Talk:Evidence-based assessment/Vignettes/Lea

Here's a link to a GoogleDoc notepad.

Connecting Lea to the assessment center

We want to use Lea to show how to use different measures in the assessment center as a free alternative. Our first four will be the GBI, HCL, SCAARED, and PHQ9.

Here is the screener for PHQ-9 (adult depression) test on DBSA.

Here is the screener for HCL-32 (adult mania) test on DBSA.

Here is the screener for SCAARED (adult anxiety) test on DBSA.

Here is the (GBI) General Behavior inventory screener for self-report.

HGAPS Free Assessment Center

Just looked at the HGAPS assessment center, and it does not have an ADHD measure for self-report. (We do have the Vanderbilt and SNAP-IV for parent and teacher)

Here is the GoogleSheet we are using to check the scoring in the Qualtrics PDF report, the Qualtrics item export, and the SPSS/R scoring. We are using this and linking to the source Qualtrics Project as well as to other related documents for the debugging and audit.

The SCAARED has the most detail as a worked example as of 6.23.2021. Eyoungstrom (discuss • contribs) 18:11, 23 June 2021 (UTC)

Question and Answer section

This is where we can put questions and draft answers about this stuff.

Lea and Youngstrom, Choukas-Bradley, Calhoun, & Jensen-Doss (2014)

This section is about the article.

(Your questions go here)

Sunrise524's questions

1. Can you talk more in depth about how "the side affects associated with atypical antipsychotics compared to stimulants" means?

Great question! The medications have very different side effects. The stimulants tend to be less dangerous. We could add links to Wikipedia articles and specific sections about side effects w:Atypical_antipsychotic#Adverse_effects for example, antipsychotics. We also could look at WebMD, or the Mayo Clinic, and see if they have helpful information. If they do, we could add those as external links.

Resources:

Wikipedia - Adverse effect of atypical antipsychotics

WebMD - Atypical antipsychotics

Wikipedia - Effects of Stimulants

WebMD - Stimulants (ADHD)

Big picture, Evidence-Based Medicine (EBM) advocates for thinking about the the size of the benefits and also the size of the risks when we pick a treatment option. We could link to relevant discussion or examples from the EBM resources at Oxford, McMaster, Cambridge, or UNC. Eyoungstrom (discuss • contribs) 18:27, 23 June 2021 (UTC)

2. What exactly is a base rate compared to a posterior probability? (what is the difference)

Both are probabilities. A base rate is the probability for a diagnosis before any other factors are taken into account while the posterior probability is the probability after the factors are taken into account. These probabilities come from Bayes Theorem.

Resources:

Evidence-based assessment/Step 4: Revise probabilities based on intake assessments

Wikipedia - Posterior Probability

Wikipedia - Base Rate

Sunrise524 (discuss • contribs) 15:56, 28 June 2021 (UTC)

3. Is EBA like a particular screening or is it types of screening such as GBI, HCL, SCAARED, and PHQ-9? Are these types of assessments free or are they just not that much compared to other systems of assessment used?

Evidence Based Assessment (EBA) is not a type of screening/assessment that helps clinicians to diagnose disorders, but is a particular type of way to go about picking assessments for patients and the assessment process.

Resources:

Wikiversity - HGAPS on Evidence Based Assessment

Clinical Guide to EBA

4. Is ASEBA on a scale from 0-100, what is an example of an interpretation of a number such as “Lea’s” internaliing problems of 73?

Resources:

Overview of ASEBA

Wikipedia Page - ASEBA

Sunrise524 (discuss • contribs)

Musicalpanini's questions

1. "Many of the most clinically helpful psychometric characteristics are not yet routinely reported in technical manuals or articles, although sufficient information is available to calculate them." What is the overall advantage to calculating these psychometric characteristics and what is preventing clinicians from using them regularly?

2. Section A and consecutive sections talk about generating a "list of the most common presenting problems, referral questions, and clinical diagnoses in our practice." How much do you think this list will change from clinic to clinic? What about from region to region or country to country? Should this impact how clinicians diagnose patients? This question was slightly addressed in the first paragraph of section B, but I am still curious to learn more about it.

Great question! Yes, it matters a lot. We are working on tables and "cheat sheets" to make it convenient for busy professionals to find this as a way of getting started (supplying them handy "prior probabilities"). Evidence-based_assessment/Step_1:_Plan_for_most_common_issues_in_clinic_setting#External_Benchmarks Here's an example. Eyoungstrom (discuss • contribs) 19:26, 25 June 2021 (UTC)

3. Tests are talked of often throughout the paper. Do you think one day it may be possible for computers to diagnose mental disorders, or do you think a trained human being will always be necessary to review and check results before officially diagnosing?

Notes for each section

• Clincial Description: I rewrote the description to make it a little less awkward. Wasn't too drastic of a change. The paragraph I created has the italic statement in front of it.

• Assessment Findings

• • Checklist Scores: Across the board with all vignettes I have noticed that this section does not have a lot of explanation of what the ASEBA is and how it is relevant to T-scores. I know that wikiviersity is more for educators wanting to learn more but I think those who want to know who aren't educators should not be excluded because of this. Having a bit more explanation can provide a better oppurtunity to impact the viewer and have it more interesting as an education tool. If it becomes too repetitive to add this to every Vignette, maybe we could write out a document that explains all clinical processes such as this that are used in vignettes or in the real clinical world. Before receiving permission, I am only making minor changes to this paragraph.

• • Diagnostic Interview Findings: This section has a similar problem as the Checklist Scores but has a lot more abbreviations and scientific lingo that anyone who hasn't had a psych education would be extremely overwhelmed by. Like what is the DSM-IV criteria? How did the KSADS reach the criteria for the results? This section in particular has a lot of room for extension to make it a bit more wiki-community friendly.

• Prediction Phase: What is the EBA princliples? I extended that abbreviations

• • Shortlist of Probable Hypotheses: I woudl want to remove strong bias language like 'definitely' and only including 'leading.' I was also confused as to why the suicide attempt was only mentioned now and not before, expecially when the suicie attempt has no other context besides what is here now. The wording in mood disorders also suggests that it is referencing other data previously like with the suicide attempt but also when it mentions what should be considered with the 'hypotheses.' Substance abuse also makes a reference to previous information when it was not ever provided. The third hypothesis, anxiety disorders, stands out from the others since there is no evidence to back up this assumption like the others. Conduct problems and family conflict could be worded differently to make it easier to understand.

• • Risk and Protective Factors and Moderators: The first claims in this section need a citation. I also think some previous explanation on the issues with her father is important. I took out the paragraph explaining why IPT is better than CBT because I think it was placed in the wrong vignette (based on the fact it mentions IPT is better for hispanic teens). I think it gave good information about how family therapy would possibly be a bit more difficult for Lea given her problems with her family but if this was added, a citation would be needed.

• • Updating Probability of Diagnosis: What are DLRs?

Magnolia321 (discuss • contribs) 20:18, 8 February 2022 (UTC)