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Experience from child psychiatric epidemiology Andrew Pickles, University of Manchester

Experience from child psychiatric epidemiology Andrew Pickles, University of Manchester. Child Psychiatric Epidemiology. The child as informant subjective or objective measurement of mental states/behaviours maturity and validity of mental states/behaviours gaining access to mental states

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Experience from child psychiatric epidemiology Andrew Pickles, University of Manchester

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  1. Experience from child psychiatric epidemiologyAndrew Pickles,University of Manchester

  2. Child Psychiatric Epidemiology • The child as informant • subjective or objective measurement of mental states/behaviours • maturity and validity of mental states/behaviours • gaining access to mental states - probe questions to confirm evidence taped “investigator based” interviews by trained and calibrated interviewers or (recent ONS CAMHS surveys) closed form questions plus free-form sections post-rated by clinicians

  3. Child Psychiatric Epidemiology • Multiple informants • commonly obtain child, parent and teacher reports • very poor agreement, but agreement not expected for ‘covert’ behaviour and internal mental states • each source prognostic • Well-suited to SEM, and allows scope for testing for informant specific associations and bias.

  4. Child Psychiatric Epidemiology • Coding and Analysis - predefined coding categories/ratings - vignettes rated blind, rating meetings to discuss and/or form consensus codings - regular quantitative analysis - capacity to return to vignettes/notes/ tapes to check what any empirical association “means”.

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