Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?
Table 4
Mental health screening compared to having a psychiatric disorder (according to DSM-IV criteria assessed by Kiddie-SADS) for children with cerebral palsy at school starting age.
SDQ-symptoms versus psychiatric disorders
Above 90th percentile on SDQaN (%)
Psychiatric disorder present N (%)
Sensitivity
Specificity
PPV
NPV
Emotional symptoms versus emotional disordersb
14 (29.8)
5 (10.6)
1.00
0.79
0.36
1.00
Conduct problems versus conduct disorder/ODDc
16 (34.8)
4 (8.5)
0.50
0.67
0.13
0.93
Hyperactivity problems versus ADHD/ADDb
6 (12.8)
24 (51.1)
0.13
0.87
0.50
0.49
Total Difficulties Score versus any psychiatric disorderc
31 (67.4)
26 (56.5)
0.85
0.55
0.71
0.73
Peer problems versus any psychiatric disorder
41 (89.1)
26 (56.5)
1.0
0.25
0.63
1.0
Impact score versus any psychiatric disorder
27 (57.4)
27 (57.4)
0.74
0.65
0.74
0.65
PPV: positive predictive value; NPV: negative predictive value; aSDQ: strengths and difficulties questionnaire b; c.