TY - JOUR
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Cross-Sectional Studies
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Female
KW - Hospitals, Teaching
KW - Humans
KW - Male
KW - Mental Disorders/diagnosis/epidemiology
KW - Morbidity
KW - Nigeria/epidemiology
KW - Pediatrics
KW - Prevalence
KW - Primary Health Care/statistics & numerical data
KW - Psychiatric Status Rating Scales
KW - Psychometrics
KW - Questionnaires
KW - Reproducibility of Results
KW - Sensitivity and Specificity
AU - M. F. Tunde-Ayinmode
AU - B. A. Ayinmode
AU - O. A. Adegunloye
AU - O. A. Abiodun
A1 - 
AB - BACKGROUND: To improve poor attendance and underutilization of the child and adolescent psychiatric service in the University of Ilorin Teaching Hospital, Ilorin, Nigeria, we compared a child behavior questionnaire (CBQ) with reporting questionnaire for children (RQC) for use in our primary care unit where the bulk of referrals come from to determine which is more applicable. METHODS: This was a cross-sectional two-stage study on the prevalence and pattern of psychiatric disorders in children attending the primary care unit of University of Ilorin Teaching Hospital, over a 6-month period. CBQ and RQC were completed by the mothers of 350 children aged 7-14 years in the first stage; in the second, a stratified subsample of 157 children based on scores on CBQ were interviewed using the children's version of the schedule for affective disorders and schizophrenia (Kiddie-SADS-PL). The receiver operating characteristics (ROC) analysis was carried out to determine the screening properties of CBQ and RQC. RESULTS: The optimal cutoff score for CBQ and RQC were 7 and 1, respectively. Sensitivity, specificity, and misclassification rates at the cutoff for CBQ was 0.8 (80%); 0 96 (96%); 0.083 (8.3%), and RQC was 0.90 (90%); 0.78 (78%); 0.19 (19%). The discriminating ability of CBQ indicated by the area under the curve (AUC) in the ROC was 0.93 while RQC was 0.88. CONCLUSION: Even with the evident marginal superior discriminating ability of CBQ in our study in primary care, RQC has the advantage of brevity and ease of application for workers at this level. In the child and adolescent clinic CBQ may still be preferred.
BT - Annals of African medicine
C5 - Healthcare Disparities
CP - 4
CY - India
DO - 10.4103/1596-3519.102849
IS - 4
JF - Annals of African medicine
N2 - BACKGROUND: To improve poor attendance and underutilization of the child and adolescent psychiatric service in the University of Ilorin Teaching Hospital, Ilorin, Nigeria, we compared a child behavior questionnaire (CBQ) with reporting questionnaire for children (RQC) for use in our primary care unit where the bulk of referrals come from to determine which is more applicable. METHODS: This was a cross-sectional two-stage study on the prevalence and pattern of psychiatric disorders in children attending the primary care unit of University of Ilorin Teaching Hospital, over a 6-month period. CBQ and RQC were completed by the mothers of 350 children aged 7-14 years in the first stage; in the second, a stratified subsample of 157 children based on scores on CBQ were interviewed using the children's version of the schedule for affective disorders and schizophrenia (Kiddie-SADS-PL). The receiver operating characteristics (ROC) analysis was carried out to determine the screening properties of CBQ and RQC. RESULTS: The optimal cutoff score for CBQ and RQC were 7 and 1, respectively. Sensitivity, specificity, and misclassification rates at the cutoff for CBQ was 0.8 (80%); 0 96 (96%); 0.083 (8.3%), and RQC was 0.90 (90%); 0.78 (78%); 0.19 (19%). The discriminating ability of CBQ indicated by the area under the curve (AUC) in the ROC was 0.93 while RQC was 0.88. CONCLUSION: Even with the evident marginal superior discriminating ability of CBQ in our study in primary care, RQC has the advantage of brevity and ease of application for workers at this level. In the child and adolescent clinic CBQ may still be preferred.
PP - India
PY - 2012
SN - 0975-5764; 0975-5764
SP - 203
EP - 211
EP - 
T1 - A comparison of two screening instruments in detecting psychiatric morbidity in a Nigerian pediatric primary care service: assessing clinical suitability and applicability
T2 - Annals of African medicine
TI - A comparison of two screening instruments in detecting psychiatric morbidity in a Nigerian pediatric primary care service: assessing clinical suitability and applicability
U1 - Healthcare Disparities
U2 - 23103918
U3 - 10.4103/1596-3519.102849
VL - 11
VO - 0975-5764; 0975-5764
Y1 - 2012
ER -