Table 5.
Association between consult diagnoses after completing Sources of Distress with preexisting psychiatric diagnoses and Sources of Distress screening status (n=149).
| Working diagnosis | Preexisting psychiatric diagnosisa | Sources of Distress screening status | ||||||||||||||||||||||||||||
|
|
Case negative, n | Case positive, n | PPVb (%) | NPVc (%) | Accuracy rated, % (95% CI) | Screen negative, n | Screen positive, n | PPV (%)b | NPV (%)c | Accuracy rated, % (95% CI) | ||||||||||||||||||||
| Unipolar depressione,f | 50 | 82 | 78 (71-84) |
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51 | 98 | 79 (71-85) | ||||||||||||||||||||||
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Case negative | 106 | 10 |
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|
86 | 30 |
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|
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Case positive | 23 | 10 |
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2 | 31 |
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|
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| Episodic expansive mood and bipolar disordere,f | 76 | 60 | 62 (55-70) |
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90 | 85 | 87 (81-92) | ||||||||||||||||||||||
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Case negative | 77 | 5 |
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76 | 6 |
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|
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Case positive | 51 | 16 |
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13 | 54 |
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|
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| DMDDg and unspecified mood disordere | 45 | 88 | 82 (75-88) |
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N/Ah | N/A | N/A | ||||||||||||||||||||||
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Case negative | 113 | 11 |
|
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|
N/A | N/A |
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|
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Case positive | 16 | 9 |
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|
N/A | N/A |
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|
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| Anxiety disorderi | 97 | 20 | 52 (44-60) |
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92 | 53 | 87 (81-92) | ||||||||||||||||||||||
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Case negative | 18 | 2 |
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|
10 | 10 |
|
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|
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Case positive | 69 | 60 |
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9 | 120 |
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|
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| Posttraumatic stress disorder | 100 | 83 | 84 (77-89) |
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78 | 95 | 91 (85-95) | ||||||||||||||||||||||
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Case negative | 114 | 0 |
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|
106 | 8 |
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Case positive | 24 | 11 |
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6 | 29 |
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| Psychotic disorderj | 64 | 84 | 82 (75-87) |
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54 | 97 | 82 (75-87) | ||||||||||||||||||||||
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Case negative | 113 | 5 |
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|
94 | 24 |
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Case positive | 22 | 9 |
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3 | 28 |
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| Attention-deficit/hyperactivity disorder | 84 | 58 | 66 (59-74) |
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74 | 81 | 76 (69-82) | ||||||||||||||||||||||
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Case negative | 57 | 8 |
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38 | 27 |
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Case positive | 42 | 42 |
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9 | 75 |
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|
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aPreexisting diagnoses included caregiver-reported diagnoses in Sources of Distress and diagnoses in the medical record before survey completion.
bPPV: positive predictive value = 
cNPV: negative predictive value = 
dAccuracy rate = 
eDepression, episodic expansive mood and bipolar disorder, and disruptive mood dysregulation disorder and unspecified mood disorder are mutually exclusive categories. There is no Sources of Distress screening algorithm for disruptive mood dysregulation disorder or unspecified mood disorder.
fPreexisting and working diagnoses included schizoaffective disorder when hypomanic, manic, or mixed episode was specified.
gDMDD: disruptive mood dysregulation disorder.
hN/A: not applicable.
iPreexisting and working diagnoses of anxiety disorder and obsessive-compulsive disorder are combined to coincide with anxiety disorder screening status.
jPreexisting and working diagnoses were schizophrenia, schizoaffective disorder, unspecified psychotic disorder, and psychotic features associated with a mood disorder.