Diagnostic practices for traumatized youths: Do clinicians incorporate symptom scale results?

Leticia Duvivier Osterberg; Amanda Jensen-Doss; Karen J. Cusack; Michael A. De Arellano

doi:10.1007/s10597-009-9258-8

Diagnostic practices for traumatized youths: Do clinicians incorporate symptom scale results?

Leticia Duvivier Osterberg, Amanda Jensen-Doss, Karen J. Cusack, Michael A. De Arellano

Psychology

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Clinician generated diagnoses are subject to heuristic biases, and structured diagnostic interviews are useful but costly diagnostic aids. Because dimensional rating scales may hold potential to improve diagnostic practices in community mental health settings, we examined how community clinicians incorporate the results of the Trauma Symptom Checklist for Children (TSCC; Briere 1996) into their diagnostic practices. Results suggest clinicians may attend to the TSCC anxiety and depression scores, but most scales agreed poorly with diagnoses assigned. While dimensional rating scales do hold potential as diagnostic aids, additional work on how to increase their utility to clinicians is needed.

Original language	English (US)
Pages (from-to)	497-507
Number of pages	11
Journal	Community Mental Health Journal
Volume	45
Issue number	6
DOIs	https://doi.org/10.1007/s10597-009-9258-8
State	Published - Dec 1 2009

Keywords

Child diagnosis
Child trauma
Diagnostic agreement
Diagnostic practices
Trauma symptom checklist for children

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Psychiatry and Mental health
Health(social science)

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title = "Diagnostic practices for traumatized youths: Do clinicians incorporate symptom scale results?",

abstract = "Clinician generated diagnoses are subject to heuristic biases, and structured diagnostic interviews are useful but costly diagnostic aids. Because dimensional rating scales may hold potential to improve diagnostic practices in community mental health settings, we examined how community clinicians incorporate the results of the Trauma Symptom Checklist for Children (TSCC; Briere 1996) into their diagnostic practices. Results suggest clinicians may attend to the TSCC anxiety and depression scores, but most scales agreed poorly with diagnoses assigned. While dimensional rating scales do hold potential as diagnostic aids, additional work on how to increase their utility to clinicians is needed.",

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