The diagnoses covered by the interview include schizophrenia , schizoaffective disorder , major depressive disorder , bipolar disorder , anxiety disorders and a limited number of other fairly common diagnoses. There are various different versions of the K-SADS, each varying slightly in terms of disorders and specific symptoms covered, as well as the scale range used. All of the variations are still semi-structured interviews, giving the interviewer more flexibility about how to phrase and probe items, while still covering a consistent set of disorders. It focused on current issues and episodes only.
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The tool examines both past and current episodes, focusing on the most severe past episode and the most current episode. However, this tool does not rate symptom severity; it should only be used to assess presence or absence of symptomatology. This version of the K-SADS introduced screening questions, which, if negative, allowed skipping the remaining diagnostic probes.
However, this version specifically expands the mania section in order to be more applicable to pre-pubertal mania. It also includes a section on multiple other DSM-IV diagnoses, and examines both present and lifetime symptoms as well as symptom onset and offset items.
Adding up the items provides a measure of the total symptom burden. The KMRS assess 21 symptoms related to mania, hypomania, and rapid cycling.
Each item is rated on a rating scale. Scores of 0 suggest no information is available missing data ; scores of 1 suggest the symptom is not present at all; scores of 2 suggest the symptom is slightly present; scores of 3 suggest the symptom is mildly severe; scores of 4 suggest the symptom is moderately severe; scores of 5 suggest the symptom is severe; and scores of 6 suggest the symptom is extremely severe.
Trained clinicians or clinical researchers administer the assessment to both the child and the parent, which each provide their own separate score for each item P and C , and the total score encompasses the sum of all of the items S. The YMRS was also designed for completion by nurses at the end of their eight-hour shift on an inpatient unit, observing adult patients.
The KMRS has several advantages in comparison: It covers all the symptoms used in current versions of ICD and DSM, it was designed for use with children and teenagers, and it was written and validated as an interview. Studies have found excellent internal consistency and inter-rater reliability, as well as exceptionally high correlation with the YMRS.
Kiddie-SADS-lifetime versie (K-SADS-PL)
Kiddie-Sads-Present and Lifetime Version (K-SADS-PL)
Schedule for Affective Disorders and Schizophrenia