pic_scid1 pic_scid1 pic_scid1 pic_scid2 pic_scid2 pic_scid2

Childhood Disorders Version of the SCID (KID-SCID) is Now Available.

A draft version of a childhood disorders form of the SCID (called the KID-SCID) is available from Dr. Fred Matzner, a child psychiatrist currently at St. Lukes-Roosevelt Hospital in New York. The KID-SCID, which was developed in 1993 by Dr. Matnzer, in collaboration with our group at Biometrics Research, follows the basic structure and conventions as the standard SCID (i.e., overall structure, three-column approach, ratings, etc.). It includes many of the Childhood Disorders as well as most of the "adult" disorders included in the SCID, with probe questions rewritten for applicability to children. The following Childhood Disorders are included: Disruptive Behavior Disorders (i.e., Attention-Deficit/Hyperactivity Disorder, Conduct Disorder, Oppositional-Defiant Disorder) and Separation Anxiety Disorder. All of the disorders included in Modules A-F and I of the SCID have also been included, with modifications made in the probe questions (i.e., Mood Disorders, Psychotic Disorders, Anxiety Disorders, Substance Use Disorders, and Adjustment Disorder). Somatoform Disorders, Eating Disorders and the optional disorder in module J are not included. Future plans for the KID-SCID are to include the Eating Disorders as well as Tourette's Disorder.

Investigators who are interested in more information and/or who would to obtain a copy of the KID-SCID can contact Dr. Matzner at 718-920-9362 (FAX: 718-920-6810, e-mail: fmatzner@aol.com). Dr. Matzner is sending out copies of the KID-SCID free of charge until it is published at some future date.

Although there are no studies using the KID-SCID that are currently published in journals, two studies using the KID-SCID have been presented at scientific meetings.

1) Matzner, F., (1994.) "Videotapes as Training Tools for the Development of the KID-SCID", Scientific Proceedings, American Academy of Child and Adolescent Psychiatry 42nd Annual Meeting.

Summary: As part of the development of the KID-SCID, pilot data was generated in order to determine whether interrater reliability was adequate. ICC 2,1 was used as the reliability statistic. The data indicated excellent interrater reliability in the Disruptive Behavior module, .842 for ODD and CD, and 1.0 for ADHD.

2) Matzner F, Silva R, Silvan M, Chowdhury M, Nastasi L, (1997) "Preliminary Test-retest Reliability of the KID-SCID", Scientific Proceedings, American Psychiatric Association Meeting.

Abstract:

Objective: The Structured Clinical Interview for DSM-IV, Childhood Diagnoses (KID-SCID) is a new semistructured instrument designed for clinical research studies. It is based on the adult SCID which has good reliability and utility. The KID-SCID is easy to use, has utility as a training tool, and has demonstrated excellent interrater reliability. This study examines preliminary test-retest reliability of disruptive behavior and anxiety diagnoses in a clinic population.

Method: Subjects consisted of all patients (n=15; 11 male, 4 females; mean age 12 years, range 7-17) who received the Disruptive Behavior and Anxiety Modules of the KID-SCID during the course of two separate clinical evaluations at a Child Psychiatry clinic. These modules are part of this clinic's standard psychiatric evaluation. A chart review extracted KID-SCID diagnoses, and the kappa statistic was used to determine the chance-corrected agreement between the first and second interviews.

Results: Kappa scores consisted of: Disruptive Behavior Disorders: Attention Deficit/Hyperactivity Disorder .84, Conduct Disorder .84, Oppositional Defiant Disorder .63. Anxiety Disorders: Social Phobia 1.0, Separation Anxiety Disorder .66, and Posttraumatic Stress Disorder .44.

Conclusion: Preliminary reliability is shown to be good, with three diagnoses showing excellent reliability. A larger reliability study is now under way, examining more females and children from each age group. This instrument shows promise for its intended purpose.