Journal Article Multicenter Study Epublish
PubMed: 42743143 DOI: 10.1371/journal.pone.0357785
Psychometric evaluation of a DSM-5-based semi-structured parent interview for externalizing disorders in preschool children.
PLoS One 21(9):e0357785
Authors: Lea Teresa Kohl, Felix Oswald, Ann-Kathrin Thöne, Jana Rausch, Anja Görtz-Dorten, Christina Dose, Christopher Hautmann, Anne-Katrin Treier, Elena von Wirth, Johanna Ketter, Daria Kasperzack, Tobias Banaschewski, Daniel Brandeis, Anna Kaiser, Thomas Jans, Julia Geissler, Tanja Legenbauer, Tobias Renner, Luise Poustka, Kerstin Konrad, Michael Kölch, Stefanie Bienioschek, Katja Becker, Manfred Döpfner
Affiliations
- Center for Child and Adolescent Cognitive Behavior Therapy (CEKIP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
- Clinical Child and Adolescent Psychology and Psychotherapy, Trier University, Trier, Germany.
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Marburg & University Hospital Marburg (UKGM), Marburg, Germany.
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty, Mannheim/Heidelberg University, Mannheim, Germany.
- German Center for Mental Health (DZPG), Partner Site Mannheim-Heidelberg-Ulm, Mannheim, Germany.
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland.
- Neuroscience Center Zurich, University and ETH Zurich, Zurich, Switzerland.
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University Hospital of Würzburg, Würzburg, Germany.
- LWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Ruhr University Bochum, Hamm, Germany.
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Psychiatry and Psychotherapy Tübingen, Tübingen, Germany.
- LEAD Graduate School and Research Network, University of Tübingen, Tübingen, Germany.
- German Center for Mental Health (DZPG), Partner Site Tübingen, Tübingen, Germany.
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany.
- Department of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
- Section Child Neuropsychology, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Uniklinik RWTH Aachen, Aachen, Germany.
- JARA-BRAIN Institute II, Molecular Neuroscience and Neuroimaging (INM-11), Forschungszentrum Jülich GmbH and RWTH Aachen University, Jülich, Germany.
- Department of Child and Adolescent Psychiatry and Psychotherapy, Faculty of Health Sciences Brandenburg, Brandenburg Medical School, University Medical Center Ruppin-Brandenburg, Neuruppin, Germany.
- Department of Child and Adolescent Psychiatry and Psychotherapy, University of Rostock, Rostock, Germany.
- Brandenburg Medical School Theodor Fontane (MHB), Neuruppin, Germany.
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ruppin-Brandenburg, Neuruppin, Germany.
- Faculty of Health Sciences, Joint Faculty of the University of Potsdam, the Brandenburg University of Technology Cottbus-Senftenberg and the Brandenburg Medical School, Potsdam, Germany.
- Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen, Marburg, Germany.
Abstract
OBJECTIVE
Reliable and valid diagnostic interviews for preschool-age children are needed to identify children with externalizing behavior problems requiring treatment and thus prevent adverse outcomes. This study evaluated the psychometric properties of the semi-structured Clinical Parent Interview for Externalizing Disorders (ILF-EXTERNAL).
METHODS
Data were collected from 211 children (3;0-6;11 years, 62% boys) who were screened for participation in a multicenter study on evidence-based stepped care treatments for preschool children with externalizing symptoms (ESCApreschool). The factor structure, interrater reliability, internal consistency, convergent validity, and divergent validity of the ILF-EXTERNAL were examined from a multi-rater perspective (clinicians, parents, preschool teachers).
RESULTS
A first-order factor model with four correlated factors showed acceptable model fit and allowed for straightforward interpretability. Interrater reliability estimates were fair or moderate to good [intraclass correlation coefficients(1,1) = .52-.74]. Categorical diagnostic agreement was moderate (κ = .44-.52). The ILF-EXTERNAL scales exhibited acceptable to good internal consistencies (α ≥ .69, ω ≥ .72), except for the ADHD Functional Impairment scale (α = .65, ω = .68). Correlations between the ILF-EXTERNAL scale scores and the Externalizing Problems scale of the Child Behavior Checklist (CBCL/1½-5) ranged from .38 to .56, whereas correlations with the Internalizing Problems scale ranged from .09 to .37. Except for one subscale, all ILF-EXTERNAL subscales correlated more strongly with the Externalizing Problems scale than with the Internalizing Problems scale, providing support for convergent and divergent validity. Cross-informant correlations between clinician and parent ratings were higher (r = .46-.65) than between clinician and preschool teacher ratings (r = .05-.33).
CONCLUSION
The ILF-EXTERNAL shows sound psychometric properties in clinically referred preschool children with ADHD and/or ODD.
MeSH
Multiple Chronic Conditions, Child, Preschool, Therapeutics, Psychometrics, Child