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The role of the clinician: three‐year predictive value of parents’, teachers’, and clinicians’ judgment of childhood psychopathology
Author(s) -
Ferdinand Robert F.,
Hoogerheide Kirsten N.,
Van Der Ende Jan,
Visser Jeroen Heijmens,
Koot Hans M.,
Kasius Marianne C.,
Verhulst Frank C.
Publication year - 2003
Publication title -
journal of child psychology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.652
H-Index - 211
eISSN - 1469-7610
pISSN - 0021-9630
DOI - 10.1111/1469-7610.00171
Subject(s) - cbcl , psychopathology , psychology , child behavior checklist , checklist , clinical psychology , child psychopathology , outpatient clinic , psychiatry , predictive value , medicine , cognitive psychology
Background: The present study investigated the differential predictive value of parents’, teachers’, and clinicians’ reports of psychopathology for poor outcome in children referred to a child psychiatric outpatient clinic. Method: A referred sample ( N = 96), aged 6 to 12 years at initial assessment, was followed up after a mean interval of 3.2 years. Data on parent‐ and teacher‐reported problem behavior (Child Behavior Checklist and Teacher's Report Form), and clinician‐reported observations and self‐reports during a semi‐structured clinical interview (SCICA), were linked to outcome measures assessed with a parent questionnaire, including outpatient and inpatient treatment at Time 2, parent's wish for professional help for the child, school problems, and police/judicial contacts. Results: Information from all three informants (clinicians, parents, and teachers) predicted measures of poor outcome after three years. Clinicians’ ratings on the SCICA predicted all five outcome measures. Independent of CBCL and TRF scores, SCICA scores predicted parental wish for help and inpatient treatment. Conclusions: The present study was the first to report that clinician's ratings of self‐reported and observed behaviors in a semi‐structured interview (SCICA) make an important unique contribution to the multi‐axial assessment of problem behaviors.