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BMC Psychiatry
Published in: BMC Psychiatry 1/2018

Open Access 01-12-2018 | Research article

Validity and reliability of the kiddie schedule for affective disorders and schizophrenia present and lifetime version DSM-5 (K-SADS-PL-5) Spanish version

Authors: Francisco R. de la Peña, Lino R. Villavicencio, Juan D. Palacio, Fernando J. Félix, Marcela Larraguibel, Laura Viola, Silvia Ortiz, Marcos Rosetti, Andrea Abadi, Cecilia Montiel, Pablo A. Mayer, Sofía Fernández, Aurora Jaimes, Miriam Feria, Liz Sosa, Andrés Rodríguez, Patricia Zavaleta, Daniela Uribe, Frinne Galicia, Diana Botero, Santiago Estrada, Arturo F. Berber, Macarena Pi-Davanzo, Consuelo Aldunate, Gabriela Gómez, Ivannah Campodónico, Paula Tripicchio, Ignacio Gath, Manuel Hernández, Lino Palacios, Rosa E. Ulloa

Published in: BMC Psychiatry | Issue 1/2018

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Abstract

Background

There are various language adaptations of the Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Version (K-SADS-PL). In order to comply with the changes in DSM classification, the Spanish edition of the interview was in need of update and evaluation.

Methods

K-SADS-PL was adapted to correspond to DSM-5 categories. All clinicians received training, and a 90% agreement was reached. Patients and their parents or guardians were interviewed and videotaped, and the videos were exchanged between raters. Factor analysis was performed and inter-rater reliability was calculated only in the case of diagnoses in which there were more than five patients.

Results

A total of 74 subjects were included. The Factor Analysis yielded six factors (Depressive, Stress Hyperarousal, Disruptive Behavioral, Irritable Explosive, Obsessive Repetitive and Encopresis), representing 72% of the variance. Kappa values for inter-rater agreement were larger than 0.7 for over half of the disorders.

Conclusions

The factor structure of diagnoses, made with the instrument was found to correspond to the DSM-5 disorder organization. The instrument showed good construct validity and inter-rater reliability, which makes it a useful tool for clinical research studies in children and adolescents.
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Literature
1.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-IV). 4th ed. Washington, DC: American Psychiatric Association; 1994.
2.
Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry. 1997;36(7):980–8.CrossRefPubMed
3.
Ulloa RE, Ortiz S, Higuera F, Nogales I, Fresan A, Apiquian R, et al. Interrater reliability of the Spanish version of schedule for affective disorders and schizophrenia for school-age children--present and lifetime version (K-SADS-PL). Actas Esp Psiquiatr. 2006;34(1):36–40.PubMed
4.
Kim YS, Cheon KA, Kim BN, Chang SA, Yoo HJ, Kim JW, et al. The reliability and validity of kiddie-schedule for affective disorders and schizophrenia-present and lifetime version- Korean version (K-SADS-PL-K). Yonsei Med J. 2004;45(1):81–9.CrossRefPubMed
5.
Lauth B, Arnkelsson GB, Magnusson P, Skarpheethinsson GA, Ferrari P, Petursson H. Parent-youth agreement on symptoms and diagnosis: assessment with a diagnostic interview in an adolescent inpatient clinical population. J Physiol Paris. 2010;104(6):315–22.CrossRefPubMed
6.
Ghanizadeh A, Mohammadi MR, Yazdanshenas A. Psychometric properties of the Farsi translation of the kiddie schedule for affective disorders and schizophrenia-present and lifetime version. BMC Psychiatry. 2006;6:10.CrossRefPubMedPubMedCentral
7.
Ghanizadeh A, Jafari P. Cultural structures of the Persian parents' ratings of ADHD. J Atten Disord. 2010;13(4):369–73.CrossRefPubMed
8.
Brasil HH, Bordin IA. Convergent validity of K-SADS-PL by comparison with CBCL in a Portuguese speaking outpatient population. BMC Psychiatry. 2010;10:83.CrossRefPubMedPubMedCentral
9.
Chen YL, Shen LJ, Gau SS. The mandarin version of the kiddie-schedule for affective disorders and schizophrenia-epidemiological version for DSM-5 - a psychometric study. J Formos Med Assoc. 2017;116(9):671–8.CrossRefPubMed
10.
Kariuki SM, Newton C, Abubakar A, Bitta MA, Odhiambo R, Phillips OJ. Evaluation of psychometric properties and factorial structure of ADHD module of K-SADS-PL in children from rural Kenya. J Atten Disord. 2018;1087054717753064
11.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef
12.
Rutter M. Research review: child psychiatric diagnosis and classification: concepts, findings challenges and potential. J Child Psychol Psychiatry. 2011;52(6):647–60.CrossRefPubMed
13.
Regier DA. Dimensional approaches to psychiatric classification: refining the research agenda for DSM-V: an introduction. Int J Methods Psychiatr Res. 2007;16(Suppl 1):S1–5.CrossRefPubMed
14.
Kendell R, Jablensky A. Distinguishing between the validity and utility of psychiatric diagnoses. Am J Psychiatry. 2003;160(1):4–12.CrossRefPubMed
15.
Lahey BB, Rathouz PJ, Van Hulle C, Urbano RC, Krueger RF, Applegate B, et al. Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. J Abnorm Child Psychol. 2008;36(2):187–206.CrossRefPubMed
16.
Lahey BB, Applegate B, Waldman ID, Loft JD, Hankin BL, Rick J. The structure of child and adolescent psychopathology: generating new hypotheses. J Abnorm Psychol. 2004;113(3):358–85.CrossRefPubMed
17.
Kessler RC, Avenevoli S, McLaughlin KA, Green JG, Lakoma MD, Petukhova M, et al. Lifetime co-morbidity of DSM-IV disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). Psychol Med. 2012;42(9):1997–2010.CrossRefPubMedPubMedCentral
18.
Blanco C, Wall MM, He JP, Krueger RF, Olfson M, Jin CJ, et al. The space of common psychiatric disorders in adolescents: comorbidity structure and individual latent liabilities. J Am Acad Child Adolesc Psychiatry. 2015;54(1):45–52.CrossRefPubMed
19.
Steinhausen HC, Erdin A. The inter-rater reliability of child and adolescent psychiatric disorders in the ICD-10. J Child Psychol Psychiatry. 1991;32(6):921–8.CrossRefPubMed
20.
21.
Ferchiou A, Todorov L, Lajnef M, Baudin G, Pignon B, Richard JR, et al. Schizotypal personality questionnaire-brief - Likert format: factor structure analysis in general population in France. Encéphale. 2017;43(6):558–63.CrossRefPubMed
22.
Cohen J. Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull. 1968;70(4):213–20.CrossRefPubMed
23.
Team RC. A language and environment for statistical computing. Vienna, Austria: foundation for statistical Computing; 2014.
24.
de la Pena FR, Rosetti MF, Rodriguez-Delgado A, Villavicencio LR, Palacio JD, Montiel C, et al. Construct validity and parent-child agreement of the six new or modified disorders included in the Spanish version of the Kiddie Schedule for Affective Disorders and Schizophrenia present and Lifetime Version DSM-5 (K-SADS-PL-5). J Psychiatr Res. 2018;101:28–33.CrossRefPubMed
25.
Nock MK, Joiner TE Jr, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2006;144(1):65–72.CrossRefPubMed
26.
Mayer Villa PA, Morales Gordillo N, Victoria Figueroa G, Ulloa Flores RE. Adolescentes con autolesiones e ideación suicida: un grupo con mayor comorbilidad y adversidad psicosocial. Salud pública Mex. 2016;58(3):335–6.CrossRefPubMed
27.
Vidal-Ribas P, Brotman MA, Valdivieso I, Leibenluft E, Stringaris A. The status of irritability in psychiatry: a conceptual and quantitative review. J Am Acad Child Adolesc Psychiatry. 2016;55(7):556–70.CrossRefPubMedPubMedCentral
28.
Steinhausen HC, Wachter M, Laimbock K, Metzke CW. A long-term outcome study of selective mutism in childhood. J Child Psychol Psychiatry. 2006;47(7):751–6.CrossRefPubMed
29.
Nikolic M, Aktar E, Bogels S, Colonnesi C, de Vente W. Bumping heart and sweaty palms: physiological hyperarousal as a risk factor for child social anxiety. J Child Psychol Psychiatry. 2018;59(2):119–28.CrossRefPubMed
30.
Dakanalis A, Zanetti MA, Colmegna F, Riva G, Clerici M. Classifying binge eating-disordered adolescents based on severity levels. J Adolesc. 2018;62:47–54.CrossRefPubMed
31.
Asselmann E, Stender J, Grabe HJ, Konig J, Schmidt CO, Hamm AO, et al. Assessing the interplay of childhood adversities with more recent stressful life events and conditions in predicting panic pathology among adults from the general population. J Affect Disord. 2018;225:715–22.CrossRefPubMed
32.
Palmisano GL, Innamorati M, Vanderlinden J. Life adverse experiences in relation with obesity and binge eating disorder: a systematic review. J Behav Addict. 2016;5(1):11–31.CrossRefPubMedPubMedCentral
33.
Mason SM, Frazier PA, Austin SB, Harlow BL, Jackson B, Raymond NC, et al. Posttraumatic stress disorder symptoms and problematic overeating behaviors in young men and women. Ann Behav Med. 2017;51(6):822–32.CrossRefPubMed
34.
Andrade BF, Waschbusch DA, Doucet A, King S, MacKinnon M, McGrath PJ, et al. Social information processing of positive and negative hypothetical events in children with ADHD and conduct problems and controls. J Atten Disord. 2012;16(6):491–504.CrossRefPubMed
35.
Erskine HE, Ferrari AJ, Nelson P, Polanczyk GV, Flaxman AD, Vos T, et al. Epidemiological modelling of attention-deficit/hyperactivity disorder and conduct disorder for the global burden of disease study 2010. J Child Psychol Psychiatry. 2013;54(12):1263–74.CrossRefPubMed
36.
Graziano PA, Ros R, Haas S, Hart K, Slavec J, Waschbusch D, et al. Assessing callous-unemotional traits in preschool children with disruptive behavior problems using peer reports. J Clin Child Adolesc Psychol. 2016;45(2):201–14.CrossRefPubMed
37.
Erskine HE, Ferrari AJ, Polanczyk GV, Moffitt TE, Murray CJ, Vos T, et al. The global burden of conduct disorder and attention-deficit/hyperactivity disorder in 2010. J Child Psychol Psychiatry. 2014;55(4):328–36.CrossRefPubMed
38.
McMahon RJ, Witkiewitz K, Kotler JS. Predictive validity of callous-unemotional traits measured in early adolescence with respect to multiple antisocial outcomes. J Abnorm Psychol. 2010;119(4):752–63.CrossRefPubMedPubMedCentral
39.
Kahn RE, Frick PJ, Youngstrom E, Findling RL, Youngstrom JK. The effects of including a callous-unemotional specifier for the diagnosis of conduct disorder. J Child Psychol Psychiatry. 2012;53(3):271–82.CrossRefPubMed
40.
Pardini D, Stepp S, Hipwell A, Stouthamer-Loeber M, Loeber R. The clinical utility of the proposed DSM-5 callous-unemotional subtype of conduct disorder in young girls. J Am Acad Child Adolesc Psychiatry. 2012;51(1):62–73.e4.CrossRefPubMedPubMedCentral
41.
Waschbusch DA, Willoughby MT. Attention-deficit/hyperactivity disorder and callous-unemotional traits as moderators of conduct problems when examining impairment and aggression in elementary school children. Aggress Behav. 2008;34(2):139–53.CrossRefPubMed
42.
Brammer WA, Lee SS. Impairment in children with and without ADHD: contributions from oppositional defiant disorder and callous-unemotional traits. J Atten Disord. 2012;16(7):535–43.CrossRefPubMed
43.
Babinski DE, Neely KA, Kunselman A, Waschbusch DA. Attention-deficit/hyperactivity disorder and callous-unemotional traits as moderators of conduct problems when examining impairment in emerging adults. Psychiatry Res. 2017;258:525–30.CrossRefPubMed
44.
Martin V, Granero R, Ezpeleta L. Comorbidity of oppositional defiant disorder and anxiety disorders in preschoolers. Psicothema. 2014;26(1):27–32.PubMed
45.
Cavanagh M, Quinn D, Duncan D, Graham T, Balbuena L. Oppositional defiant disorder is better conceptualized as a disorder of emotional regulation. J Atten Disord. 2017;21(5):381–9.CrossRefPubMed
46.
Wakschlag LS, Estabrook R, Petitclerc A, Henry D, Burns JL, Perlman SB, et al. Clinical implications of a dimensional approach: the normal:abnormal spectrum of early irritability. J Am Acad Child Adolesc Psychiatry. 2015;54(8):626–34.CrossRefPubMedPubMedCentral
47.
48.
von Gontard A. Does psychological stress affect LUT function in children? ICI-RS 2011. Neurourol Urodyn. 2012;31(3):344–8.CrossRefPubMed
49.
Joinson C, Heron J, Butler U, von Gontard A. Psychological differences between children with and without soiling problems. Pediatrics. 2006;117(5):1575–84.CrossRefPubMed
Metadata
Title
Validity and reliability of the kiddie schedule for affective disorders and schizophrenia present and lifetime version DSM-5 (K-SADS-PL-5) Spanish version
Authors
Francisco R. de la Peña
Lino R. Villavicencio
Juan D. Palacio
Fernando J. Félix
Marcela Larraguibel
Laura Viola
Silvia Ortiz
Marcos Rosetti
Andrea Abadi
Cecilia Montiel
Pablo A. Mayer
Sofía Fernández
Aurora Jaimes
Miriam Feria
Liz Sosa
Andrés Rodríguez
Patricia Zavaleta
Daniela Uribe
Frinne Galicia
Diana Botero
Santiago Estrada
Arturo F. Berber
Macarena Pi-Davanzo
Consuelo Aldunate
Gabriela Gómez
Ivannah Campodónico
Paula Tripicchio
Ignacio Gath
Manuel Hernández
Lino Palacios
Rosa E. Ulloa
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1773-0

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