This proposal seeks support for five lines of work focused on the NCS-A survey, a national survey of the mental health of adolescents. NCS-A is interviewing 10,000 12-17 year olds and administering questionnaires to their parents. DSM-IV disorders are being asessed with an adolescent version of the WHO CIDI. A small (n = 500 adolescents and their parents) K-SADS clinical reappraisal study is included as part of NCS-A. (1) We propose to integrate the 500 K-SADS clinical reappraisal interviews with the CIDI-A interviews by using prediction equations with item-level CIDI-A data in the calibration sample to generate multiple imputations (MI) of predicted K-SADS diagnoses for all 10,000 adolescents. MI methods will then be used to carry out parallel analyses of CIDI-A and predicted K- SADS diagnoses. The multiple imputations and the MI analysis programs used to analyze them will be made publically available as part of the NCS-A public use dataset. (2) We propose to refine the CIDI-A to improve its concordance with the K-SADS for use in future studies by revising pivotal low-concordance CIDI-A questions. These revisions will be based on targeted cognitive debriefing reinterviews with reappraisal sample respondents aimed at determining whether lack of clarity or imprecision in the CIDI-A questions help explain low concordance of particular CIDI- A/DSM-IV criterion-level asessments with parallel K-SADS assessments. (3) We propose to develop short self-report and parent-report screening scales of any disorder and SED based on analysis of an extensive battery of screening questions in the NCS-A. (4) We propose to write and distribute a computer program that can be used by school counselors, pediatrians, and others to assign individual-level predicted probabilities of SED from adolescent self-report and parent-report screening scores using on Bayesian methods that incorporate information about subpopulation prevalences based on screening scale distributions. (5) We propose to generate small area (State and County) estimates of the prevalence of SED for purposes of mental health treatment planning. Bayesian small-area estimation methods will be used here to borrow strength from screening questions that are included both in the NCS-A and in the US National Health Interview Survey as well as from geocoded data that can be mapped onto the NCS-A (e.g., Area Resources File, CPS, etc.).

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH066627-05
Application #
7117425
Study Section
Special Emphasis Panel (ZMH1-CRB-J (02))
Program Officer
Sesma, Michael A
Project Start
2002-07-01
Project End
2010-06-30
Budget Start
2007-07-01
Budget End
2010-06-30
Support Year
5
Fiscal Year
2007
Total Cost
$344,848
Indirect Cost
Name
Harvard University
Department
Administration
Type
Schools of Medicine
DUNS #
047006379
City
Boston
State
MA
Country
United States
Zip Code
02115
Eun, John David; Paksarian, Diana; He, Jian-Ping et al. (2018) Parenting style and mental disorders in a nationally representative sample of US adolescents. Soc Psychiatry Psychiatr Epidemiol 53:11-20
Green, Jennifer Greif; Alegría, Margarita; Kessler, Ronald C et al. (2015) Neighborhood sociodemographic predictors of Serious Emotional Disturbance (SED) in schools: demonstrating a small area estimation method in the National Comorbidity Survey (NCS-A) Adolescent Supplement. Adm Policy Ment Health 42:111-20
Costello, E Jane; He, Jian-ping; Sampson, Nancy A et al. (2014) Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey-Adolescent. Psychiatr Serv 65:359-66
Kessler, R C; Adler, L A; Berglund, P et al. (2014) The effects of temporally secondary co-morbid mental disorders on the associations of DSM-IV ADHD with adverse outcomes in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). Psychol Med 44:1779-92
Nock, Matthew K; Green, Jennifer Greif; Hwang, Irving et al. (2013) Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry 70:300-10
McLaughlin, Katie A; Koenen, Karestan C; Hill, Eric D et al. (2013) Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. J Am Acad Child Adolesc Psychiatry 52:815-830.e14
Green, Jennifer Greif; McLaughlin, Katie A; Alegría, Margarita et al. (2013) School mental health resources and adolescent mental health service use. J Am Acad Child Adolesc Psychiatry 52:501-10
Green, Jennifer Greif; Avenevoli, Shelli; Gruber, Michael J et al. (2012) Validation of diagnoses of distress disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A). Int J Methods Psychiatr Res 21:41-51
Kessler, Ronald C; Petukhova, Maria; Sampson, Nancy A et al. (2012) Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res 21:169-84
McLaughlin, Katie A; Costello, E Jane; Leblanc, William et al. (2012) Socioeconomic status and adolescent mental disorders. Am J Public Health 102:1742-50

Showing the most recent 10 out of 28 publications