Few studies include siblings’ experiences with anorexia nervosa (AN). Aims: Describe patients’ and siblings’ retrospective views on how AN influenced their life in the acute phase of illness and at 4.5-years follow-up. Method: 34 former patients and 13 siblings that had participated in family-based inpatient treatment for AN completed questionnaires at follow-up. Results: Patients reported high, and siblings moderate, levels of negative influences of AN, including schoolwork, leisure, worries and conflicts in the family. The majority of siblings had been afraid their ill sibling would not recover, or die, from AN. However, most former patients and siblings replied that the illness also had provided valuable experiences. Recovery from AN at follow-up was associated with lower levels of negative influences on former patients’ and siblings’ lives. Implications: Knowledge on patients’ and siblings’ experiences is important to improve support and help them to cope with the illness and the resulting family distress. Keywords: anorexia nervosa, eating disorders, follow-up, siblings, influence of illness
{"title":"Unge med anoreksi og deres søsken: Hvordan påvirket sykdommen dagliglivet i akuttfasen og ved oppfølging etter ca. 4,5 år","authors":"Inger Halvorsen, Annika Rø, Jan-Vegard Nilsen, Øyvind Rø","doi":"10.52734/tt7787p5","DOIUrl":"https://doi.org/10.52734/tt7787p5","url":null,"abstract":"Few studies include siblings’ experiences with anorexia nervosa (AN). Aims: Describe patients’ and siblings’ retrospective views on how AN influenced their life in the acute phase of illness and at 4.5-years follow-up. Method: 34 former patients and 13 siblings that had participated in family-based inpatient treatment for AN completed questionnaires at follow-up. Results: Patients reported high, and siblings moderate, levels of negative influences of AN, including schoolwork, leisure, worries and conflicts in the family. The majority of siblings had been afraid their ill sibling would not recover, or die, from AN. However, most former patients and siblings replied that the illness also had provided valuable experiences. Recovery from AN at follow-up was associated with lower levels of negative influences on former patients’ and siblings’ lives. Implications: Knowledge on patients’ and siblings’ experiences is important to improve support and help them to cope with the illness and the resulting family distress. Keywords: anorexia nervosa, eating disorders, follow-up, siblings, influence of illness","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121097499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yngvild Bjartveit Haukeland, Ann-Helen Kongshaug Rønning, Ragnhild Bang Nes, Torun Marie Vatne
Background: Norwegian health professionals are obliged to provide support to siblings as next of kin. Preliminary evidence for positive outcomes of SIBS, a novel five-session intervention for siblings as next of kin, exists. This study aimed to investigate the extent and type of sibling support in the community health services. It also aimed to examine prospective acceptability for SIBS among community health workers. Methods: We asked public health nurses, psychologists, and chief physicians in Norwegian municipalities about sibling support and about their evaluations of SIBS. We conducted descriptive analyses and a qualitative analysis guided by Consolidated Framework for Implementation Research. Results: 332 respondents from 253 municipalities participated. Siblings were rarely systematically identified. School health services were common support providers, but mostly upon request from families. There was limited collaboration with the specialist health care or other services. Prospective acceptability for SIBS was high, but several barriers to implementation in community services were reported. Conclusion: Sibling support at the community level is deficient, and successful implementation of adequate interventions requires intralevel and interlevel collaboration. Keywords: siblings, children as next of kin, chronic disorders, disabilities, prevention, implementation
{"title":"De glemte barna – en kartleggingsstudie av tilbud til og muligheter for pårørende søsken i norske kommuner","authors":"Yngvild Bjartveit Haukeland, Ann-Helen Kongshaug Rønning, Ragnhild Bang Nes, Torun Marie Vatne","doi":"10.52734/82j9m28u","DOIUrl":"https://doi.org/10.52734/82j9m28u","url":null,"abstract":"Background: Norwegian health professionals are obliged to provide support to siblings as next of kin. Preliminary evidence for positive outcomes of SIBS, a novel five-session intervention for siblings as next of kin, exists. This study aimed to investigate the extent and type of sibling support in the community health services. It also aimed to examine prospective acceptability for SIBS among community health workers. Methods: We asked public health nurses, psychologists, and chief physicians in Norwegian municipalities about sibling support and about their evaluations of SIBS. We conducted descriptive analyses and a qualitative analysis guided by Consolidated Framework for Implementation Research. Results: 332 respondents from 253 municipalities participated. Siblings were rarely systematically identified. School health services were common support providers, but mostly upon request from families. There was limited collaboration with the specialist health care or other services. Prospective acceptability for SIBS was high, but several barriers to implementation in community services were reported. Conclusion: Sibling support at the community level is deficient, and successful implementation of adequate interventions requires intralevel and interlevel collaboration. Keywords: siblings, children as next of kin, chronic disorders, disabilities, prevention, implementation","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"239 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132820773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article focuses on melancholia and how melancholia presents a language for essential individual and cultural aspects of life. It is argued that melancholia is on its way out of general psychology which represents a loss as melancholia offers knowledge of important existential human conditions. It also gives a language for normality and pathology, something creative and something potentially destructive in human. Psychoanalytic understanding of melancholia is presented together with extracts from a psychoanalytic psychotherapy with a patient. Keywords: melancholia, depression, psychoanalysis
{"title":"På leting etter et tapt språk: om psykoanalyse og melankoli","authors":"Espen Håland","doi":"10.52734/3me6zs95","DOIUrl":"https://doi.org/10.52734/3me6zs95","url":null,"abstract":"This article focuses on melancholia and how melancholia presents a language for essential individual and cultural aspects of life. It is argued that melancholia is on its way out of general psychology which represents a loss as melancholia offers knowledge of important existential human conditions. It also gives a language for normality and pathology, something creative and something potentially destructive in human. Psychoanalytic understanding of melancholia is presented together with extracts from a psychoanalytic psychotherapy with a patient. Keywords: melancholia, depression, psychoanalysis","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125011976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Two-hundred and thirty-six WISC-V protocols from children assessed in the Child Psychiatric Clinic of Vestfold Hospital Trust took part in the study. We analyzed four issues known either to be specifically important or to be problematic in previous Wechsler adaptions. The first issue relates to whether the items on the translated verbal tests show the expected decreasing frequency of correct answers. Second, we check for invariance of the five-factor structure across age and gender groups. Third, we assess whether the new visual span test varies sufficiently from digit span to defend having two span tests. Fourth, we report the Cronbach’s alpha levels in the clinical sample and check for possible verbal items decreasing reliability. The analyses showed small insufficiencies, and thus we conclude that the test also maintains the necessary psychometric capacity in a clinical sample. Keywords: WISC-V, invariance of factor structure, fluid reasoning, working memory
{"title":"Klinisk utprøving av WISC-V","authors":"Jens Egeland, Olaf Lund, Tor Herman Andreassen","doi":"10.52734/e4t74rz6","DOIUrl":"https://doi.org/10.52734/e4t74rz6","url":null,"abstract":"Two-hundred and thirty-six WISC-V protocols from children assessed in the Child Psychiatric Clinic of Vestfold Hospital Trust took part in the study. We analyzed four issues known either to be specifically important or to be problematic in previous Wechsler adaptions. The first issue relates to whether the items on the translated verbal tests show the expected decreasing frequency of correct answers. Second, we check for invariance of the five-factor structure across age and gender groups. Third, we assess whether the new visual span test varies sufficiently from digit span to defend having two span tests. Fourth, we report the Cronbach’s alpha levels in the clinical sample and check for possible verbal items decreasing reliability. The analyses showed small insufficiencies, and thus we conclude that the test also maintains the necessary psychometric capacity in a clinical sample. Keywords: WISC-V, invariance of factor structure, fluid reasoning, working memory","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"21 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120883746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martin Bystad, Njål Bjørhovde, Yvonne Larsen, Per M. Aslaksen, Henriette Riley
Aim: The aim of this study was to investigate diurnal variations of admissions in acute psychiatry. Method: The registration of 2763 submissions were conducted from 01.04.15–31.12.17 at the University Hospital of North-Norway by completing a form for every admission. Results: The results revealed that a majority of the admissions took place at evening and nighttime. There were significantly (p = .001) more admissions at evening and night. Results revealed that 21,[A1] 5 % (539) of the admissions were between 00:00–08:00, whereas 27,5 % (758) of the admissions were between 08:00–16:00, and 51 % (1409) of the admissions were between 16:00–00:00. Conclusion: The causes behind this distribution of the admissions should be investigated in future studies. Future studies should ask the patients about the causes of the late admissions. Keywords: diurnal variations, admissions, acute psychiatry
{"title":"Døgnvariasjoner for innleggelser ved akuttpsykiatriske enheter","authors":"Martin Bystad, Njål Bjørhovde, Yvonne Larsen, Per M. Aslaksen, Henriette Riley","doi":"10.52734/pf592dj2","DOIUrl":"https://doi.org/10.52734/pf592dj2","url":null,"abstract":"Aim: The aim of this study was to investigate diurnal variations of admissions in acute psychiatry. Method: The registration of 2763 submissions were conducted from 01.04.15–31.12.17 at the University Hospital of North-Norway by completing a form for every admission. Results: The results revealed that a majority of the admissions took place at evening and nighttime. There were significantly (p = .001) more admissions at evening and night. Results revealed that 21,[A1] 5 % (539) of the admissions were between 00:00–08:00, whereas 27,5 % (758) of the admissions were between 08:00–16:00, and 51 % (1409) of the admissions were between 16:00–00:00. Conclusion: The causes behind this distribution of the admissions should be investigated in future studies. Future studies should ask the patients about the causes of the late admissions. Keywords: diurnal variations, admissions, acute psychiatry","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125236248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cathrine Nitter, K. Vrabel, Per-Einar Binder, Irene Kingswick
This study evaluates a mindful eating-based program for people with self-reported binge eating problems. The study was initiated by a non-governmental eating disorder interest organization. Participants met once a week over eight weeks. The Eating Disorder Questionnaire (EDE-Q) and three subscales of the Self-Compassion Scale (SCS) were used to measure eating pathology, self-compassion and mindfulness before, after, and six-months after the program. Results: Significant improvements in EDE-Q and SCS scores were found, and results remained stable at the six-month follow-up. The number of binge eating days decreased significantly during the study, both from before to after program participation, and from post-program participation to six-month follow-up. Conclusion: Future studies investigating the current program are clearly needed. These preliminary results are nonetheless encouraging and illustrate that mindful eating-based interventions as an interesting treatment avenue for individuals with binge eating pathology, a group which currently has few treatment options available to them.
{"title":"Bli venn med maten: evaluering av et lavterskel kurstilbud for personer med overspisingsproblematikk","authors":"Cathrine Nitter, K. Vrabel, Per-Einar Binder, Irene Kingswick","doi":"10.52734/53t9gec2","DOIUrl":"https://doi.org/10.52734/53t9gec2","url":null,"abstract":"This study evaluates a mindful eating-based program for people with self-reported binge eating problems. The study was initiated by a non-governmental eating disorder interest organization. Participants met once a week over eight weeks. The Eating Disorder Questionnaire (EDE-Q) and three subscales of the Self-Compassion Scale (SCS) were used to measure eating pathology, self-compassion and mindfulness before, after, and six-months after the program. Results: Significant improvements in EDE-Q and SCS scores were found, and results remained stable at the six-month follow-up. The number of binge eating days decreased significantly during the study, both from before to after program participation, and from post-program participation to six-month follow-up. Conclusion: Future studies investigating the current program are clearly needed. These preliminary results are nonetheless encouraging and illustrate that mindful eating-based interventions as an interesting treatment avenue for individuals with binge eating pathology, a group which currently has few treatment options available to them.","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117184405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Nordanger, R. Gjestad, P. Solhaug, A. Andersen, M. Bræin, K. Johannessen, A. Lundegaard, S. Ormhaug, G. J. Andersson, J. Gran, G. Hafstad, T. Hanssen, V. A. Johansen, A. H. Simonsen, H. Steinkopf, E. Johansson
There is a need to assess whether the resources invested in building trauma competence in services actually lead to higher levels of competence. For this purpose, we have developed an instrument called the Trauma and Development Education Monitor (TANDEM). The present article presents the process behind developing the instrument and an initial study of its psychometric properties. The tested version consisted of 59 items distributed across the domains of readiness, agency, reflexivity, knowledge, practice and culture at work. Based on responses from 415 professionals in relevant services, concept and criterion validity was examined through reliability analyses, factor analyses and regression analyses. Based on the analyses, the tested version was reduced to 54 items in the final version, distributed across the same six domains. As dimensions, the domains generally showed good scale reliability, and for the final version factor analyses confirmed a one-dimensional model for all domains. The instrument discriminated between respondents who reported more versus less previously received trauma competence building and showed specificity as a measure of trauma versus more general competence. The results indicate that TANDEM has the potential to become a useful tool in endeavours to implement trauma competence in services, as well as in research activities in this field. Keywords: trauma, competence, instrument, validity
{"title":"The Trauma and Development Education Monitor (TANDEM): et nytt instrument for å måle traumekompetanse","authors":"D. Nordanger, R. Gjestad, P. Solhaug, A. Andersen, M. Bræin, K. Johannessen, A. Lundegaard, S. Ormhaug, G. J. Andersson, J. Gran, G. Hafstad, T. Hanssen, V. A. Johansen, A. H. Simonsen, H. Steinkopf, E. Johansson","doi":"10.52734/y6g8ru84","DOIUrl":"https://doi.org/10.52734/y6g8ru84","url":null,"abstract":"There is a need to assess whether the resources invested in building trauma competence in services actually lead to higher levels of competence. For this purpose, we have developed an instrument called the Trauma and Development Education Monitor (TANDEM). The present article presents the process behind developing the instrument and an initial study of its psychometric properties. The tested version consisted of 59 items distributed across the domains of readiness, agency, reflexivity, knowledge, practice and culture at work. Based on responses from 415 professionals in relevant services, concept and criterion validity was examined through reliability analyses, factor analyses and regression analyses. Based on the analyses, the tested version was reduced to 54 items in the final version, distributed across the same six domains. As dimensions, the domains generally showed good scale reliability, and for the final version factor analyses confirmed a one-dimensional model for all domains. The instrument discriminated between respondents who reported more versus less previously received trauma competence building and showed specificity as a measure of trauma versus more general competence. The results indicate that TANDEM has the potential to become a useful tool in endeavours to implement trauma competence in services, as well as in research activities in this field. Keywords: trauma, competence, instrument, validity","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127607498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katrine Høyer Holgersen, Ingvild Rønneberg Holte, Eva Gluppe, Øyvind Watne, Wenche Kojan Meisingset, Maja Rostad, Marianne Arentz, A. Rosenlund, Heidi Brattland
Background: Mental health care services are facing challenges due to the increasing number of referrals of patients with multifaceted problems. This study aims to describe the Early Assessment Team (EAT), a novel method of organizing intake assessments for the outpatient mental health service in a community mental health center (CMHC). Method: During the first two years of EAT, 1,034 cases were included in a descriptive quality assurance study. Patient population, method of work, re-referrals and patient satisfaction were evaluated. Results: After contact with EAT, two-thirds of patients were assessed as not in need of further treatment in the outpatient clinic. The assessment was performed during one to three sessions in 90% of cases. Fewer than 20% of cases that were screened out by EAT were re-referred to the CMHC within six months. Patients expressed satisfaction with the service. Implications: The results indicate that intake assessment by an early assessment team may be an alternative in clinical practice, though further controlled studies are needed.
{"title":"Ny tilnærming for vurdering og planlegging av behandling i poliklinisk psykisk helsevern","authors":"Katrine Høyer Holgersen, Ingvild Rønneberg Holte, Eva Gluppe, Øyvind Watne, Wenche Kojan Meisingset, Maja Rostad, Marianne Arentz, A. Rosenlund, Heidi Brattland","doi":"10.52734/8z2j79bn","DOIUrl":"https://doi.org/10.52734/8z2j79bn","url":null,"abstract":"Background: Mental health care services are facing challenges due to the increasing number of referrals of patients with multifaceted problems. This study aims to describe the Early Assessment Team (EAT), a novel method of organizing intake assessments for the outpatient mental health service in a community mental health center (CMHC). Method: During the first two years of EAT, 1,034 cases were included in a descriptive quality assurance study. Patient population, method of work, re-referrals and patient satisfaction were evaluated. Results: After contact with EAT, two-thirds of patients were assessed as not in need of further treatment in the outpatient clinic. The assessment was performed during one to three sessions in 90% of cases. Fewer than 20% of cases that were screened out by EAT were re-referred to the CMHC within six months. Patients expressed satisfaction with the service. Implications: The results indicate that intake assessment by an early assessment team may be an alternative in clinical practice, though further controlled studies are needed.","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127314503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) was introduced in 1998. The hypothesis that acute tics and/or symptoms of obsessive-compulsive disorder (OCD) might be triggered by streptococcal infection lacks scientific support. Patients are seen by several specialists, and treatment depends on knowledge and acceptance of the condition. This article provides an overview of literature investigating proposed treatments. Method: We performed a literature search in PubMed and Cochrane Library between 1 June 2019 and 17 July 2021. Results: 14 reviews were included. Suggested treatments comprised psychiatric treatment, antibiotics, tonsillectomy and immune modulating therapy. Recommendations were largely based on case reports and uncontrolled studies. Conclusion: Few studies have been conducted on PANDAS treatment, and none were evidence-based. Cooperation between different professions and establishment of national guidelines on how to approach these children are crucial. Keywords: PANDAS, post-infectious autoimmunity, neuropsychiatry, interdisciplinary
{"title":"PANDAS: behov for nasjonale retningslinjer","authors":"","doi":"10.52734/5tfiz496","DOIUrl":"https://doi.org/10.52734/5tfiz496","url":null,"abstract":"Background: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) was introduced in 1998. The hypothesis that acute tics and/or symptoms of obsessive-compulsive disorder (OCD) might be triggered by streptococcal infection lacks scientific support. Patients are seen by several specialists, and treatment depends on knowledge and acceptance of the condition. This article provides an overview of literature investigating proposed treatments. \u0000Method: We performed a literature search in PubMed and Cochrane Library between 1 June 2019 and 17 July 2021. \u0000Results: 14 reviews were included. Suggested treatments comprised psychiatric treatment, antibiotics, tonsillectomy and immune modulating therapy. Recommendations were largely based on case reports and uncontrolled studies. Conclusion: Few studies have been conducted on PANDAS treatment, and none were evidence-based. Cooperation between different professions and establishment of national guidelines on how to approach these children are crucial. \u0000\u0000Keywords: PANDAS, post-infectious autoimmunity, neuropsychiatry, interdisciplinary","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"12358 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130864940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hans Jørgen Berntsen, Bup Øvre Romerike Akershus universitetssykehus, Beate Ørbeck, Kristin Romvig Øvergaard, Institutt for klinisk medisin Universitetet i Oslo
Background: The Developmental, Dimensional and Diagnostic Interview (3Di) and the Autism Diagnostic Observation Schedule (ADOS-2) may be useful when assessing autism spectrum disorder (ASD), but the accuracy of the Norwegian 3Di is not known. Method: We investigated the classification accuracy of the 3Di and the ADOS-2 in identifying clinically diagnosed ASD in 130 participants (mean age 11 years). Results: We found acceptable accuracy in identifying ASD with both the 3Di and ADOS-2 (sensitivities/specificities > 70 %), and highest accuracy (positive likelihood ratio = 17.12) when combining the two instruments, but this gave lower sensitivity (54 %). Conclusions: The 3Di is useful when assessing ASD, and most accurate when combined with information from the ADOS-2. Clinicians should be aware that some children with ASD may be missed by requiring endorsement from both instruments. Keywords: Autism Diagnostic Observation Schedule, inter-rater reliability, sensitivity, specificity, Developmental, Dimensional and Diagnostic Interview
{"title":"Utredning av autismespekterforstyrrelser i BUP – hvor godt samsvar er det mellom instrumenter og endelig klinisk diagnose?","authors":"Hans Jørgen Berntsen, Bup Øvre Romerike Akershus universitetssykehus, Beate Ørbeck, Kristin Romvig Øvergaard, Institutt for klinisk medisin Universitetet i Oslo","doi":"10.52734/n27qu88p","DOIUrl":"https://doi.org/10.52734/n27qu88p","url":null,"abstract":"Background: The Developmental, Dimensional and Diagnostic Interview (3Di) and the Autism Diagnostic Observation Schedule (ADOS-2) may be useful when assessing autism spectrum disorder (ASD), but the accuracy of the Norwegian 3Di is not known. Method: We investigated the classification accuracy of the 3Di and the ADOS-2 in identifying clinically diagnosed ASD in 130 participants (mean age 11 years). Results: We found acceptable accuracy in identifying ASD with both the 3Di and ADOS-2 (sensitivities/specificities > 70 %), and highest accuracy (positive likelihood ratio = 17.12) when combining the two instruments, but this gave lower sensitivity (54 %). Conclusions: The 3Di is useful when assessing ASD, and most accurate when combined with information from the ADOS-2. Clinicians should be aware that some children with ASD may be missed by requiring endorsement from both instruments. Keywords: Autism Diagnostic Observation Schedule, inter-rater reliability, sensitivity, specificity, Developmental, Dimensional and Diagnostic Interview","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123373281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：