Original Articles
Retrospective Assessment of Prepubertal Major Depression with the Kiddie-SADS-E

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The Kiddie-SADS-E is a structured psychiatric interview designed to elicit and record past episodes of child and adolescent psychiatric disorder. In order to test the accuracy of retrospective diagnoses made with this instrument, a blind interviewer reassessed 17 children. The children had been initially evaluated with a parallel instrument, the K-SADS-P (present episode), between 6 months and 2 years prior to reassessment. Diagnostic agreement between the two different assessments of the same episode of disorder was high. Although this is only a pilot study, it does suggest that the retrospective assessment of child psychopathology based on interviews with parent and child may be a technique capable of yielding reliable information.

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Reprints may be requested from Dr. Orvaschel, University of Pittsburgh, Western Psychiatric Institute and Clinic, 3811 O'Hara St., Pittsburgh, PA 15213.

This work was supported in part by Research Grant 1-R01-MH28274 from the Center for Epidemiologic Studies, and by Research Grant 1-R01-MH30838 from the National Institute of Mental Health.

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