Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview
ObjectiveThis study assesses the reliability and validity of the DSM-5-based, semi-structured Clinical Parent Interview for Externalizing Disorders in Children and Adolescents (ILF-EXTERNAL).MethodParticipant data were drawn from the ongoing ESCAschool intervention study. The ILF-EXTERNAL was evalua...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-07-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2020.01840/full |
| _version_ | 1818508283095285760 |
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| author | Ann-Kathrin Thöne Anja Görtz-Dorten Anja Görtz-Dorten Paula Altenberger Christina Dose Nina Geldermann Christopher Hautmann Lea Teresa Jendreizik Anne-Katrin Treier Elena von Wirth Tobias Banaschewski Daniel Brandeis Daniel Brandeis Daniel Brandeis Daniel Brandeis Sabina Millenet Sarah Hohmann Katja Becker Katja Becker Johanna Ketter Johannes Hebebrand Jasmin Wenning Martin Holtmann Tanja Legenbauer Michael Huss Marcel Romanos Thomas Jans Julia Geissler Luise Poustka Henrik Uebel-von Sandersleben Tobias Renner Ute Dürrwächter Manfred Döpfner Manfred Döpfner |
| author_facet | Ann-Kathrin Thöne Anja Görtz-Dorten Anja Görtz-Dorten Paula Altenberger Christina Dose Nina Geldermann Christopher Hautmann Lea Teresa Jendreizik Anne-Katrin Treier Elena von Wirth Tobias Banaschewski Daniel Brandeis Daniel Brandeis Daniel Brandeis Daniel Brandeis Sabina Millenet Sarah Hohmann Katja Becker Katja Becker Johanna Ketter Johannes Hebebrand Jasmin Wenning Martin Holtmann Tanja Legenbauer Michael Huss Marcel Romanos Thomas Jans Julia Geissler Luise Poustka Henrik Uebel-von Sandersleben Tobias Renner Ute Dürrwächter Manfred Döpfner Manfred Döpfner |
| author_sort | Ann-Kathrin Thöne |
| collection | DOAJ |
| description | ObjectiveThis study assesses the reliability and validity of the DSM-5-based, semi-structured Clinical Parent Interview for Externalizing Disorders in Children and Adolescents (ILF-EXTERNAL).MethodParticipant data were drawn from the ongoing ESCAschool intervention study. The ILF-EXTERNAL was evaluated in a clinical sample of 474 children and adolescents (aged 6−12 years, 92 females) with symptoms of attention-deficit/hyperactivity disorder (ADHD). To obtain interrater reliability, the one-way random-effects, absolute agreement models of the intraclass correlation (ICC) for single ICC(1,1) and average measurements ICC(1,3) were computed between the interviewers and two independent raters for 45 randomly selected interviews involving ten interviewers. Overall agreement on DSM-5 diagnoses was assessed using Fleiss’ kappa. Further analyses evaluated internal consistencies, item-total correlations as well as correlations between symptom severity and the degree of functional impairment. Additionally, parents completed the German version of the Child Behavior Checklist (CBCL) and two DSM-5-based parent questionnaires for the assessment of ADHD symptoms and symptoms of disruptive behavior disorders (FBB-ADHS; FBB-SSV), which were used to evaluate convergent and divergent validity.ResultsICC coefficients demonstrated very good to excellent interrater reliability on the item and scale level of the ILF-EXTERNAL [scale level: ICC(1,1) = 0.83−0.95; ICC(1,3) = 0.94−0.98]. Overall kappa agreement on DSM-5 diagnoses was substantial to almost perfect for most disorders (0.38 ≤ κ ≤ 0.94). With some exceptions, internal consistencies (0.60 ≤ α ≤ 0.86) and item-total correlations (0.21 ≤ rit ≤ 0.71) were generally satisfactory to good. Furthermore, higher symptom severity was associated with a higher degree of functional impairment. The evaluation of convergent validity revealed positive results regarding clinical judgment and parent ratings (FBB-ADHS; FBB-SSV). Correlations between the ILF-EXTERNAL scales and the CBCL Externalizing Problems were moderate to high. Finally, the ILF-EXTERNAL scales were significantly more strongly associated with the CBCL Externalizing Problems than with the Internalizing Problems, indicating divergent validity.ConclusionIn clinically referred, school-age children, the ILF-EXTERNAL demonstrates sound psychometric properties. The ILF-EXTERNAL is a promising clinical interview and contributes to high-quality diagnostics of externalizing disorders in children and adolescents. |
| first_indexed | 2024-12-10T22:29:30Z |
| format | Article |
| id | doaj.art-e27712e722e1439b9091939b2a88880c |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-10T22:29:30Z |
| publishDate | 2020-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj.art-e27712e722e1439b9091939b2a88880c2022-12-22T01:31:05ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-07-011110.3389/fpsyg.2020.01840553089Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent InterviewAnn-Kathrin Thöne0Anja Görtz-Dorten1Anja Görtz-Dorten2Paula Altenberger3Christina Dose4Nina Geldermann5Christopher Hautmann6Lea Teresa Jendreizik7Anne-Katrin Treier8Elena von Wirth9Tobias Banaschewski10Daniel Brandeis11Daniel Brandeis12Daniel Brandeis13Daniel Brandeis14Sabina Millenet15Sarah Hohmann16Katja Becker17Katja Becker18Johanna Ketter19Johannes Hebebrand20Jasmin Wenning21Martin Holtmann22Tanja Legenbauer23Michael Huss24Marcel Romanos25Thomas Jans26Julia Geissler27Luise Poustka28Henrik Uebel-von Sandersleben29Tobias Renner30Ute Dürrwächter31Manfred Döpfner32Manfred Döpfner33School of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanyDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyDepartment of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric Hospital, University of Zurich, Zurich, SwitzerlandZurich Center for Integrative Human Physiology, University of Zurich, Zurich, SwitzerlandNeuroscience Center Zurich, University and ETH Zürich, Zurich, SwitzerlandDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Medical Faculty, Philipps-University Marburg, Marburg, GermanyCenter for Mind, Brain and Behavior, University of Marburg and Justus Liebig University Giessen, Marburg, GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Medical Faculty, Philipps-University Marburg, Marburg, GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Essen, GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Essen, Germany0LWL-University Hospital for Child and Adolescent Psychiatry, Ruhr-University Bochum, Hamm, Germany0LWL-University Hospital for Child and Adolescent Psychiatry, Ruhr-University Bochum, Hamm, Germany1Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany2Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany2Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany2Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany3Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany3Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany4Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Tübingen University Hospital, Tübingen, Germany4Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Tübingen University Hospital, Tübingen, GermanySchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, GermanyObjectiveThis study assesses the reliability and validity of the DSM-5-based, semi-structured Clinical Parent Interview for Externalizing Disorders in Children and Adolescents (ILF-EXTERNAL).MethodParticipant data were drawn from the ongoing ESCAschool intervention study. The ILF-EXTERNAL was evaluated in a clinical sample of 474 children and adolescents (aged 6−12 years, 92 females) with symptoms of attention-deficit/hyperactivity disorder (ADHD). To obtain interrater reliability, the one-way random-effects, absolute agreement models of the intraclass correlation (ICC) for single ICC(1,1) and average measurements ICC(1,3) were computed between the interviewers and two independent raters for 45 randomly selected interviews involving ten interviewers. Overall agreement on DSM-5 diagnoses was assessed using Fleiss’ kappa. Further analyses evaluated internal consistencies, item-total correlations as well as correlations between symptom severity and the degree of functional impairment. Additionally, parents completed the German version of the Child Behavior Checklist (CBCL) and two DSM-5-based parent questionnaires for the assessment of ADHD symptoms and symptoms of disruptive behavior disorders (FBB-ADHS; FBB-SSV), which were used to evaluate convergent and divergent validity.ResultsICC coefficients demonstrated very good to excellent interrater reliability on the item and scale level of the ILF-EXTERNAL [scale level: ICC(1,1) = 0.83−0.95; ICC(1,3) = 0.94−0.98]. Overall kappa agreement on DSM-5 diagnoses was substantial to almost perfect for most disorders (0.38 ≤ κ ≤ 0.94). With some exceptions, internal consistencies (0.60 ≤ α ≤ 0.86) and item-total correlations (0.21 ≤ rit ≤ 0.71) were generally satisfactory to good. Furthermore, higher symptom severity was associated with a higher degree of functional impairment. The evaluation of convergent validity revealed positive results regarding clinical judgment and parent ratings (FBB-ADHS; FBB-SSV). Correlations between the ILF-EXTERNAL scales and the CBCL Externalizing Problems were moderate to high. Finally, the ILF-EXTERNAL scales were significantly more strongly associated with the CBCL Externalizing Problems than with the Internalizing Problems, indicating divergent validity.ConclusionIn clinically referred, school-age children, the ILF-EXTERNAL demonstrates sound psychometric properties. The ILF-EXTERNAL is a promising clinical interview and contributes to high-quality diagnostics of externalizing disorders in children and adolescents.https://www.frontiersin.org/article/10.3389/fpsyg.2020.01840/fullstructured interviewADHDODDexternalizing disordersreliabilityintraclass correlation coefficient |
| spellingShingle | Ann-Kathrin Thöne Anja Görtz-Dorten Anja Görtz-Dorten Paula Altenberger Christina Dose Nina Geldermann Christopher Hautmann Lea Teresa Jendreizik Anne-Katrin Treier Elena von Wirth Tobias Banaschewski Daniel Brandeis Daniel Brandeis Daniel Brandeis Daniel Brandeis Sabina Millenet Sarah Hohmann Katja Becker Katja Becker Johanna Ketter Johannes Hebebrand Jasmin Wenning Martin Holtmann Tanja Legenbauer Michael Huss Marcel Romanos Thomas Jans Julia Geissler Luise Poustka Henrik Uebel-von Sandersleben Tobias Renner Ute Dürrwächter Manfred Döpfner Manfred Döpfner Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview Frontiers in Psychology structured interview ADHD ODD externalizing disorders reliability intraclass correlation coefficient |
| title | Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview |
| title_full | Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview |
| title_fullStr | Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview |
| title_full_unstemmed | Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview |
| title_short | Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview |
| title_sort | toward a dimensional assessment of externalizing disorders in children reliability and validity of a semi structured parent interview |
| topic | structured interview ADHD ODD externalizing disorders reliability intraclass correlation coefficient |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2020.01840/full |
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