these except HoNOSCA scale 9 <it>emotional symptoms; </it>and the YSR for HoNOSCA scale 9 <it>emotional symptoms </it>only.</p> <p>Conclusion</p> <p>This study supports the concurrent validity of the HoNOSCA. It also demonstrates that parents, teachers and adolescents all contribute unique information in relation to the clinician-rated HoNOSCA, indicating that the HoNOSCA ratings reflect unique perspectives from multiple informants.</p>http://www.capmh.com/content/4/1/29 |
| spellingShingle | Kvernmo Siv Langsrud Øyvind Hanssen-Bauer Ketil Heyerdahl Sonja Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings Child and Adolescent Psychiatry and Mental Health |
| title | Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings |
| title_full | Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings |
| title_fullStr | Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings |
| title_full_unstemmed | Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings |
| title_short | Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings |
| title_sort | clinician rated mental health in outpatient child and adolescent mental health services associations with parent teacher and adolescent ratings |
| url | http://www.capmh.com/content/4/1/29 |
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