Objectives
The first onset of many psychiatric disorders usually occurs inchildhood or adolescence. The structured interview of Preschool Age Psychiatric Assessment (PAPA) was developed in response to the need for a standardized and reliable method to assess psychiatric disorders in preschool-age children. This study aimed to translate DSM-5-based PAPA into Farsi and evaluate its face and content validity and reliability.
Materials & Methods
The procedure was a forward translation of PAPA to Farsi, evaluation for face and content validity, finalization of items within the expert panel, backward translation to English, matching the original PAPA with randomly selected items from the backward translation version, and revision as needed, and finally evaluation for the validity of the changes for localization and cultural considerations. The interviews based on the final Farsi version were performed on thirty parents of children from two to five years old (chosen from Tabriz health centers) to determine the reliability and were repeated at an interval of two weeks.
Results
The mean of CVI=0.91 and Modified Kappa=0.90 were obtained, and reliability with Cronbach’s alpha was 0.89.
Conclusion
The Farsi version of the DSM-5-based PAPA diagnostic interview has good face and content validity and reliability.
1) Egger H L, Angold A. (2004). The Preschool Age Psychiatric Assessment (PAPA): A structured parent interview for diagnosing psychiatric disorders in preschool children. Handbook of infant, toddler, and preschool mental health assessment, 223-243.
2) Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Arch gen psychiatr, 60(8), 37-44.
3) AAP [American Academy of Pediatrics]. (2001). Committee on Children with Disabilities. Developmental surveillance and screening of infants and young children. Pediatrics, 108, 192-196.
4) Egger H L, Ascher B H, Angold A. (2004). The preschool age psychiatric assessment: Version 2.0.7. Durham, NC: Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center.
5) Angold A, Costello EJ. (2000). A Review of the Issues Relevant to the Creation of a Measure of Disability in Children Based on the World Health Organization_s International Classification of Functioning and Disability (ICIDH-2). Geneva: World Health Organization.
6) World Health Organization, World Psychiatric Association, International Association for Child, Adolescent Psychiatry, Allied Professions. (2005). Atlas: child and adolescent mental health resources: global concerns, implications for the future. World Health Organization.
7) Gross D, Fogg L, Young M, Ridge A, Cowell J M, Richardson, R., et al. (2006). The equivalence of the Child Behavior Checklist/1 1/2-5 across parent race/ethnicity, income level, and language. Psychological Assess, 18(3), 313.
8) Egger H L, Erkanli A, Keeler G, Potts E, Walter B K, Angold A. (2006). Test-retest reliability of the preschool age psychiatric assessment (PAPA). J Am Acad Child AdolesPsychiatr, 45(5), 538-549.
9) Norouzi S, Amiri S, Malek A, Sadeghi-Bazargani H, Hassanzadeh M. Preparation, translation and evaluation of face and content validity of the Preschool Age Psychiatric Assessment (PAPA) in Farsi. J Anal Res Clin Med 2016; 4(3): 163
10) Steiner JL, Tebes JK, Sledge WH. (1995). A comparisonof the Structured Clinical Interview for DSM-III-R and clinicaldiagnoses. J Nervous Mental Dis, 183, 365-369.
11) Kessler RC, Amminger GP, Aguilar Gaxiola S, Alonso J, Lee S, Ustun TB. (2007). Age of onset of mental disorders: A review of recent literature. Current opinpsychiatr, 20, 359-364.
12) Angold A, Egger HL. (2004). Psychiatric diagnosis in preschool children. In: Handbook of Infant, Toddler, and Preschool Mental Health Assessment, DelCarmen-Wiggins R, Carter A, eds. New York: Oxford University Press, pp 123Y139.
13) Greenspan SI, Wieder S. (2003). Infant and Early Childhood Mental Health: A Comprehensive Developmental Approach to Assessment and Intervention. Zero to Three (J), 24(1), 6-13.
14) Essex MJ, Kraemer HC, Slattery MJ. (2009). Screening for Childhood Mental Health Problems: Outcomes and Early Identification. J child psycholpsychiatrallidiscips, 50(5), 562-570.
15) Mahdavi, N. (2003). Determination of the burden of psychiatric disorders in three provinces of East Azarbaijan, Bushehr and ChaharmahalvaBakhtiari in Iran in 2002. Paper presented in the 7th National Congress on Iranian Psychiatry and Psychology.
16) Brauner CB, Stephens CB. (2006). Estimating the Prevalence of Early Childhood Serious Emotional/Behavioral Disorders: Challenges and Recommendations. Pub Health Rep, 121(3), 303-310.
17) Zeanah CH, Egger HL, Smyke AT, Nelson CA, Fox NA, Marshall PJ, et al. (2009). Institutional rearing and psychiatric disorders in Romanian preschool children. Am J Psychiatr, 166, 777–785.
18) Wichstrøm L, Berg Nielsen TS, Angold A, Egger HL, Solheim E, Sveen TH. (2012). Prevalence of psychiatric disorders in preschoolers. J Child PsycholPsychiatr, 1, 53(6), 695-705.
19) Angold A. (2002). Diagnostic interviews with parents and children. In: Child and Adolescent Psychiatry: Modern Approaches, Fourth Edition, Rutter M, Taylor E, eds. Oxford: Blackwell Scientific, pp. 32Y51.
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