El Servicio de Atención y Apoyo Emocional en los centros educativos: experiencias de una nueva cultura escolar / El Servei d'Atenció i Suport Emocional en els centres educatius: experiències d'una nova cultura escolar / The Emotional Care and Support Service in educational centres: experiences of new school culture

El Servicio de Atención y Apoyo Emocional (SAAE) de los centros educativos del Plan de Barrios de Barcelona sirve para promover un clima escolar positivo y habilidades socioemocionales. Se explora la experiencia de sus profesionales en relación con cambios, facilitadores y barreras, a los dos años de funcionamiento con un estudio cualitativo. Los profesionales aprecian mejoras en los docentes en el manejo positivo de las relaciones y las habilidades socioemocionales; en el alumando aprecian mejoras en las relaciones. Los facilitadores y barreras percibidos incluyen: la conceptualización integral del servicio y la importancia de la dirección y el claustro.(AU)

The Emotional Care and Support Service (SAAE) of the educational centres of the Barcelona Neighbourhood Plan serve to promote a positive school climate and socio-emotional skills. The experience of its professionals is explored in relation to changes, facilitators, and barriers, after two years of operation with a qualitative study. Practitioners report improvements in teachers' positive relationship management and social-emotional skills; students report improvements in relationships. Perceived facilitators and barriers include the holistic conceptualisation of the service and the importance of management and faculty.(AU)

El Servei d'Atenció i Suport Emocional (SAAE) dels centres educatius del Pla de Barris de Barcelona serveix per promoure un clima escolar positiu i habilitats socioemocionals. S'explora l'experiència dels seus professionals en relació amb canvis, facilitadors i barreres, als dos anys de funcionament, amb un estudi qualitatiu. Els professionals aprecien millores en els docents en el maneig positiu de les relacions i en les habilitats socioemocionals; respecte els alumnes, aprecien millores en les relacions. Els facilitadors i barreres percebuts inclouen la conceptualització integral del servei i la importància de la direcció i del claustre.(AU)

Clinical presentations of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents: comparison of neurocognitive performance.

This study aimed to compare performance in working memory (WM), processing speed (PRS), and attention measures in children and adolescents with typical development (TD) and with Attention deficit hyperactivity disorder (inattentive [ADHD-I] or combined [ADHD-C]) presentations, and to determine the predictive ability of the measures mentioned to discriminate between ADHD presentations and TD. 260 children and adolescents, 138 with ADHD (70 ADHD-I and 68 ADHD-C) and 122 TD in two age cohorts (8-12 years; 13-16 years), were assessed with WM and PRS indexes of Wechsler Intelligence Scale for Children (WISC-IV) and the d2 attention test. Significant differences between ADHD and TD groups in the WISC-IV GAI scores were found in children but not in adolescents. Children and adolescents with both ADHD presentations performed poorly on the PRS index, while on the WM index only children exhibited difficulties. In the attention test, children with ADHD-C showed more impulsivity and more difficulties for processing speed, concentration and accuracy than ADHD-I and TD. In addition, both ADHD presentations had higher inattention scores than TD. ADHD adolescents performed worse than TD in processing speed, concentration and accuracy. ADHD groups showed more impulsivity and inattention than TD. Digit Span and Symbol Search (WISC-IV) and processing speed and accuracy (d2) successfully classified ADHD and TD in children, but in adolescents, only coding (WISC-IV) and accuracy (d2) successfully classified ADHD presentations and TD. The WISC-IV and d2 yield neuropsychological profiles which reflect age-related cognitive changes and may allow the adaptation of more tailored early interventions for ADHD.

Validation of a Questionnaire to Analyze the Expectations of First-Year Nursing Students.

AIM: The aim of this study was to design and validate a questionnaire to analyze students' expectations, along with their level of interest and overall satisfaction with their nursing studies. BACKGROUND: The expectations of students on entering university are closely related to the level of interest that they have in their area of study and their general satisfaction with it. This is certainly a conditioning factor in their learning. In this regard, there are few quantitative instruments that measure the expectations of first-year nursing students. METHOD: A mixed questionnaire was constructed using items validated in previous studies, along with new items formulated following a review of the literature. The questionnaire was validated with a sample of 339 first-year degree program nursing students. RESULTS: The scales of expectations and degree of interest showed strong internal consistency (Cronbach's α > .7). CONCLUSION: The questionnaire to evaluate the expectations and interest of students demonstrated satisfactory psychometric properties.

Executive functions, Personality traits and ADHD symptoms in adolescents: A mediation analysis.

Certain personality traits and cognitive domains of executive functions (EF) are differentially related to attention deficit hyperactivity disorder (ADHD) symptoms in adolescents. This study aimed to analyze the five-factor model (FFM) personality characteristics in adolescents with ADHD, and to examine whether EF mediate the relationships between FFM personality traits and ADHD symptoms. A comprehensive diagnostic assessment, including ADHD clinical interviews, ADHD rating scales, neuropsychological EF testing (i.e., working memory, flexibility and inhibition) and a personality assessment was carried out in a sample of 118 adolescents (75 ADHD and 43 control participants, 68% males), aged 12 to 16 years, and their parents and teachers. Adolescents with ADHD had lower scores than control participants on Conscientiousness and Agreeableness, and higher scores on Neuroticism. Structural equation models (SEM) showed that Conscientiousness directly influenced inattentive and hyperactive-impulsive symptoms, while Neuroticism, Agreeableness, and Extraversion directly affected hyperactive-impulsive symptoms. Only Conscientiousness exerted indirect effects on inattention, but not on hyperactivity-impulsivity symptoms, via EF; higher scores on Conscientiousness were related to higher scores on EF, which in turn were related to lower scores on inattentive symptoms. These findings corroborate the relationships between ADHD symptoms, FFM personality traits and EF and indicate the mediating effect of EF on the relationship between Conscientiousness and inattention.

Interrater agreement on behavioral executive function measures in adolescents with Attention Deficit Hyperactivity Disorder.

Though most children with Attention Deficit Hyperactivity Disorder (ADHD) show difficulties in behavioral measures of executive functions (EF), few studies have examined interrater agreement in these measures. OBJECTIVE: To analyze the agreement between parents, teachers and self-reports of behavioral EF in adolescents with ADHD and controls. METHOD: A sample of 118 adolescents (75 with ADHD and 43 controls) was rated by parents, teachers and the adolescents themselves using the Comprehensive Executive Function Inventory. The intraclass correlation coefficient (ICC) and Bland and Altman methods were used to evaluate agreement. RESULTS: The ICC between parents, teachers and self-report was poor or moderate in the group with ADHD; in the control group the agreement was fair to good. The Bland and Altman graphs show that, in the control group, most of the scores are below to the clinical cut-off point, while in the group with ADHD they are above. CONCLUSIONS: Agreement between all raters was low. Parents, teachers and adolescents agreed on the absence of deficits in behavioral EF in the control group, and on the presence of deficits in the group with ADHD, although they did not agree on the frequency of these deficits.

ANTECEDENTES/OBJETIVO: Aunque muchos adolescentes con Trastorno por Déficit de Atención con Hiperactividad (TDAH) muestran dificultades en las funciones ejecutivas (FE) conductuales, pocos estudios han analizado el acuerdo entre informantes en estas medidas. Objetivo: Analizar el acuerdo entre informantes en la valoración de FE conductuales en adolescentes con TDAH y controles. Método: Ciento dieciocho adolescentes (75 con TDAH y 43 controles) fueron evaluados con el Comprehensive Executive Function Inventory por padres, maestros y autoinforme. Se utilizó el coeficiente de correlación intraclase (ICC), y el método de Bland y Altman para evaluar el acuerdo entre informantes. Resultados: El ICC varía entre bajo y moderado en el grupo con TDAH, y entre moderado y bueno en el grupo control. Los gráficos de Bland y Altman muestran que, en el grupo control, la mayoría de las puntuaciones se sitúan por debajo del punto de corte clínico, mientras que en el grupo con TDAH están por encima del punto de corte. Conclusiones: El acuerdo entre informantes es bajo. Padres, maestros y adolescentes coinciden en la ausencia de déficits en las FE conductuales en el grupo control y en la presencia de déficits en el grupo con TDAH, aunque no coinciden en la frecuencia de estos déficits.

Interrater agreement on behavioral executive function measures in adolescents with Attention Deficit Hyperactivity Disorder / Funciones ejecutivas conductuales en adolescentes con trastorno por déficit de atención con hiperactividad: acuerdo entre informantes

Background/Objective: Though most children with Attention Deficit Hyperactivity Disorder (ADHD) show difficulties in behavioral measures of executive functions (EF), few studies have examined interrater agreement in these measures.Objective: To analyze the agreement between parents, teachers and self-reports of behavioral EF in adolescents with ADHD and controls. Method: A sample of 118 adolescents (75 with ADHD and 43 controls) was rated by parents, teachers and the adolescents themselves using the Comprehensive Executive Function Inventory. The intraclass correlation coefficient (ICC) and Bland and Altman methods were used to evaluate agreement. Results: The ICC between parents, teachers and self-report was poor or moderate in the group with ADHD; in the control group the agreement was fair to good. The Bland and Altman graphs show that, in the control group, most of the scores are below to the clinical cut-off point, while in the group with ADHD they are above. Conclusions: Agreement between all raters was low. Parents, teachers and adolescents agreed on the absence of deficits in behavioral EF in the control group, and on the presence of deficits in the group with ADHD, although they did not agree on the frequency of these deficits

Antecedentes/Objetivo: Aunque muchos adolescentes con Trastorno por Déficit de Atención con Hiperactividad (TDAH) muestran dificultades en las funciones ejecutivas (FE) conductuales, pocos estudios han analizado el acuerdo entre informantes en estas medidas. Objetivo: Analizar el acuerdo entre informantes en la valoración de FE conductuales en adolescentes con TDAH y controles. Método: Ciento dieciocho adolescentes (75 con TDAH y 43 controles) fueron evaluados con el Comprehensive Executive Function Inventory por padres, maestros y autoinforme. Se utilizó el coeficiente de correlación intraclase (ICC), y el método de Bland y Altman para evaluar el acuerdo entre informantes. Resultados: El ICC varía entre bajo y moderado en el grupo con TDAH, y entre moderado y bueno en el grupo control. Los gráficos de Bland y Altman muestran que, en el grupo control, la mayoría de las puntuaciones se sitúan por debajo del punto de corte clínico, mientras que en el grupo con TDAH están por encima del punto de corte. Conclusiones: El acuerdo entre informantes es bajo. Padres, maestros y adolescentes coinciden en la ausencia de déficits en las FE conductuales en el grupo control y en la presencia de déficits en el grupo con TDAH, aunque no coinciden en la frecuencia de estos déficits

Temperament, executive function, and attention-deficit/hyperactivity disorder (ADHD) in adolescents: The mediating role of effortful control.

Introduction: Temperament dimensions may be related to executive functions (EF) and may be involved in the expression and maintenance of symptoms of attention-deficit/hyperactivity disorder (ADHD). The current study aimed to assess whether effortful control (EC) mediates the relationship between EF and inattentive symptoms, and whether surgency (S) and negative affectivity (NA) mediate the relationships between EF and hyperactive-impulsive ADHD symptoms in adolescents. Method: Working individually, participants aged between 12 and 16 years (N = 118; 75 with ADHD) performed tests of cognitive EF (working memory, planning, flexibility, and inhibition), and parents and teachers completed a multi-informant assessment focusing on measures of ADHD symptoms and temperament dimensions (EC, S, and NA). Results: There were significant differences between ADHD and control participants in EF and temperament dimensions. ADHD participants had lower scores than controls in working memory, planning, and inhibition EF; they also had lower scores in EC and higher scores in S and NA. Structural equation modeling indicated differential associations between EC, S, and NA temperament dimensions, and working memory, planning and inhibition EF, and ADHD symptoms. Mediation analysis suggested that EF exerted indirect effects on the inattentive and hyperactive-impulsive symptoms, via EC; higher EF abilities were related to higher levels of EC, which in turn were related to lower scores of inattentive and hyperactive-impulsive ADHD symptoms. S and NA did not mediate relations among EF and hyperactive-impulsive symptoms. Conclusion: The findings expand on those of previous studies of the complex relationship between temperament dimensions and EF and confirm the differential association between impairments in some EF, low EC, and the expression of inattentive and hyperactive-impulsive symptoms in adolescents, which may account for the ADHD-control group differences.

Assessment of executive function in ADHD adolescents: contribution of performance tests and rating scales.

This study aimed to analyze performance on measures of neuropsychological and behavioral executive functions (EF) in adolescents with attention deficit hyperactivity disorder (ADHD), and to evaluate the utility of performance-based tests for predicting scores on behavioral EF ratings. One hundred eighteen adolescents (75 ADHD and 43 controls) aged 12-16 years performed neuropsychological tests and completed a behavior rating scale of EF. The ADHD group presented significantly lower scores than controls on Full Scale IQ (FSIQ) and all indexes of the WISC-IV, except the verbal comprehension index (VCI). The ADHD group had significantly lower scores on performance-based tests of working memory, planning and inhibition, and on EF rating scales. Scores on the cognitive EF working memory, planning and flexibility modestly predicted performance on behavioral EF. The results suggest that the combined use of performance-based tests and rating scales provides valuable complementary information that can improve the assessment of executive domains in ADHD.

Assessing Attention Deficit by Binocular Rivalry.

OBJECTIVE: To determine whether the frequency and duration of the periods of suppression of a percept in a binocular rivalry (BR) task can be used to distinguish between participants with ADHD and controls. METHOD: A total of 122 participants (6-15 years) were assigned to three groups: ADHD-Combined (ADHD-C), ADHD-Predominantly Inattentive (ADHD-I), and controls. They each performed a BR task and two measures were recorded: alternation rate and duration of exclusive dominance periods. RESULTS: ADHD-C group presented fewer alternations and showed greater variability than did the control group; results for the ADHD-I group being intermediate between the two. The duration of dominance periods showed a differential profile: In control group, it remained stable over time, whereas in the clinical groups, it decreased logarithmically as the task progressed. CONCLUSION: The differences between groups in relation to the BR indicators can be attributed to the activity of involuntary inhibition.

Clinical case management for patients with schizophrenia with high care needs.

The aim of this study is to establish the effectiveness of a clinical case management (CM) programme compared to a standard treatment programme (STP) in patients with schizophrenia. Patients for the CM programme were consecutively selected among patients in the STP with schizophrenia who had poor functioning. Seventy-five patients were admitted to the CM programme and were matched to 75 patients in the STP. Patients were evaluated at baseline and at 1 year follow-up. At baseline, patients in the CM programme showed lower levels of clinical and psychosocial functioning and more care needs than patients in the STP. Both treatment programmes were effective in maintaining contact with services but the CM programme did not show advantages over the STP on outcomes. Differences between groups at baseline may be masking the effects of CM at one year follow-up. A longer follow-up may be required to evaluate the real CM practices effects.

The conners' adult ADHD rating scales--short self-report and observer forms: psychometric properties of the Catalan version.

OBJECTIVE: To validate the Catalan adaptation of the Conners' Adult ADHD Rating Scales (CAARS), short version (self-report: CAARS-S:S; observer: CAARS-O:S). METHOD: A community sample of 424 adults responded to the two forms. Confirmatory factor analysis was used to test the dimensional structure. RESULTS: The hypothesized four-factor model (Inattention/Memory Problems, Hyperactivity/Restlessness, Impulsivity/Emotional Lability, and Problems With Self-Concept) presented an adequate fit for the self-report and observer forms. Reliability was slightly higher for the CAARS-O:S (average α = .78) than for the CAARS-S:S (average α = .75). Test-retest average correlations were r = .80 (self-reports) and r = .73 (observer ratings). Informant agreement was high at test (average r = .59) and retest (average r = .61). There were significant gender and age differences. CONCLUSION: This adaptation of the two short forms of the CAARS-S presents adequate evidence of validity and reliability, and it can therefore be used for diagnostic purposes and cross-cultural comparisons.

Psychometric properties of a test for ADHD based on binocular rivalry.

The psychometric properties of a Binocular Rivalry (BR)-based test on a group of 159 participants (57 with attention deficit hyperactivity disorder, ADHD) aged between 6 and 15 years are presented. Two factors, which explained 56.82% of the variance, were obtained by exploratory factor analysis: (a) Alternations and Duration of exclusive dominances, and (b) Decision time. Reliability was excellent (Cronbach's α = .834 and .884). The ADHD group showed fewer alternations and longer duration of dominances and decision time than the control group. Correlations between measures of BR, IQ, working memory, and processing speed of the WISC-IV, and ADHD symptoms, assessed by parents and teachers, ranged between low and medium.

Considering variables for the assignment of patients with schizophrenia to a case management programme.

The elements and intensity of case management (CM) practices should be established according to patients' needs. Therefore, greater understanding of patients' needs in such community-based programmes is essential. This paper addresses this issue by characterizing two groups of patients receiving CM or a standard treatment programme (STP) and identifying the characteristics of patients receiving CM services. We recruited 241 patients with schizophrenia from 10 Adult Mental Health Centres in Barcelona (Catalonia, Spain). We analyzed the profile of new patients included in a clinical, non-intensive CM program against that of patients in a STP. CM patients, compared with STP patients, have a lower educational level and quality of life; greater use of health care services, and higher levels of psychiatric symptoms, disability and unmet needs. Community psychiatric visits, social services, education, physical health and needs were significantly associated with CM services. This study may help in identifying patients' needs and strengthening the CM programme.

Onset time of binocular rivalry and duration of inter-dominance periods as psychophysical markers of ADHD.

Attention deficit hyperactivity disorder (ADHD) is one of the main neurobiological disorders in young children. Despite its prevalence, current diagnosis is debated. In this study we tested whether measures of binocular rivalry (BR) can contribute to the diagnosis of ADHD. BR is a phenomenon that is produced when two different images are presented to the two eyes simultaneously. Under these conditions the image presented to one eye competes with that presented to the other eye in seeking to achieve perceptual dominance. This competition is resolved through the activation of a given percept coupled with the suppression of the percept that had predominated until that point. We assume that the difficulty with inhibiting responses of ADHD children also affects their ability to inhibit the dominant image in a BR context. We analyzed the time to rivalry onset and the inter-dominance periods as measures of the temporal cost of resolving how long it takes for the brain to select (or suppress) one percept over the other. Our results show that the time to onset of rivalry (the first dominance) was longer in the clinical groups (ADHD-C and ADHD-I) than in the control group. As regards the inter-dominance periods, these were longer in the ADHD-C group than among controls, with the shortest period corresponding to the ADHD-I group. This study shows that BR can be used as a tool to develop a behavioral indicator of ADHD.

Validation of the modified DUKE-UNC Functional Social Support Questionnaire in patients with schizophrenia.

PURPOSE: The modified DUKE-UNC Functional Social Support Questionnaire (FSSQ) is considered a psychometric instrument to assess the social support in patients with schizophrenia. However, it has not been validated in this patient population. This issue is addressed here by examining the tool's psychometric properties in a clinical sample of patients with schizophrenia. METHODS: Two hundred and forty-one patients from ten Adult Mental Health Centres (AMHC) meeting the following inclusion criteria were included: (1) International Classification of Diseases-10 (ICD-10) diagnosis of schizophrenia; (2) Global Assessment of Functioning (GAF) scores ≤50; (3) Illness duration of more than 2 years; and (4) Clinical stability. Patients were evaluated at baseline and at 1-year follow-up for clinical and psychosocial variables. RESULTS: The factor analysis revealed two factors that explained 54.15 % of the variance. Internal consistency was excellent for the total FSSQ (0.87 at baseline and 0.88 at 1 year follow-up) and ranged between adequate and excellent for FSSQ domains. Correlations between FSSQ scores and those of global functioning, psychiatric symptoms, disability and quality of life ranged between small and large. There were significant differences between groups of patients with schizophrenia in FSSQ scores. Patients with higher levels of somatic complaints and patients who were disabled scored significantly lower in some or all FSSQ scores. After 1-year follow-up, patients improved in overall functioning and there was a decrease in psychiatric symptoms. There were mainly small significant associations between changes in FSSQ scores from baseline to 1-year follow-up and changes in the rest of the test scores, and AMHC visits between baseline and 1-year follow-up. CONCLUSIONS: The FSSQ scores are reliable and valid, which suggests that the instrument is appropriate for the assessment of perceived social support in patients with schizophrenia.

Psychometric properties of a test for ADHD based on binocular rivalry

The psychometric properties of a Binocular Rivalry (BR)-based test on a group of 159 participants (57 with attention deficit hyperactivity disorder, ADHD) aged between 6 and 15 years are presented. Two factors, which explained 56.82% of the variance, were obtained by exploratory factor analysis: (a) Alternations and Duration of exclusive dominances, and (b) Decision time. Reliability was excellent (Cronbach’s α = .834 and .884). The ADHD group showed fewer alternations and longer duration of dominances and decision time than the control group. Correlations between measures of BR, IQ, working memory, and processing speed of the WISC-IV, and ADHD symptoms, assessed by parents and teachers, ranged between low and medium (AU)

No disponible

The World Health Organization Short Disability Assessment Schedule: a validation study in patients with schizophrenia.

PURPOSE: The World Health Organization Short Disability Assessment Schedule (DAS-s) is used for patients with schizophrenia, although no validation is available. This manuscript addresses this issue by dealing with its psychometric properties in a clinical sample of patients with schizophrenia. METHODS: Two hundred forty-one patients from 10 Adult Mental Health Care Centers meeting the following inclusion criteria were included: (1) International Classification of Diseases, 10th Revision, diagnosis of schizophrenia; (2) Global Assessment of Functioning scores 50 or less; (3) illness duration of more than 2 years; and (4) clinical stability at assessment time. Patients were evaluated at baseline and at 1-year follow-up regarding disability, sociodemographic and clinical variables, psychosocial measures, and use of mental health services. RESULTS: The factor analysis revealed a single factor that explained 60.57% of the variance. Internal consistency values were appropriate for the DAS-s total (0.78 at baseline and 0.78 at 1-year follow-up). Correlations between DAS-s scores and those of global functioning, psychiatric symptoms, social support, and quality of life ranged between small and moderate (range, 0.13-0.39). There were significant differences between groups of patients with schizophrenia in the DAS-s. Patients who were unemployed, with lower global functioning, with cognitive impairment, and lacking social support scored significantly lower in DAS-s scores. After 1-year follow-up, there was a nonsignificant decrease in DAS-s scores; and patients improved significantly in overall functioning and psychiatric symptoms. DISCUSSION: This study shows that the DAS-s has good reliability and validity and suggests that it is suitable for the assessment of disability in patients with schizophrenia.

The World Health Organization Quality of Life Scale Brief Version: a validation study in patients with schizophrenia.

PURPOSE: The World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF) is used for patients with schizophrenia although no validation is available. This work addresses this issue by dealing with its psychometric properties in a clinical sample of patients with schizophrenia. METHODS: Two hundred forty-one patients from 10 Adult Mental Health Care Centers (AMHCC) meeting the following inclusion criteria were included: (1) International Classification of Diseases-10 or ICD-10 diagnosis of schizophrenia, (2) Global Assessment of Functioning scores or GAF ≤ 50, 3) Illness duration of more than 2 years and (4) Clinical stability at assessment time. Patients were evaluated at baseline and at one-year follow-up regarding quality of life (QOL), clinical variables and other psychosocial measures. RESULTS: Internal consistency was excellent for the total WHOQOL-BREF (0.88 at baseline and 0.89 at follow-up) and adequate (0.65-0.78 at baseline; 0.66-0.79 at one-year follow-up) for the WHOQOL-BREF domains. Correlations between WHOQOL-BREF scores and those of global functioning, psychiatric symptoms, disability and social support ranged between small and large. There were significant differences between groups of patients with schizophrenia in the WHOQOL-BREF. Patients who were anxious, disabled, lacked social support and used more social services scored significantly lower in some or all WHOQOL-BREF domains. Changes in WHOQOL-BREF scores were positively associated with changes over time in global functioning, social support and use of health services, and negatively with psychiatric symptoms and disability (correlation coefficients between small and moderate). After one-year follow-up, patients improved in overall functioning and there was a decrease in psychiatric symptoms. CONCLUSIONS: This study shows that the WHOQOL-BREF has good reliability and validity, and suggests that it is suitable for the assessment of QOL in patients with schizophrenia.

Psychometric properties of the Children’s Depression Inventory in community and clinical sample

The psychometric characteristics of the Children’s Depression Inventory, CDI (Kovacs, 1992) in a sample of 1705 participants (792 boys and 913 girls) and a clinical sample of 102 participants (42 boys and 60 girls) between 10 and 18 years old are presented. Reliability coefficients range, for both samples, from .82 (test) to .84 (retest) in the community sample, and .85 (test, clinical sample); test-retest reliability is .81 in the community sample. The mean scores are similar to other Spanish and English ones. Girls score higher than boys. The cut-off point that best differentiates between depressive and community participants is 19, with a sensitivity of 94.7%, a specificity of 95.6%, a positive predictive value of .90, and a negative predictive value of .98 (AU)

Se presentan las propiedades psicométricas del Children’s Depresión Inventory, CDI (Kovacs, 1992) en una muestra comunitaria de 1.705 participantes (792 chicos y 913 chicas) y en una muestra clínica de 102 participantes (42 chicos y 60 chicas) con edades comprendidas entre los 10 y los 18 años. La fiabilidad del CDI es elevada para ambas muestras: consistencia interna entre 0.82 (test) y 0.84 (retest) en muestra comunitaria, y de 0.85 (test, muestra clínica); la correlación test-retest es de 0.81 en la muestra comunitaria. Las puntuaciones medias son similares a las encontradas en otras muestras españolas y anglosajonas. En general, las mujeres obtienen puntuaciones superiores a los varones. El punto de corte que mejor discrimina entre los participantes diagnosticados de depresión y el grupo comunitario de contraste es 19, con una sensibilidad de 94.7%, una especificidad del 95.6%, un valor predictivo positivo de 0.90 y un valor predictivo negativo de 0.98 (AU)

Psychometric properties of the Children's Depression Inventory in community and clinical sample.

The psychometric characteristics of the Children's Depression Inventory, CDI (Kovacs, 1992) in a sample of 1705 participants (792 boys and 913 girls) and a clinical sample of 102 participants (42 boys and 60 girls) between 10 and 18 years old are presented. Reliability coefficients range, for both samples, from .82 (test) to .84 (retest) in the community sample, and .85 (test, clinical sample); test-retest reliability is .81 in the community sample. The mean scores are similar to other Spanish and English ones. Girls score higher than boys. The cut-off point that best differentiates between depressive and community participants is 19, with a sensitivity of 94.7%, a specificity of 95.6%, a positive predictive value of .90, and a negative predictive value of .98.