ArticleJournal of consulting and clinical psychology2014
Predictors and moderators of agreement between clinical and research diagnoses for children and adolescents.
Article in Journal of consulting and clinical psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Review Article: The acceptability and effectiveness of standardised diagnostic assessment approaches in children and young people's mental health services - an updated systematic review.Child and adolescent mental health · 2025Pooled it
- A Systematic Review of Misdiagnosis of Pediatric Bipolar Disorder: Assessments and Recommendations.Research on child and adolescent psychopathology · 2024Pooled it
- A Blended Learning Course on the Diagnostics of Mental Disorders: Multicenter Cluster Randomized Noninferiority Trial.Journal of medical Internet research · 2024Trial
- Patterns of treatment for psychiatric disorders among children and adolescents in Mississippi Medicaid.PloS one · 2019Trial
- A randomized controlled trial of cognitive debiasing improves assessment and treatment selection for pediatric bipolar disorder.Journal of consulting and clinical psychology · 2016Trial
- Identifying the Aggression Impulsive/Reactive (AIR) Profile in Youth With Behavioral Challenges.JAACAP open · 2026Article
- Measurement-Based Care Benchmarks and Bipolar Classification in ABCD Youth.medRxiv : the preprint server for health sciences · 2026Article
- The Electronic Psychiatric Semi-structured Interview for Children and Adolescents (EPSI-C): development and psychometric evaluation of an open-access DSM-5-based diagnostic instrument.Child and adolescent psychiatry and mental health · 2026Article
- Data Diversity vs. Model Complexity in the Prediction of Pediatric Bipolar Disorder: Evidence from Academic and Community Clinical Samples.medRxiv : the preprint server for health sciences · 2026Article
- Quality of depression assessments in child and adolescent psychiatry: Findings from a nationwide Swedish outpatient medical record review.Clinical child psychology and psychiatry · 2025Article
- Mental Health Provider Knowledge and Attitudes Toward Diagnosing Anxiety Disorders in the Veterans Health Administration.Journal of clinical psychology in medical settings · 2025Article
- Evaluating agreement between medical record diagnoses and independent evaluator diagnoses in a community-based effectiveness study.Evidence-based practice in child and adolescent mental health · 2024Article
- Diagnostic error in mental health: a review.BMJ quality & safety · 2024Review
- Inter-Rater Reliability between Structured and Non-Structured Interviews Is Fair in Schizophrenia and Bipolar Disorders-A Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2023Review
- Article
- The ESSENCE-Questionnaire in Medical Records Screening for Neurodevelopmental Symptoms/Problems: Utility and Clinical Validity.Neuropsychiatric disease and treatment · 2022Article
- A scoping review and assessment of essential elements of shared decision-making of parent-involved interventions in child and adolescent mental health.European child & adolescent psychiatry · 2021Article
- Generalizing the Prediction of Bipolar Disorder Onset Across High-Risk Populations.Journal of the American Academy of Child and Adolescent Psychiatry · 2021Article
- Predictors of Hospitalization in a Cohort of Children with Elevated Symptoms of Mania.Administration and policy in mental health · 2021Article
- Association of Genetic and Environmental Risks for Attention-Deficit/Hyperactivity Disorder With Hypomanic Symptoms in Youths.JAMA psychiatry · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveDiagnoses play an important role in treatment planning and monitoring, but extensive research has shown low agreement between clinician-generated diagnoses and those from structured diagnostic interviews. However, most prior studies of agreement have not used research diagnoses based on gold standard methods, and researchers need to identify characteristics of diagnostically challenging clients. This study examined agreement between youth diagnoses generated through the research-based LEAD (Longitudinal, Expert, and All Data) standard to clinician diagnoses.
methodParticipants were 391 families seeking outpatient community mental health services for youths ages 6-18 (39.1% female, 88.2% African American). Youths and parents completed research interviews and clinic diagnoses were extracted from clinic records. LEAD diagnoses synthesized results of the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime (KSADS-PL) and the youth's developmental, family, and psychiatric history.
resultsAgreement between the LEAD and chart diagnoses was low, not exceeding "poor" agreement for most diagnostic categories (κs = .10-.46, median = .37). Disagreement was largely driven by missed diagnoses, although clinicians also did assign extra diagnoses for some clients. Fewer diagnostic errors occurred when the youth's clinical picture was more clear (e.g., high or low symptom severity, lower comorbidity), when the youth was older, when the family was higher functioning, and when the parent had more depression. However, youth and family characteristics explained very little of the variability in diagnostic errors.
conclusionsRESULTS support the need to investigate strategies to improve clinician diagnostic accuracy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.