Måleegenskaper ved den norske versjonen av Schedule for Affective Disordersand Schizophrenia for School-Aged Children: Present and Lifetime Version(6-18)(Kiddie-SADS-PL)
DOI:
https://doi.org/10.21337/0046Emneord (Nøkkelord):
Angst, Generell psykisk helse, Psykose, Barn i skolealderSammendrag
Beskrivelse: Schedule for Affective Disorders and Schizophrenia for School-Age Children- Present and Lifetime Version (K-SADS-PL) er et semi-strukturert diagnostisk intervju for å evaluere nåværende og tidligere episoder av psykopatologi hos barn og ungdom. DSM-IV versjonen ble revidert av Joan Kaufman og kollega. Den norske versjonen er oversatt av Anne Mari Sund og Marianne Aalberg Villabø. Det finns også en foreløpig DSM-5 versjon på engelsk revidert av Joan Kaufman. Rettighetshaveren til den norske og internasjonale versjonen er Joan Kaufman. Intervjuet kan brukes for å evaluere minst 33 psykiatriske lidelser hos barn og ungdom. Gjennomsnittlig tid for å gå i gjennom hele intervjuet er 1,5 time. Hvis intervjuet er administrert til foreldre og barn separat så tar det 3 timer. Rettighetshaveren stiller ingen formelle kompetansekrav, men generelt sagt er K-SADS-PL et komplisert intervju som krever klinisk erfaring og diagnostisk kunnskap for å kunne gjennomføre på en forsvarlig måte.
Litteratursøk: Det systematiske litteratursøket resulterte i 257 treff hvorav 14 publikasjoner beskrev K-SADS-PL i norske utvalg og fire publikasjoner i danske utvalg. Disse ble inkludert. De norske studiene rapporterte aktuelle forekomster, inter-rater reliabilitet eller begge deler, og én undersøkte sammenfallende og diskriminant validitet.
Psykometri: Inter-rater reliabilitet viste i alle tilfeller utmerket samsvar mellom to eller flere ulike vurderere. K-SADS-PL viste også i en studie at barn diagnostisert med angst eller ADHD hadde høyere skår på dimensjonale mål på henholdsvis angst og ADHD enn barn uten disse diagnosene.
Konklusjon: Selv om kunnskapsgrunnlaget om måleegenskapene ved Kiddie-SADS-PL er begrenset, vil det likevel være forsvarlig at kvalifisert helsepersonell bruker intervjuet i forbindelse med klinisk utredning. Intervjuet er tett knyttet opp til diagnosesystemet DSM-IV, med klare kriterier. Utmerket inter-rater reliabilitet for sentrale diagnosegrupper støtter opp om forsvarlig bruk i kliniske sammenhenger. Det er fortsatt et behov for forskning på måleegenskapene ved den norske versjonen av Kiddie-SADS-PL, og da særlig med hensyn til diagnostisk nøyaktighet og inter-rater reliabilitet for spesifikke diagnoser.
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