Diagnostic Summary
Study staff, following completion and review of the SCID and ACDS or KSADS, completes the diagnostic summary.
Note: Item level data for the follow assessments are not released.
Adult ADHD Clinical Diagnostic Scale (ACDS) V 1.2:
This is a semi-structured interview that establishes both current adult symptomatology and the presence of any ADHD symptoms in childhood. The 18 items in the ACDS match the 18 symptom domains of ADHD noted in DSM-IV. As the SCID does not cover ADHD it is used in conjunction in order to help make or rule out this diagnosis.
Note: This semi-structured interview is administered to all adult participants ages 18-85 years old.
References: Kessler, R. C., Green, J. G., Adler, L. A., Barkley, R. A., Chatterji, S., Faraone, S. V., . . . Van Brunt, D. L. (2010). Structure and diagnosis of adult attention-deficit/hyperactivity disorder: Analysis of expanded symptom criteria from the adult ADHD clinical diagnostic scale. Archives of General Psychiatry, 67(11), 1168-78.
Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS):
The K-SADS is a semi-structured interview designed to assess current and past episodes of psychopathology in children and adolescents, according to DSM-IV criteria. Probes and objective criteria are provided to rate individual symptoms.
Note: This semi-structured interview is administered to all child participants ages 6-17 years old. The interview is first completed with the guardian of the child and is then completed with the child in order to determine past and current diagnoses.
References: Kaufman, J., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-resent and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 36(7), 980-988).
Structured Clinical Interview for DSM-IV-TR Axis I Disorders – Non-Patient Edition (SCID-I/NP):
A diagnostic semi-structured interview designed to assess current and past episodes of psychopathology in adults, according to DSM-IV criteria. Probes and objective criteria are provided to rate individual symptoms.
Note: This semi-structured interview is administered to all adult participants ages 18-85 years old.
References: First, M., B., Spitzer, R. L., Gibbon, M., and Williams, J.B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient edition (SCID-I/NP, 1/2010 revision). New York: Biometrics Research, New York State Psychiatric Institute, November 2002.
Trauma Symptom Checklist for Adults (TSC-40)
The TSC-40 is a 40-item self-report that evaluates symptomology in adults (ages 18 and older) associated with childhood or adult traumatic experiences. The TSC-40 consists of six subscales: Anxiety, Depression, Dissociation, Sexual Abuse Trauma Index (SATI), Sexual Problems, and Sleep Disturbance, and includes a Total Score as well. Each symptom item is rated according to it’s frequency of occurrence over the past two months using a 4-point scale: 0-Never, to 3-Often.
Note: This assessment is given to all adult participants, ages 18-85 years old.
References:
Elliot, D. M. & Briere, J. (1992). Sexual abuse trauma among professional women: Validating the Trauma Symptom Checklist – 40 (TSC-40). Child Abuse & Neglect, 16, 391-398.
Briere, J. N., & Runtz, M. G. (1989). The Trauma Symptom Checklist (TSC-33): early data on a new scale. Journal of Interpersonal Violence, 4, 151-163.
Trauma Symptom Checklist for Children (TSC-C)
The TSC-C is a 54-item self-report inventory assessing posttraumatic stress in children (ages 8 -17) who have experienced traumatic events such as physical or sexual abuse, major loss, natural disaster, or violence. The following clinical scales are assessed: Anxiety, Depression, Anger, Posttraumatic Stress, Dissociation, and Sexual Concerns. Child participants are asked to rate the frequency of certain thoughts and behaviors on a 4-point scale: 0-Never 1-Sometimes, 2-Lots of the time, 3-Almost all the time.
Note: This assessment is given to child participants, ages 8-17 years old.
References: Briere, J. (1996). Trauma Symptom Checklist for Children (TSCC) Professional Manual. Odessa, FL: Psychological Assessment Resources.
University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (UCLA-Youth)
The UCLA-Youth PTSD index for DSM-IV is a 48-item self report used to screen both for exposure to traumatic events and for all DSM-IV PTSD symptoms in school age children and adolescents (ages 7-12) who report traumatic stress experiences. These instruments are meant to serve as brief screening tools to provide information regarding trauma exposure and PTSD symptoms. The instrument consists of three parts: In Part I, a brief review of the traumatic experience sets the stage for the subsequent questions, helps the participant recall details of the traumatic event (Criterion A1). Items are rated 1-Yes or 0-No. Part II includes questions related to A1 and A2 criteria rating how the participant felt during or right after the experience (either 1-Yes, 0-No, or Don’t Know). Part III asks about the frequency of PTSD symptoms during the past month on a 5-point scale: 0-None, 1-Little (Two times a month), 2-Some (1-2 times a week), 3-Much (2-3 times each week), 4-Most (Almost everyday). These items map directly onto the DSM-IV PTSD criterion B (intrusion), criterion C (avoidance/numbing), and criterion D (arousal). Twenty of these items assess PTSD symptoms; two additional items assess associated features – fear of recurrence and trauma-related guilt.
Note: Though indicated for children and adolescents, this assessment is given to all participants, ages 8-85.
References: Pynoos, Rodriguez, Steinberg, Stuber, & Frederick,C. (1998). UCLA PTSD Index for DSM-IV. Unpublished Manual.
University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (UCLA-Parent)
The UCLA-Parent PTSD index for DSM-IV is a 48-item parent report used to screen both for exposure to traumatic events and for all DSM-IV PTSD symptoms in school age children and adolescents (ages 7-12) who report traumatic stress experiences. These instruments are meant to serve as brief screening tools to provide information regarding trauma exposure and PTSD symptoms. The instrument consists of three parts: In Part I, a brief review of the traumatic experience sets the stage for the subsequent questions, helps the parent recall details of the traumatic event (Criterion A1). Items are rated 1-Yes or 0-No. Part II includes questions related to A1 and A2 criteria rating how the child felt during or right after the experience (either 1-Yes, 0-No, or Don’t Know). Part III asks about the frequency of PTSD symptoms during the past month on a 5-point scale: 0-None, 1-Little (Two times a month), 2-Some (1-2 times a week), 3-Much (2-3 times each week), 4-Most (Almost everyday). These items map directly onto the DSM-IV PTSD criterion B (intrusion), criterion C (avoidance/numbing), and criterion D (arousal). Twenty of these items assess PTSD symptoms; two additional items assess associated features – fear of recurrence and trauma-related guilt.
Note: This assessment is given to guardians of children ages 6-17.
References: Pynoos, Rodriguez, Steinberg, Stuber, & Frederick,C. (1998). UCLA PTSD Index for DSM-IV. Unpublished Manual.