Table 4.
Optimal Total Score Cutoff Benchmarks | ||||||
---|---|---|---|---|---|---|
Clinical Remission Classifications | Kappa | Χ2 | Sensitivity | Specificity | PPV | NPV |
CGI-I Therapist | .33* | 47.50* | 71% | 61% | 71% | 62% |
CGI-I Therapist + SCARED-C Total Score | .44* | 98.92* | 56% | 90% | 89% | 61% |
CGI-I Therapist + SCARED-P Total Score | .48* | 108.14* | 65% | 84% | 85% | 65% |
CGI-I Therapist + MASC-P Total Score | .44* | 90.30* | 64% | 82% | 82% | 63% |
CGI-I Therapist + SCARED-C Total Score + SCARED-P Total Score | .44* | 106.18* | 53% | 94% | 92% | 60% |
CGI-I Therapist + SCARED-C Total Score + MASC-P Total Score | .42* | 97.76* | 51% | 94% | 91% | 59% |
Note: Algorithm that optimizes therapist agreement with IE ratings after maintenance care is presented in boldface type. Sensitivity = the proportion of true positives, probability of detecting a treatment response, Specificity = the proportion of true negatives, probability of detecting a non-response, Positive Predictive Value (PPV) = the rate at which a treatment response identified by the algorithm is also an IE-rated treatment response, Negative Predictive Value (NPV) = the rate at which a non-response identified by the algorithm is also rated as a non-response by an IE, SCARED = Screen for Child Anxiety Related Emotional Disorders, MASC = Multidimensional Anxiety Scale for Children, CGI-I = Clinical Global Impression of Improvement, CGI-I Therapist = Clinical Global Impression of Improvement rated by treating therapist, C = Child, P = Parent.
p<.001