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The Dominic-R: a pictorial interview for 6- to 11-year-old children
J P Valla1, L Bergeron, N Smolla
1Rivière-des-Prairies Hospital, Research Department, Montreal, Quebec, Canada. jpvalla@sympatico.ca
Insights
Pictorial questionnaires assessing child mental health disorders are reliable for young children. These instruments, based on DSM criteria, aid in clinical and screening purposes.
Area of Science:
- Child and Adolescent Psychiatry
- Psychometric Assessment
- Mental Health Screening
Background:
- Review of Dominic-R and Terry questionnaires for assessing mental disorders in children aged 6-11.
- Focus on both DSM-III-R (paper) and DSM-IV (computerized) versions.
- Exploration of instruments designed for white and African-American children.
Purpose of the Study:
- To review the development, content, validation, and diagnostic cutpoints of the Dominic-R and Terry questionnaires.
- To evaluate the suitability of these instruments for assessing child mental health.
- To assess the reliability and validity of pictorial, structured questionnaires for young informants.
Main Methods:
- Systematic review of five papers detailing the questionnaires' characteristics.
- Analysis of instruments utilizing a visual-auditory stimulus approach with complementary symptom descriptions.
- Consideration of limitations in assessing frequency, duration, and age-of-onset due to cognitive immaturity.
Main Results:
- Test-retest reliability of symptoms and symptom scores was supported.
- Criterion validity against clinical judgment was established.
- The visual-auditory stimulus combination demonstrated effectiveness in assessing child mental health.
Conclusions:
- The pictorial format enables young children to serve as reliable informants regarding their mental health.
- These instruments are suitable for clinical, epidemiological, and screening purposes due to their brevity and simplicity.
- The questionnaires approximate DSM-III-R and DSM-IV criteria for assessing various childhood mental disorders.
Objective:
To review the Dominic-R and the Terry questionnaires, respectively, for white and African-American children, both DSM-III-R-based, and more recent DSM-IV-based computerized versions.
Method:
Five papers describing the development, content, validation studies, and establishment of the diagnostic cutpoints of these instruments are reviewed. The instruments are pictorial, fully structured, and designed to assess mental disorders in children 6 to 11 years of age. Symptom descriptions complement the visual stimulus, providing better information-processing than visual or auditory stimuli alone. Cognitive immaturity of young children bars frequency, duration, and age-of-onset measurements, restricting correspondence with DSM criteria. DSM-IV (computerized versions) and DSM-III-R (paper versions) disorders being assessed include specific (simple) phobias, separation anxiety, generalized anxiety (overanxious), depression/dysthymia, attention-deficit hyperactivity, oppositional defiant, and conduct disorder.
Results:
Test-retest reliability of symptoms and symptom scores and criterion validity against clinical judgment support the visual-auditory combination of stimuli to assess child mental health.
Conclusion:
Intended for clinical, epidemiological, and screening purposes, these instruments are short and simple. Although it only approximates DSM-III-R and DSM-IV criteria, the pictorial format permits young children to be reliable informants about their mental health.
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