The development and evaluation of the paediatric index of emotional distress (PI-ED)

O'Connor, S., Ferguson, E., Carney, T., House, E. and O’Connor, R. C. (2016) The development and evaluation of the paediatric index of emotional distress (PI-ED). Social Psychiatry and Psychiatric Epidemiology, 51(1), pp. 15-26. (doi: 10.1007/s00127-015-1134-y) (PMID:26687238) (PMCID:PMC4720724)

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Abstract

Purpose: Current measures of anxiety and depression for children and young people (CYP) include somatic symptoms and can be lengthy. They can inflate scores in cases where there is also physical illness, contain potentially distressing symptoms for some settings and be impractical in clinical practice. The present study aimed to develop and evaluate a new questionnaire, the paediatric index of emotional distress (PI-ED), to screen for emotional distress in CYP, modelled on the hospital anxiety and depression scale. Methods: A school-based sample (n = 1026) was employed to examine the PI-ED’s psychometric properties and a clinical sample of CYP (n = 143) was used to establish its sensitivity and specificity. Results: Exploratory and confirmatory factor analyses identified a bi-factor model with a general emotional distress factor (‘cothymia’) and anxiety and depression as co-factors. The PI-ED demonstrated good psychometric properties and clinical utility with a cutoff score of 20. Conclusion: The PI-ED is a brief, valid and reliable clinical screening tool for emotional distress in CYP.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:O'Connor, Dr Suzy
Authors: O'Connor, S., Ferguson, E., Carney, T., House, E., and O’Connor, R. C.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Social Psychiatry and Psychiatric Epidemiology
Publisher:Springer
ISSN:0933-7954
ISSN (Online):1433-9285
Copyright Holders:Copyright © 2015 The Authors
First Published:First published in Social Psychiatry and Psychiatric Epidemiology 51(1):15-26
Publisher Policy:Reproduced under a Creative Commons License

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