社会/情绪/行为查在门诊儿科网络中的纵向稳定性和预测价值
R Christopher Sheldrick1, Justin Birudavol2, Dina R Hirshfeld-Becker3
1Department of Psychiatry (RC Sheldrick), UMass Chan School of Medicine, Worcester, Mass.
Academic pediatrics
|December 14, 2024
概括
三种常见的社会/情绪/行为 (SEB) 选器在儿科护理中显示出中等的纵向稳定性. 门选择显著影响灵敏度和特异性,需要仔细考虑精确的选.
科学领域:
- 儿科卫生健康 儿科卫生健康
- 心理健康查 心理健康查
- 行为科学是一种行为科学.
背景情况:
- 建议每年进行社会/情绪/行为 (SEB) 查,以便在儿科诊所进行检查.
- 现有的SEB选器有经验支持,但对纵向使用的数据有限.
- 很少有研究评估SEB选器在临床实践中的长期性能.
研究的目的:
- 分析三个SEB选器的纵向稳定性.
- 评估SEB查结果与ICD代码之间的关联.
- 在儿科中为SEB查工具的临床应用提供信息.
主要方法:
- 分析了来自7家儿科诊所的9153名儿童和青少年的电子健康记录 (EHR).
- 在3年的时间内对3个SEB选器进行了纵向评估.
- 使用类内相关系数 (ICC) 和与ICD代码的关联来评估选器稳定性.
主要成果:
- 对于婴儿儿科症状检查清单 (ICC=0.57),学前儿科症状检查清单 (ICC=0.60) 和儿科症状检查清单-17 (ICC=.69) 发现了中等的纵向稳定性.
- 积极的预测值在各种值之间从40-65%不等.
- 较高的门增加了特异性,但降低了灵敏度,大多数ICD代码无法通过积极选来预测.
结论:
- 常见的SEB选器显示的纵向稳定性与较长的测量结果相美.
- 推的值在查器之间有很大差异,影响诊断准确度.
- 仔细选择值对于优化SEB查在儿科环境中的敏感性和特异性至关重要.
更多相关视频
09:16Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
Published on: March 14, 2018
10.2K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
相关概念视频
Longitudinal Studies
129
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
129
Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
Socioemotional Development during Infancy
38
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
38
Self-Report Tests of Personality
307
Self-report inventories are objective personality assessments that use multiple-choice items or numbered scales, typically ranging from 1 (strongly disagree) to 5 (strongly agree). They are often called Likert scales after Rensis Likert. These inventories are widely used due to their ease of administration and cost-effectiveness. One of the most prominent examples is the Minnesota Multiphasic Personality Inventory (MMPI), initially developed in the 1940s to assess abnormal personality traits.
307
