A Primer on Receiver Operating Characteristic Analysis and Diagnostic Efficiency Statistics for Pediatric Psychology: We Are Ready to ROC
To offer a practical demonstration of receiver operating characteristic (ROC) analyses, diagnostic efficiency statistics, and their application to clinical decision making using a popular parent checklist to assess for potential mood disorder. Secondary analyses of data from 589 families seeking out...
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| Veröffentlicht in: | Journal of pediatric psychology 2014-03, Vol.39 (2), p.204-221 |
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| container_end_page | 221 |
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| container_title | Journal of pediatric psychology |
| container_volume | 39 |
| creator | YOUNGSTROM, Eric A |
| description | To offer a practical demonstration of receiver operating characteristic (ROC) analyses, diagnostic efficiency statistics, and their application to clinical decision making using a popular parent checklist to assess for potential mood disorder.
Secondary analyses of data from 589 families seeking outpatient mental health services, completing the Child Behavior Checklist and semi-structured diagnostic interviews.
Internalizing Problems raw scores discriminated mood disorders significantly better than did age- and gender-normed T scores, or an Affective Problems score. Internalizing scores |
| doi_str_mv | 10.1093/jpepsy/jst062 |
| format | Article |
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Secondary analyses of data from 589 families seeking outpatient mental health services, completing the Child Behavior Checklist and semi-structured diagnostic interviews.
Internalizing Problems raw scores discriminated mood disorders significantly better than did age- and gender-normed T scores, or an Affective Problems score. Internalizing scores <8 had a diagnostic likelihood ratio <0.3, and scores >30 had a diagnostic likelihood ratio of 7.4.
This study illustrates a series of steps in defining a clinical problem, operationalizing it, selecting a valid study design, and using ROC analyses to generate statistics that support clinical decisions. The ROC framework offers important advantages for clinical interpretation. Appendices include sample scripts using SPSS and R to check assumptions and conduct ROC analyses.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jst062</identifier><identifier>PMID: 23965298</identifier><identifier>CODEN: JPPSDW</identifier><language>eng</language><publisher>Atlanta, GA: Oxford University Press</publisher><subject>Biological and medical sciences ; Checklist ; Child ; Child clinical studies ; Data Interpretation, Statistical ; Humans ; Medical sciences ; Mood Disorders - diagnosis ; Parents ; Psychiatric Status Rating Scales ; Psychology, Child - methods ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Regular ; ROC Curve</subject><ispartof>Journal of pediatric psychology, 2014-03, Vol.39 (2), p.204-221</ispartof><rights>2015 INIST-CNRS</rights><rights>The Author 2013. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-76c06129863ed0419222cd9dafa610e995b2a4d5aa795ecc919b69528fa4eb503</citedby><cites>FETCH-LOGICAL-c417t-76c06129863ed0419222cd9dafa610e995b2a4d5aa795ecc919b69528fa4eb503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28410118$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23965298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YOUNGSTROM, Eric A</creatorcontrib><title>A Primer on Receiver Operating Characteristic Analysis and Diagnostic Efficiency Statistics for Pediatric Psychology: We Are Ready to ROC</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>To offer a practical demonstration of receiver operating characteristic (ROC) analyses, diagnostic efficiency statistics, and their application to clinical decision making using a popular parent checklist to assess for potential mood disorder.
Secondary analyses of data from 589 families seeking outpatient mental health services, completing the Child Behavior Checklist and semi-structured diagnostic interviews.
Internalizing Problems raw scores discriminated mood disorders significantly better than did age- and gender-normed T scores, or an Affective Problems score. Internalizing scores <8 had a diagnostic likelihood ratio <0.3, and scores >30 had a diagnostic likelihood ratio of 7.4.
This study illustrates a series of steps in defining a clinical problem, operationalizing it, selecting a valid study design, and using ROC analyses to generate statistics that support clinical decisions. The ROC framework offers important advantages for clinical interpretation. Appendices include sample scripts using SPSS and R to check assumptions and conduct ROC analyses.</description><subject>Biological and medical sciences</subject><subject>Checklist</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Data Interpretation, Statistical</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mood Disorders - diagnosis</subject><subject>Parents</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology, Child - methods</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regular</subject><subject>ROC Curve</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU9vEzEQxS0EoqFw5Ip8QeKy1F6vnTUHpCiUP1KlRAUEN2vinU0cbexgO5X2I_CtcUgocPJ45uf3Rn6EPOfsNWdaXG33uE_j1TZlpuoHZMIbJaupkN8fkgkrl6pVWlyQJyltGWNNI9RjclELrWSt2wn5OaPL6HYYafD0Fi26u1Iv9hghO7-m8w1EsBmjS9lZOvMwjMklCr6j7xysffjdv-57Zx16O9LPubw8NhPtQ6RL7BzkWJhlGu0mDGE9vqHfkM4iFkPoRpoDvV3Mn5JHPQwJn53PS_L1_fWX-cfqZvHh03x2U9mGT3M1VZYpXnZXAjvWcF3Xte10Bz0ozlBruaqh6STAVEu0VnO9UlrWbQ8NriQTl-TtSXd_WO2ws-hzhMHsyy9AHE0AZ_6feLcx63BnhBaqlm0ReHUWiOHHAVM2O5csDgN4DIdkeDGRjW7bo1d1Qm0MKUXs7204M8f4zCk-c4qv8C_-3e2e_pNXAV6eAUgWhj6Cty795dqGM85b8QuyDagq</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>YOUNGSTROM, Eric A</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140301</creationdate><title>A Primer on Receiver Operating Characteristic Analysis and Diagnostic Efficiency Statistics for Pediatric Psychology: We Are Ready to ROC</title><author>YOUNGSTROM, Eric A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-76c06129863ed0419222cd9dafa610e995b2a4d5aa795ecc919b69528fa4eb503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biological and medical sciences</topic><topic>Checklist</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Data Interpretation, Statistical</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mood Disorders - diagnosis</topic><topic>Parents</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology, Child - methods</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regular</topic><topic>ROC Curve</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YOUNGSTROM, Eric A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YOUNGSTROM, Eric A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Primer on Receiver Operating Characteristic Analysis and Diagnostic Efficiency Statistics for Pediatric Psychology: We Are Ready to ROC</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>39</volume><issue>2</issue><spage>204</spage><epage>221</epage><pages>204-221</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><coden>JPPSDW</coden><abstract>To offer a practical demonstration of receiver operating characteristic (ROC) analyses, diagnostic efficiency statistics, and their application to clinical decision making using a popular parent checklist to assess for potential mood disorder.
Secondary analyses of data from 589 families seeking outpatient mental health services, completing the Child Behavior Checklist and semi-structured diagnostic interviews.
Internalizing Problems raw scores discriminated mood disorders significantly better than did age- and gender-normed T scores, or an Affective Problems score. Internalizing scores <8 had a diagnostic likelihood ratio <0.3, and scores >30 had a diagnostic likelihood ratio of 7.4.
This study illustrates a series of steps in defining a clinical problem, operationalizing it, selecting a valid study design, and using ROC analyses to generate statistics that support clinical decisions. The ROC framework offers important advantages for clinical interpretation. Appendices include sample scripts using SPSS and R to check assumptions and conduct ROC analyses.</abstract><cop>Atlanta, GA</cop><pub>Oxford University Press</pub><pmid>23965298</pmid><doi>10.1093/jpepsy/jst062</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of pediatric psychology, 2014-03, Vol.39 (2), p.204-221 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Education Source; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Checklist Child Child clinical studies Data Interpretation, Statistical Humans Medical sciences Mood Disorders - diagnosis Parents Psychiatric Status Rating Scales Psychology, Child - methods Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regular ROC Curve |
| title | A Primer on Receiver Operating Characteristic Analysis and Diagnostic Efficiency Statistics for Pediatric Psychology: We Are Ready to ROC |
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