Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESTest-Retest Reliability of the Preschool Age Psychiatric Assessment (PAPA)
Section snippets
Description of the PAPA
Development of the PAPA began in 1998 and has been described in some detail elsewhere (Egger and Angold, 2004). A brief summary is presented here. The PAPA is a parent-report instrument based on the parent version of the Child and Adolescent Psychiatric Assessment (CAPA) for 9-18 year olds (Angold and Costello, 1995, Angold and Costello, 2000, Angold et al., 1995). Table 1 details the key features of the PAPA, including training, modes of administration, and the content of the PAPA modules.
Sample Characteristics
Demographic characteristics of the screened sample, the test-retest sample, and surrounding Durham County where the study was conducted are presented in Table 3.
African American parents were somewhat more likely to participate in the screening (92.5% African Americans agreed versus. 87.8% for non-African Americans; p = 0.007). There were no significant differences between screen refusers and subjects by gender, age, or Medicaid status.
Of the parents completing the PAPA, 92.7% (n = 289) were
DISCUSSION
Given the well-known decision biases that are inherent in unstructured psychiatric assessments (Achenbach, 1985, Angold, 2002, Tversky and Kahneman, 1974), there is no doubt that the development of standardized structured diagnostic assessments has been a significant advance. Indeed, the use of such assessments has become a necessary requirement for research, and their use has also been strongly advocated for clinical settings as well (Angold, 2002). It is also generally accepted that such
REFERENCES (71)
- et al.
Toward establishing an empirical basis for the diagnosis of Oppositional Defiant Disorder
J Am Acad Child Adolesc Psychiatry
(1996) - et al.
The Child and Adolescent Psychiatric Assessment (CAPA)
J Am Acad Child Adolesc Psychiatry
(2000) - et al.
Mental health in pediatric settings: distribution of disorders and factors related to service use
J Am Acad Child Adolesc Psychiatry
(2000) - et al.
Dysthymic disorder in clinically referred preschool children
J Am Acad Child Adolesc Psychiatry
(1997) - et al.
DSM-III-R disorders in preschool children from low-income families
J Am Acad Child Adolesc Psychiatry
(1997) - et al.
Validity of DSM-IV attention-deficit/hyperactivity disorder for younger children
J Am Acad Child Adolesc Psychiatry
(1998) - et al.
Mental health service use among young children receiving pediatric primary care
J Am Acad Child Adolesc Psychiatry
(1998) - et al.
Prevalence rates and correlates of psychiatric disorders among preschool children
J Am Acad Child Adolesc Psychiatry
(1996) - et al.
Differential performance of the MacArthur HBQ and DISC-IV in identifying DSM-IV internalizing psychopathology in young children
J Am Acad Child Adolesc Psychiatry
(2002) - et al.
The clinical picture of depression in preschool children
J Am Acad Child Adolesc Psychiatry
(2003)
Preschool major depressive disorder: preliminary validation for developmentally modified DSM-IV Criteria
J Am Acad Child Adolesc Psychiatry
Two approaches to the diagnosis of posttraumatic stress disorder in infancy and early childhood
J Am Acad Child Adolesc Psychiatry
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
Preschool boys with oppositional defiant disorder: clinical presentation and diagnostic change
J Am Acad Child Adolesc Psychiatry
Assessment and Taxonomy of Child and Adolescent Psychopathology
Manual for the ASEBA Preschool Forms and Profiles: An Integrated System of Multi-informant Assessment
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic interviews with parents and children
A Review of the Issues Relevant to the Creation of a Measure of Disability in Children Based on the World Health Organization's International Classification of Functioning and Disability (ICIDH-2)
A test-retest reliability study of child-reported psychiatric symptoms and diagnoses using the Child and Adolescent Psychiatric Assessment (CAPA-C)
Psychol Med
Psychiatric diagnosis in preschool children
Precision, reliability and accuracy in the dating of symptom onsets in child and adolescent psychopathology
J Child Psychol Psychiatry
Disappearing depression in a population sample of boys
J Emotional Behav Disord
Depression scale scores in 8-17-year-olds: Effects of age and gender
J Child Psychol Psychiatry
The Child and Adolescent Psychiatric Assessment (CAPA)
Psychol Med
Attachment disorders in infancy and early childhood: a preliminary investigation of diagnostic criteria
Am J Psychiatry
Assessment of young children's social-emotional development and psychopathology: recent advances and recommendations for practice
J Child Psychol Psychiatry
A coefficient of agreement for nominal scales
Educ Psychol Meas
Diagnostic classification: results from a clinical experience of three years with DC: 0-3
Infant Ment Health J
Development and Testing of the NIMH Diagnostic Interview Schedule for Children in a Clinic Population: Final Report (contract no. RFP-DB-81-0027)
Psychiatric disorders in pediatric primary care: prevalence and risk factors
Arch Gen Psychiatry
Construct validity in psychological tests
Psychol Bull
Application of DSM-III in an epidemiological study of preschool children
Am J Psychiatry
The Preschool Age Psychiatric Assessment (PAPA): A structured parent interview for diagnosing psychiatric disorders in preschool children
The Preschool Age Psychiatric Assessment: Version 1.1. Unpublished Interview Schedule
Cited by (0)
This project was supported by grants from the National Institute of Mental Health ( R01 MH-63670 and K23 MH-02016 ).
The authors would like to thank our inteviewing team: Brian Small, Letitia Huger, Virginia Covington, Neal Townsend, Rachel Kudler, and kathryn Keicher, as well as the physicians, nurses, and staff at the Duke Childrenapos;s Primary Care Clinic and the families who participated in this study.
Information about how to obtain the PAPA and to be trained in its administration can be found at http://devepi.duhs.duke.edu or by e-mailing jrogerspsych.duhs.duke.edu.
Disclosure: Dr. Egger is the recipient of a Pfizer Faculty Scholars Award in Clinical Epidemiology. The other authors have no financial relationships to disclose.