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Published in: Social Psychiatry and Psychiatric Epidemiology 1/2016

Open Access 01-01-2016 | Original Paper

The development and evaluation of the paediatric index of emotional distress (PI-ED)

Authors: Suzy O’Connor, Eamonn Ferguson, Terri Carney, Emma House, Rory C. O’Connor

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2016

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Abstract

Purpose

Current measures of anxiety and depression for children and young people (CYP) include somatic symptoms and can be lengthy. They can inflate scores in cases where there is also physical illness, contain potentially distressing symptoms for some settings and be impractical in clinical practice. The present study aimed to develop and evaluate a new questionnaire, the paediatric index of emotional distress (PI-ED), to screen for emotional distress in CYP, modelled on the hospital anxiety and depression scale.

Methods

A school-based sample (n = 1026) was employed to examine the PI-ED’s psychometric properties and a clinical sample of CYP (n = 143) was used to establish its sensitivity and specificity.

Results

Exploratory and confirmatory factor analyses identified a bi-factor model with a general emotional distress factor (‘cothymia’) and anxiety and depression as co-factors. The PI-ED demonstrated good psychometric properties and clinical utility with a cutoff score of 20.

Conclusion

The PI-ED is a brief, valid and reliable clinical screening tool for emotional distress in CYP.
Footnotes
1
For 7 of these 15 patients there was only data available on either MDD (N = 4) or GAD (N = 3), the data on the other diagnosis category was missing. For the remaining 8 of these 15 participants data were available on both MDD and GAD.
 
Literature
2.
go back to reference Canning EH, Kelleher K (1994) Performance of screening tools for mental health problems in chronically ill chlldren. Arch Pediatr Adolesc Med 148(3):272–278CrossRefPubMed Canning EH, Kelleher K (1994) Performance of screening tools for mental health problems in chronically ill chlldren. Arch Pediatr Adolesc Med 148(3):272–278CrossRefPubMed
5.
go back to reference Achenbach TM, Rescorla LA (2011) Manual for the ASEBA School-age forms and profiles. Burlington, VT Achenbach TM, Rescorla LA (2011) Manual for the ASEBA School-age forms and profiles. Burlington, VT
6.
go back to reference Beck JS, Beck AT, Jolly JB (2005) Beck youth inventories. 2nd edn (BYI-II), Pearson Education Beck JS, Beck AT, Jolly JB (2005) Beck youth inventories. 2nd edn (BYI-II), Pearson Education
7.
go back to reference Kovacs M (1985) The children’s depression inventory (CDI). Psychopharmacol Bull 21(4):995–998PubMed Kovacs M (1985) The children’s depression inventory (CDI). Psychopharmacol Bull 21(4):995–998PubMed
12.
go back to reference Simon NM (2009) Generalized anxiety disorder and psychiatric comorbidities such as depression, bipolar disorder, and substance abuse. J Clin Psychiatry 70:10–14CrossRefPubMed Simon NM (2009) Generalized anxiety disorder and psychiatric comorbidities such as depression, bipolar disorder, and substance abuse. J Clin Psychiatry 70:10–14CrossRefPubMed
19.
go back to reference De Mars CE (2013) A tutorial on interpreting bifactor model scores. Int J Test 13(4):354–378CrossRef De Mars CE (2013) A tutorial on interpreting bifactor model scores. Int J Test 13(4):354–378CrossRef
20.
go back to reference Association AP (2000) Diagnostic and statistical manual for mental disorders. American Psychiatric Association, Washington Association AP (2000) Diagnostic and statistical manual for mental disorders. American Psychiatric Association, Washington
21.
go back to reference WHO (2010) International statistical classification of diseases and related health problems 10th revision. WHO, Geneva WHO (2010) International statistical classification of diseases and related health problems 10th revision. WHO, Geneva
22.
go back to reference Carr A (2006) The handbook of child and adolescent clinical psychology: a contextual approach. Routledge, Abingdon Carr A (2006) The handbook of child and adolescent clinical psychology: a contextual approach. Routledge, Abingdon
23.
go back to reference Hu L, Bentler PM (1999) Cut-off criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 6:1–55CrossRef Hu L, Bentler PM (1999) Cut-off criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 6:1–55CrossRef
26.
27.
go back to reference Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39(1):28–38. doi:10.1097/00004583-200001000-00014 CrossRefPubMed Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39(1):28–38. doi:10.​1097/​00004583-200001000-00014 CrossRefPubMed
28.
go back to reference SchwabStone ME, Shaffer D, Dulcan MK, Jensen PS, Fisher P, Bird HR, Goodman SH, Lahey BB, Lichtman JH, Canino G, RubioStipec M, Rae DS (1996) Criterion validity of the NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3). J Am Acad Child Adolesc Psychiatry 35(7):878–888. doi:10.1097/00004583-199607000-00013 CrossRef SchwabStone ME, Shaffer D, Dulcan MK, Jensen PS, Fisher P, Bird HR, Goodman SH, Lahey BB, Lichtman JH, Canino G, RubioStipec M, Rae DS (1996) Criterion validity of the NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3). J Am Acad Child Adolesc Psychiatry 35(7):878–888. doi:10.​1097/​00004583-199607000-00013 CrossRef
29.
go back to reference Paiva CE Barroso E, Cameseca C, de Padua Souza C, dos Santos FT, Lopez, RVM, Paivo RS (2014) A critical analysis of test-retest reliability in instrument validation studies of cancer patients under palliative care: a systematic review. BMC Med Res Methodol 14(1):8. doi:10.1186/1471-2288-14-8 Paiva CE Barroso E, Cameseca C, de Padua Souza C, dos Santos FT, Lopez, RVM, Paivo RS (2014) A critical analysis of test-retest reliability in instrument validation studies of cancer patients under palliative care: a systematic review. BMC Med Res Methodol 14(1):8. doi:10.​1186/​1471-2288-14-8
33.
go back to reference Gater R, Tansella M, Korten A, Tiemens BG, Mavreas VG, Olatawura MO (1998) Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings report from the World Health Organization Collaborative Study on psychological problems in general health care. Arch Gen Psychiatry 55:405–413CrossRefPubMed Gater R, Tansella M, Korten A, Tiemens BG, Mavreas VG, Olatawura MO (1998) Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings report from the World Health Organization Collaborative Study on psychological problems in general health care. Arch Gen Psychiatry 55:405–413CrossRefPubMed
34.
go back to reference Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE (1998) Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 107:114–128CrossRef Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE (1998) Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 107:114–128CrossRef
36.
go back to reference Merikangas KR, Nakamura EF, Kessler RC (2009) Epidemiology of mental disorders in children and adolescents. Dialog Clin Neurosci 11(1):7–20 Merikangas KR, Nakamura EF, Kessler RC (2009) Epidemiology of mental disorders in children and adolescents. Dialog Clin Neurosci 11(1):7–20
Metadata
Title
The development and evaluation of the paediatric index of emotional distress (PI-ED)
Authors
Suzy O’Connor
Eamonn Ferguson
Terri Carney
Emma House
Rory C. O’Connor
Publication date
01-01-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1134-y

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