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Source publication
This study was designed to evaluate the psychometric attributes and screening efficiency of a Spanish version of the Children Predictive Scales (DPS) against the Spanish Diagnostic Interview Schedule for Children (DISC-IV).
This pilot cross-sectional study included 61 children aged 9 to 14 years in a mainstream school. The following psychometric at...
Contexts in source publication
Context 1
... total DPS score is therefore the sum of DPS symptomatology and DPS impairment. We used the cut-off scores for an adoles- cent population provided by the original developers [9,14] (see Table 2). A DPS total score > 9 indicated the presence of probable mental disorders when at least social phobia, general anxiety, depression alcohol, marijuana and other substance have been included in the screen; 3) A Health- Related Quality of Life Scale (HRQoL): Peds-Qol 4.0 (Span- ish version of the Paediatric Quality of Life Inventory) Ge- neric Core Scales [15], as a self-report HRQoL measure for children and adolescents. ...
Context 2
... and demographic characteristics are shown in Table 1. Table 2 shows the mean DPS scores; the mean DPS total score was 5.5 (range = 0 -36). No significant differences in DPS scores were seen in males versus females [6.4 (6.7) vs. 4.4 (3.7), p=0.72]. ...
Context 3
... on the DISC-IV, the most frequent disorder was specific phobia (6 subjects [10%], followed by OCD (3 subjects [5%]), ADHD (2 subjects [3%]), and anxiety separation, conduct disorder, alcohol abuse in 1 subject [2%], respectively. Likewise, among those patients who fulfilled criteria for a possible psychiatric diagnosis based on the DPS cut-off scores (see Table 2), the most frequent possible diagnosis was specific phobia (5 subjects [8%]), followed by ADHD (4 subjects [6%]), and the remaining in less than 5% of the subjects. Overall, the DPS showed a low sensitivity, especially in OCD and specific phobia (41% for any DPS diagnosis, and 33%, for OCD and specific phobia, respectively), but with excellent specificity and NPV. ...
Citations
... In this study, we used the DPS used in the Korea National Epidemiology Study on Children and Adolescents [9]. The major psychiatric disorders that are common in children and adolescents (ODD, generalized anxiety disorder [GAD], social anxiety disorder, panic disorder, agoraphobia, separa-tion anxiety disorder, posttraumatic stress disorder [PTSD], obssessive compulsive disorder [OCD], ADHD, CD, depressive disorder, eating disorder, tic, and elimination disorder) were diagnosed based on the cutoffs proposed by Cubo et al. [10]. Children with significant clinical symptoms of ODD were assigned to the ODD group, and the remaining children were assiged to the control group. ...
Objectives:
Oppositional defiant disorder (ODD) is often comorbid with other psychiatric disorders in childhood. This study aimed to investigate comorbid psychiatric symptoms and associated factors in elementary school children with symptoms of ODD.
Methods:
The participants consisted of 205 mother-offspring pairs. Psychiatric symptoms were measured using the Diagnostic Predictive Scales and Korean Child Behavior Checklist. Psychiatric comorbid symptoms were compared between children with ODD symptom and those without ODD symptom. Multivariate logistic regression analysis was used to estimate the odds ratio of psychiatric symptom on ODD.
Results:
ODD group had a significant association with internalizing and externalizing problem (p=0.001, p<0.001, respectively). ODD group were more comorbid with anxiety disorder, depressive disorder, attention-deficit/hyperactivity disorder, and conduct disorder. Among psychiatric disorder, generalized anxiety disorder (GAD) (adjusted odds ratio [AOR]=18.620, p<0.001) and conduct disorder (AOR=9.529, p=0.014) were associated with ODD symptom.
Conclusion:
These findings suggest that children with ODD symptom had significantly higher rates of comorbid psychiatric symptoms. And GAD and conduct disorder are related to ODD symptom.
... The number of yes responses (0-5) constituted a depressive score, which in this study had α = . 66 and was comparable to a previous report [48]. ...
The objective was to examine the associations of socioecological connectedness with bullying victimization and depressive symptoms in early adolescence and with non-suicidal self-injury (NSSI) in mid-adolescence, and how these might differ between genders. Diverse adolescents ( N = 4115; 49.1% girls) in the 7th grade reported on connections with parents/family, peers, school, and neighborhood, as well as bullying victimization and depressive symptoms, and NSSI in 10th grade ( M e = 16.1 years). Structural equation modeling with WSLMV indicated that the lower likelihood of NSSI in 10th grade was associated with higher perceptions of connections between adolescents and their families, both directly as well as indirectly through reduced bully victimization and depressive symptoms three years earlier. Higher school connectedness was indirectly associated with the lower likelihood of NSSI through bullying victimization and depressive symptoms. Paths to NSSI varied for girls and boys. Results advance the understanding of developmental pathways leading to NSSI in adolescent girls and boys.
... The DPS evaluates the symptoms children showed in the past year (social phobia, separation anxiety disorder, agoraphobia, panic disorder, general anxiety disorder, specific phobia, obsessive compulsive disorder, affective disorder, schizophrenia, attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, substance abuse) and consists of 92 questions about symptoms and eight questions about the child's mood or behavior when they are at home, at school, or with friends. DPS can be used to accurately screen for specific DSM disorders (Lucas et al., 2001), and its internal consistency is high (Cronbach's α = 0.92) (Cubo et al., 2010). A previous epidemiological survey of children and adolescents conducted in Korea included the 33 questions about diagnoses previously found in the DISC-IV but not in the DPS (selective mutism, eating disorder, elimination disorder, post-traumatic stress disorder, tic disorder, nicotine dependence, pica, trichotillomania) (Cho et al., 2006); this modified DPS measure was used in the present study and the DPS about offspring's psychiatric disorders were completed by the mothers. ...
... A previous epidemiological survey of children and adolescents conducted in Korea included the 33 questions about diagnoses previously found in the DISC-IV but not in the DPS (selective mutism, eating disorder, elimination disorder, post-traumatic stress disorder, tic disorder, nicotine dependence, pica, trichotillomania) (Cho et al., 2006); this modified DPS measure was used in the present study and the DPS about offspring's psychiatric disorders were completed by the mothers. We used the cut-off scores for adolescents provided by Cubo et al. (Cubo et al., 2010). In the present study, a score higher than the cut-off of one or more psychiatric disorders in DPS is defined as the "clinical high-risk group." ...
Maternal adverse childhood experiences (ACEs) may negatively affect the mental health and development of their offspring. The purpose of this study was to investigate the association of maternal ACE and offspring’s psychiatric disorder and the mediating effect of maternal depression. The subjects included 463 mothers (42.78 ± 5.68 years) and their offspring aged 6–18 years (13.26 ± 3.90 years). Mothers reported their ACE before age 18 and completed the Beck Depression Inventory-II and Diagnostic Predictive Scales (DPS), a screening tool for offspring’s psychiatric disorder. 35.42% of subjects had at least one ACE, and 11.0% reported three or more ACEs. Higher maternal ACE scores were associated with a significantly higher prevalence of offspring’s psychiatric disorders ( p < 0.001). Household dysfunction of maternal ACE (OR = 2.263, p < 0.001) is significantly associated with offspring’s psychiatric disorder. In the mediation model in which the household dysfunction affects the number of offspring’s psychiatric disorders, the partial mediation model through maternal depression was significant. The mother’s experience of household dysfunction before the age of 18 has a significant impact on her offspring’s psychiatric disorder and supported significant mediation through maternal depression. Further research is needed to determine the mechanisms of intergenerational transmission of ACE and offspring’s psychopathology.
... The present study used the modified DPS; the DPS of offspring's psychiatric disorders was completed by the mothers. Each psychiatric disorder's diagnostic cutoff was defined according to Cubo et al. [14]. This study analyzed PTSD groups diagnosed according to the PTSD cutoff score and used a control group were on study at primary data analysis 156 mother-child dyads recruited that included offspring without psychiatric disorders, excluding psychiatric disorders other than PTSD. ...
Objectives:
Adverse childhood experiences (ACEs) of mothers may negatively affect the mental health of their offspring. Little is known about the intergenerational effect of maternal ACE on post-traumatic stress disorder (PTSD) in the offspring. This study inves-tigated the impact of maternal ACEs on PTSD in the offspring.
Methods:
A total of 156 mothers with children aged 13-18 years completed the Diagnostic Interview Schedule for Children (DISC) Predictive Scales to determine the presence of psychiatric disorders in their offspring. The subjects completed the ACE questionnaire and the Early Trauma Inventory Self-Report-Short Form. Multivariable logistic regression was used to analyze the relationship between ma-ternal ACEs and PTSD in the offspring.
Results:
Of the mothers, 23.7% had at least one ACE, and PTSD was reported in 21.8% of the offspring. The offspring of the mothers in the ACE group had a significantly higher rates of traumatic experiences and PTSD than the offspring of the mothers in the no ACE group. Maternal household dysfunction independently predicted offspring PTSD [odds ratio (OR)=3.008, p=0.05), and three or more maternal ACEs were significantly related to PTSD in the offspring (OR=10.613, p=0.025).
Conclusion:
Maternal ACEs have a significant impact on the risk of traumatic experiences and PTSD in the offspring. These findings suggest the presence of intergenerational transmissions by which maternal ACEs affect the mental health of the offspring.
... The same tool was used in this study. We used the cutoff proposed in the study by Cubo for each disorder [16]. ...
Objectives:
This study aimed to examine the effect of maternal adverse childhood experiences (ACEs) on the attention-deficit/hyper-activity disorder (ADHD) symptoms in the offspring and to examine the mediating role of antepartum health risk on the intergenera-tional transmission of maternal ACEs.
Methods:
The participants consisted of 461 mother-child dyads. Mothers completed the ACEs questionnaire and Diagnostic Predictive Scales. Multivariate logistic regression analysis was used to estimate the risk of ADHD symptoms in the offspring of mothers with ACEs and the mediating effect of antepartum health risks by path analysis.
Results:
In all, 35.4% (n=163) had at least one maternal ACE, and 11.1% (n=51) had three or more. Compared to the non-ADHD symp-tom group, the group of offspring with ADHD symptoms showed a significant association with maternal ACE score (p<0.001) and an-tepartum health risks (p<0.001). Multivariate analysis further showed a significant association between the sum of maternal ACEs [odds ratio (OR)=1.264, 95% confidence interval (CI)= 1.060-1.516, p=0.009], antepartum health risks (OR=1.236, 95% CI=1.036-1.475, p= 0.019), and ADHD symptoms in the offspring. In the mediation model in which the mother's ACE score affected the offspring's ADHD symptoms, partial mediation through antepartum health risks was found to be significant (B=0.041, 95% CI=0.011-0.124).
Conclusion:
Maternal ACEs are significantly related to the incidence of ADHD symptoms in the offspring and antepartum health risks exert an indirect effect. These findings suggest that maternal ACEs have a negative impact on the offspring's brain development through intergenerational transmission, resulting in neurodevelopmental disorders such as ADHD.
... Screening for comorbidities was performed by the trained rater (blinded to the tic assignment) using validated clinical scales and semi-structured questionnaires. We included scales screening comorbidities previously associated with TD including: (1) Autism Spectrum Disorders (ASD), using the autism domain of the Autism-Tics ADHD and other Comorbidities Inventory scale [14] ; and (2) Psychiatric disorders, using the Spanish computerized version of the Children Predictive Scales (DPS) [15] , which contains 18 subscales including phobia disorders, ADHD, OCD, oppositional defiant disorder, anxiety disorders, major depressive disorders, conduct disorder, and substance abuse. Specific psychiatric disorders were diagnosed using the individual DPS cutoff scores for each subscale [15] . ...
... We included scales screening comorbidities previously associated with TD including: (1) Autism Spectrum Disorders (ASD), using the autism domain of the Autism-Tics ADHD and other Comorbidities Inventory scale [14] ; and (2) Psychiatric disorders, using the Spanish computerized version of the Children Predictive Scales (DPS) [15] , which contains 18 subscales including phobia disorders, ADHD, OCD, oppositional defiant disorder, anxiety disorders, major depressive disorders, conduct disorder, and substance abuse. Specific psychiatric disorders were diagnosed using the individual DPS cutoff scores for each subscale [15] . Screening estimates of verbal and nonverbal intelligence plus a composite IQ were obtained in the first wave of the study, using the Kaufman Brief Intelligence test [16] , based on a mean of 100 and SD of 15, scores >130 indicating very high abilities, scores 120-129 high abilities, scores 110-119 average-high abilities, scores 90-109 average abilities, and scores ≤ 90 below average abilities. ...
... Screening for comorbidities was performed by the trained rater (blinded to the tic assignment) using validated clinical scales and semi-structured questionnaires. We included scales screening comorbidities previously associated with TD including: (1) Autism Spectrum Disorders (ASD), using the autism domain of the Autism-Tics ADHD and other Comorbidities Inventory scale [14] ; and (2) Psychiatric disorders, using the Spanish computerized version of the Children Predictive Scales (DPS) [15] , which contains 18 subscales including phobia disorders, ADHD, OCD, oppositional defiant disorder, anxiety disorders, major depressive disorders, conduct disorder, and substance abuse. Specific psychiatric disorders were diagnosed using the individual DPS cutoff scores for each subscale [15] . ...
... We included scales screening comorbidities previously associated with TD including: (1) Autism Spectrum Disorders (ASD), using the autism domain of the Autism-Tics ADHD and other Comorbidities Inventory scale [14] ; and (2) Psychiatric disorders, using the Spanish computerized version of the Children Predictive Scales (DPS) [15] , which contains 18 subscales including phobia disorders, ADHD, OCD, oppositional defiant disorder, anxiety disorders, major depressive disorders, conduct disorder, and substance abuse. Specific psychiatric disorders were diagnosed using the individual DPS cutoff scores for each subscale [15] . Screening estimates of verbal and nonverbal intelligence plus a composite IQ were obtained in the first wave of the study, using the Kaufman Brief Intelligence test [16] , based on a mean of 100 and SD of 15, scores >130 indicating very high abilities, scores 120-129 high abilities, scores 110-119 average-high abilities, scores 90-109 average abilities, and scores ≤ 90 below average abilities. ...
Background:
Little is known about the academic performance of students with tic disorders (TD). Our aim was to investigate the association of TD and poor academic performance over time.
Methods:
Longitudinal, observational study of mainstream schoolchildren comparing grade retention (GR) and learning disorders (LD) in students with vs. without TD between 2010 and 2014. Students with vs. without TD based on DSM-IV-TR criteria, or with vs. without GR and LD were compared in terms of comorbidities, school, and environmental characteristics. The association of TD with GR was analyzed using hazard ratios (HRs) with 95% CIs, and with LD using logistic regression analysis [Odds ratio (OR)].
Results:
Two hundred fifty-eight students were included (mean age 14.0 ± 1.71 years, 143 [55.4%] males). The incident rate for TD and GR was 2.6 and 3.3 per 100 persons-year, respectively. LD found in 21 (9.9%) students was associated with TD (OR 11.62, 95% CI 2.21-60.90, p = 0.004), and attention deficit hyperactivity disorder (ADHD; OR 6.63, 95% CI 1.55-28.37, p = 0.01). Low psychological support (HRs 12.79, 95% CI 3.39-48.17) and low sport participation (HRs 6.41, 95% CI 1.54-26.78) were risk factors for GR.
Conclusions:
TD was associated with academic difficulties, namely, LD in conjunction with ADHD but not GR. The diagnosis of TD and comorbidities, and the initiation of proper treatment could have a favorable impact on school performance, and consequently on social development.
... Neuropsychiatric comorbidities were screened by trained raters using the Spanish computerized version of the Diagnostic Interview Schedule for Children (DISC) Predictive Scale (DPS). 9 The DPS contains 18 subscales using DSM-IV criteria, 9 including phobia disorders, ADHD, obsessive compulsive disorder (OCD), oppositional defiant disorder, anxiety, major depression conduct disorder, and substance abuse disorder. Verbal and nonverbal intelligence information was measured by an intellectual quotient (IQ) composite score obtained using the Kaufman Brief Intelligence Test. 10 Information regarding the exposures of interest was collected by a retrospective review of the birth certificates signed by a physician. ...
... Neuropsychiatric comorbidities were screened by trained raters using the Spanish computerized version of the Diagnostic Interview Schedule for Children (DISC) Predictive Scale (DPS). 9 The DPS contains 18 subscales using DSM-IV criteria, 9 including phobia disorders, ADHD, obsessive compulsive disorder (OCD), oppositional defiant disorder, anxiety, major depression conduct disorder, and substance abuse disorder. Verbal and nonverbal intelligence information was measured by an intellectual quotient (IQ) composite score obtained using the Kaufman Brief Intelligence Test. 10 Information regarding the exposures of interest was collected by a retrospective review of the birth certificates signed by a physician. ...
While current research suggests that genetic factors confer the greatest risk for the development of tic disorders, studies of environmental factors are relatively few, with a lack of consistent risk factors across studies. Our aim is to analyze the association of tic disorders with exposure to prenatal and perinatal morbidity.
This was a nested case-control study design. Cases and controls were selected and identified from a mainstream, school-based sample. The diagnosis of tic disorders was assigned by a movement disorder neurologist using 'Diagnostic and statistical manual of mental disorders, 4th edition, text revision' criteria, and neuropsychiatric comorbidities were screened using the Spanish computerized version of the Diagnostic Interview Schedule for Children Predictive Scale. Information regarding the exposure to pre-perinatal risk factors was collected by a retrospective review of the birth certificates. Logistic regression analyses were then performed to test the association of tic disorders with pre-perinatal risk factors.
Out of 407 participants, complete pre-perinatal data were available in 153 children (64 with tics and 89 without tics). After adjusting for family history of tics, neonatal respiratory distress syndrome, body mass index, prenatal infection, and coexisting comorbid neuropsychiatric disturbances, tic disorders were associated with prenatal exposure to tobacco (odds ratio [OR] = 3.07, 95% confidence interval [CI] 1.24-7.60, p = 0.007), and cesarean section (OR = 5.78, 95% CI 1.60-20.91, p = 0.01).
This nested case-control study of children with tic disorders demonstrates higher adjusted odds for tics in children with exposure to cesarean delivery and maternal smoking. Longitudinal, population-based samples are required to confirm these results.
... Neuropsychiatric comorbidities were screened by trained raters using the Spanish computerized version of the Diagnostic Interview Schedule for Children (DISC) Predictive Scale (DPS). 9 The DPS contains 18 subscales using DSM-IV criteria, 9 including phobia disorders, ADHD, obsessive compulsive disorder (OCD), oppositional defiant disorder, anxiety, major depression conduct disorder, and substance abuse disorder. Verbal and nonverbal intelligence information was measured by an intellectual quotient (IQ) composite score obtained using the Kaufman Brief Intelligence Test. 10 Information regarding the exposures of interest was collected by a retrospective review of the birth certificates signed by a physician. ...
... Neuropsychiatric comorbidities were screened by trained raters using the Spanish computerized version of the Diagnostic Interview Schedule for Children (DISC) Predictive Scale (DPS). 9 The DPS contains 18 subscales using DSM-IV criteria, 9 including phobia disorders, ADHD, obsessive compulsive disorder (OCD), oppositional defiant disorder, anxiety, major depression conduct disorder, and substance abuse disorder. Verbal and nonverbal intelligence information was measured by an intellectual quotient (IQ) composite score obtained using the Kaufman Brief Intelligence Test. 10 Information regarding the exposures of interest was collected by a retrospective review of the birth certificates signed by a physician. ...
... The fourth version (DISC-IV) was further adapted to create several shorter scales (including the Diagnostic Predictive Scale used in this study) for use as screening tools for various psychiatric diagnoses, including depression [21]. The DPS has been tested in various populations and has been reported to be an efficient and reliable screening tool [23,24] for children between the ages of 8 to 18 years. Using published cutoff scores established by Lucas et al. [21], elevated depressive symptoms was defined as a positive response to 5 or more questions on the DPS. ...
In patients with asthma, medication adherence is a voluntary behavior that can be affected by numerous factors. Depression is an important co-morbidity in adolescents with asthma that may significantly impact their controller medication adherence and other asthma-related outcomes. The modifying effect of depressive symptoms on an asthma intervention's ability to improve asthma controller medication adherence among urban adolescents with asthma has not yet been reported.
To assess self-reported symptoms of depression as an effect modifier of the relationship between randomization group and controller medication adherence at 6-month follow-up.
These analyses use data from a randomized controlled trial (RCT) conducted in Detroit high schools to evaluate a tailored asthma management program. The intervention included referrals to school or community resources for students reporting symptoms of depression and other issues. "Elevated depressive symptoms" was defined as a positive answer to ≥ 5 of 7 questions from a validated tool included on the baseline questionnaire. Self-reported adherence to controller medication was collected at intervention onset (session 1) and at 6-month follow up. Analyses were restricted to students with report of a controller medication at baseline. Logistic regression was used to assess elevated depressive symptoms as an effect modifier of the relationship between randomization group and 6-month adherence.
Of the 422 students enrolled in the RCT, a controller medication was reported at intervention onset by n = 123 adolescents (29%). Analyzing this group, we observed an interaction between elevated depressive symptoms and adherence (p = 0.073). Stratified analysis showed better adherence in treatment group adolescents meeting criteria for elevated depressive symptoms at baseline as compared to the control group (adjusted Odds Ratio [aOR] = 9.50; p = 0.024). For adolescents without elevated depressive symptoms at baseline, differences in adherence by group assignment did not reach statistical significance (aOR 1.40, p = 0.49).
In this sample of students reporting controller medications at baseline, report of elevated depressive symptoms at baseline and randomization to the intervention group was associated with significantly better adherence at 6-month follow up when compared to that of a control group. Larger studies are needed to evaluate the impact of depression on the relationship between adherence and asthma intervention effectiveness.
