Journal article
Screening for Adolescents' Internalizing Symptoms in Primary Care: Item Response Theory Analysis of the Behavior Health Screen Depression, Anxiety, and Suicidal Risk Scales
Journal of developmental and behavioral pediatrics, v 33(4), pp 283-290
01 May 2012
PMID: 22395125
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To apply a modern psychometric approach to validate the Behavioral Health Screen (BHS) Depression, Anxiety, and Suicidal Risk Scales among adolescents in primary care. Methods: Psychometric analyses were conducted using data collected from 426 adolescents aged 12 to 21 years (mean = 15.8, SD = 2.2). Rasch-Masters partial credit models were fit to the data to determine whether items supported the comprehensive measurement of internalizing symptoms with minimal gaps and redundancies. Results: Scales were reduced to ensure that they measured singular dimensions of generalized anxiety, depressed affect, and suicidal risk both comprehensively and efficiently. Although gender bias was observed for some depression and anxiety items, differential item functioning did not impact overall subscale scores. Future revisions to the BHS should include additional items that assess low-level internalizing symptoms. Conclusions: The BHS is an accurate and efficient tool for identifying adolescents with internalizing symptoms in primary care settings. Access to psychometrically sound and cost-effective behavioral health screening tools is essential for meeting the increasing demands for adolescent behavioral health screening in primary/ambulatory care. (J Dev Behav Pediatr 33:283-290, 2012)
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Details
- Title
- Screening for Adolescents' Internalizing Symptoms in Primary Care: Item Response Theory Analysis of the Behavior Health Screen Depression, Anxiety, and Suicidal Risk Scales
- Creators
- Katherine B. Bevans - University of PennsylvaniaGuy Diamond - Supreme Council Of HealthSuzanne Levy - Univ Penn, Childrens Hosp Philadelphia, Dept Child & Adolescent Psychiat, Sch Med, Philadelphia, PA 19104 USA
- Publication Details
- Journal of developmental and behavioral pediatrics, v 33(4), pp 283-290
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Grant note
- American Suicide Foundation Substance Abuse and Mental Health and Services Administration (The Garrett Lee Smith suicide prevention initiative) U49CE001093-01 / Health Resources and Services Administration; United States Department of Health & Human Services; United States Health Resources & Service Administration (HRSA) U49CE001093 / NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA R49 CE000428-03 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA 4100027295 / Pennsylvania Department of Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Center for Family Intervention Science
- Web of Science ID
- WOS:000303825200001
- Scopus ID
- 2-s2.0-84861093564
- Other Identifier
- 991019292232504721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Behavioral Sciences
- Pediatrics
- Psychology, Developmental