Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia.
Child Psychiatry Hum Dev. 2021 Apr;52(2):270-280. doi: 10.1007/s10578-020-01007-3.
This study developed an online diagnostic tool for anxiety disorders in youth, and evaluated its reliability and validity amongst 297 children aged 6-16 years (M = 9.34, 46% male). Parents completed the online tool, the Youth Online Diagnostic Assessment (YODA), which is scored either using a fully-automated algorithm, or combined with clinician review. In addition, parents and children completed a clinician-administered diagnostic interview and self-report measures of internalizing and externalizing symptoms and wellbeing. The fully-automated YODA demonstrated relatively weak agreement with the diagnostic interview for identifying the presence of any anxiety disorder and specific anxiety disorders, apart from separation anxiety (which had moderate agreement). The clinician-reviewed YODA showed better agreement than fully-automated scoring, particularly for identifying the presence of any anxiety disorder. The YODA demonstrated good agreement with parent-reported measures of symptoms/interference. The YODA offers a fully or largely automated method to determine the presence of anxiety disorders in youth, with particular value in situations where low-resource assessments are needed. While it currently requires further research and improvement, the YODA provides a promising start to the development of such a tool.
本研究开发了一种针对青少年焦虑障碍的在线诊断工具，并在 297 名 6-16 岁儿童（M=9.34，46%为男性）中评估了其可靠性和有效性。家长完成了在线工具，即青少年在线诊断评估（YODA），该工具可通过完全自动化算法进行评分，也可与临床医生的评估相结合。此外，家长和儿童还完成了临床医生管理的诊断访谈以及内部和外部症状及幸福感的自我报告测量。完全自动化的 YODA 除了分离焦虑（具有中度一致性）外，在识别是否存在任何焦虑障碍和特定焦虑障碍方面与诊断访谈的一致性相对较弱。临床医生评估的 YODA 比完全自动化评分显示出更好的一致性，特别是在识别是否存在任何焦虑障碍方面。YODA 与家长报告的症状/干扰测量具有良好的一致性。YODA 提供了一种完全或主要自动化的方法来确定青少年是否存在焦虑障碍，在需要低资源评估的情况下尤其有价值。虽然它目前需要进一步的研究和改进，但 YODA 为开发此类工具提供了一个有希望的起点。
