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Dive into the research topics where Ann Vander Stoep is active.

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Featured researches published by Ann Vander Stoep.


Journal of Behavioral Health Services & Research | 2003

What proportion of failure to complete secondary school in the US population is attributable to adolescent psychiatric disorder

Ann Vander Stoep; Noel S. Weiss; Elena Saldanha Kuo; Doug Cheney; Patricia Cohen

Using information available from the longitudinal Children in Community Study, population-attributable risk percentage was calculated to estimate the amount of failure to complete secondary school in the United States that is associated with adolescent psychiatric disorder. Over half the adolescents in the United States who fail to complete their secondary education have a diagnosable psychiatric disorder. The proportion of failure to complete school that is attributable to psychiatric disorder is estimated to be 46%. School failure among young persons with psychiatric disorder exacts a large toll from individuals and society.


Psychiatry Research-neuroimaging | 2013

Validity of the patient health questionnaire-9 for depression screening and diagnosis in East Africa

Bizu Gelaye; Michelle A. Williams; Seblewengel Lemma; Negussie Deyessa; Yonas Bahretibeb; Teshome Shibre; Dawit Wondimagegn; Asnake Lemenhe; Jesse R. Fann; Ann Vander Stoep; Xiao Hua Andrew Zhou

Depression is often underdiagnosed and undertreated in primary care settings, particularly in developing countries. This is, in part, due to challenges resulting from lack of skilled mental health workers, stigma associated with mental illness, and lack of cross-culturally validated screening instruments. We conducted this study to evaluate the reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) as a screen for diagnosing major depressive disorder among adults in Ethiopia, the second most populous country in sub-Saharan Africa. A total of 926 adults attending outpatient departments in a major referral hospital in Ethiopia participated in this study. We assessed criterion validity and performance characteristics against an independent, blinded, and psychiatrist administered semi-structured Schedules for Clinical Assessment in Neuropsychiatry (SCAN) interview. Overall, the PHQ-9 items showed good internal (Cronbachs alpha=0.81) and test re-test reliability (intraclass correlation coefficient=0.92). A factor analysis confirmed a one-factor structure. Receiver Operating Characteristics (ROC) analysis showed that a PHQ-9 threshold score of 10 offered optimal discriminatory power with respect to diagnosis of major depressive disorder via the clinical interview (sensitivity=86% and specificity=67%). The PHQ-9 appears to be a reliable and valid instrument that may be used to diagnose major depressive disorders among Ethiopian adults.


Journal of Psychiatric Research | 2008

What explains the relation between family poverty and childhood depressive symptoms

Melissa Tracy; Frederick J. Zimmerman; Sandro Galea; Elizabeth McCauley; Ann Vander Stoep

The relation between low socioeconomic status (SES) and depression has been well documented in adult populations. A number of studies suggest that family SES may be associated with depression among children and adolescents as well, although the evidence is mixed. We assessed the relation between family income and depressive symptoms among 457 children aged 11-13 years and examined pathways that may explain this relation. In-person interviews of children and their caregivers were conducted, including assessment of family income and administration of the Computer-based Diagnostic Interview Schedule for Children (C-DISC). Family income was significantly associated with depressive symptoms, with children in the lowest income group (<


Journal of Telemedicine and Telecare | 2010

Child and adolescent telepsychiatry: variations in utilization, referral patterns and practice trends

Kathleen Myers; Ann Vander Stoep; Carolyn A. McCarty; Jesse B. Klein; Nancy Palmer; John R Geyer; Sanford M. Melzer

35,000) reporting a mean of 8.12 symptoms compared to 6.27 symptoms in the middle income group (


Journal of Emotional and Behavioral Disorders | 2005

Universal Emotional Health Screening at the Middle School Transition

Ann Vander Stoep; Elizabeth McCauley; Kelly Thompson; Jerald R. Herting; Elena S. Kuo; David G. Stewart; Cheryl A.M. Anderson; Siri Kushner

35,000-


Journal of the American Academy of Child and Adolescent Psychiatry | 2015

Effectiveness of a Telehealth Service Delivery Model for Treating Attention-Deficit/Hyperactivity Disorder: A Community-Based Randomized Controlled Trial

Kathleen Myers; Ann Vander Stoep; Chuan Zhou; Carolyn A. McCarty; Wayne Katon

74,999) and 5.13 symptoms in the highest income group (> or =


Journal of Clinical Child and Adolescent Psychology | 2007

Cognitive Features Associated With Depressive Symptoms in Adolescence: Directionality and Specificity

Carolyn A. McCarty; Ann Vander Stoep; Elizabeth McCauley

75,000; p<0.001). Controlling for the number of stressful life events experienced in the past 6 months attenuated the effect of low family income on depressive symptoms by 28%. Indicators of the family environment explained 45% and neighborhood median household income and aggravated assault rate explained 12% of the relation. The family environment, including parental divorce or separation and perceived parental support, appears to explain most of the relation between low family income and childhood depressive symptoms. Further exploration of the pathways between family SES and depression may suggest potential interventions to reduce the occurrence and persistence of depressive symptoms in children.


JAMA | 2008

Hypericum perforatum (St John's Wort) for Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: A Randomized Controlled Trial

Wendy Weber; Ann Vander Stoep; Rachelle L. McCarty; Noel S. Weiss; Joseph Biederman; Jon McClellan

Seattle Childrens Hospital is a tertiary referral hospital that has provided telepsychiatry to seven partner sites in the north-west since 2001. Service utilization data, patient demographics and diagnoses were collected for the period from the service inception in October 2001 until November 2007. During the study period, 701 patients were treated with a mean of 2.8 appointments per patient (SD 1.9). Five psychiatrists and four psychologists provided care. Utilization varied across referring sites and was largely dependent upon the availability of telepsychiatrists, although the degree of support from administration and stakeholders also contributed to the success of the service. A total of 190 primary care practitioners referred patients to telepsychiatry, including 106 family physicians and 71 paediatricians. Paediatricians referred to the service more frequently than family physicians (t = 2.8, P < 0.05). Overall, telepsychiatry with young people is feasible, acceptable and increases access to mental health care. There appear to be four core components necessary to a successful telepsychiatry programme: psychiatrists who are interested in exploring new ways to reach underserved young people; clearly identified stakeholders who can collaborate with one another to make good use of the telepsychiatry service; a childrens mental health ‘champion’ who represents these stakeholders and wants services for their community; and a stable administration that perceives telepsychiatry as valuable for their patients and their doctors.


Child and Adolescent Psychiatry and Mental Health | 2010

Criterion validity of the Short Mood and Feelings Questionnaire and one- and two-item depression screens in young adolescents

Isaac C. Rhew; Kate Simpson; Melissa Tracy; James F. Lymp; Elizabeth McCauley; Debby W. Tsuang; Ann Vander Stoep

This article describes the implementation of the Developmental Pathways Screening Program (DPSP) and an evaluation of program feasibility, acceptability, and yield. Using the Mood and Feelings Questionnaire (MFQ) and externalizing questions from the Youth Self Report (YSR;Achenbach, 2001), universal classroom-based emotional health screening was implemented with students as they began middle school. Of all sixth graders enrolled in four participating Seattle schools, 861 (83%) were screened. Students who screened positive for emotional distress (15% of students screened) received onsite structured clinical evaluations with childrens mental health professionals. Seventy-one percent of students who were evaluated were found to be experiencing significant emotional distress, with 59% warranting referral to academic tutoring, school counselor, and/or community mental health services. Successful implementation of in-class screening was facilitated by strong collaboration between DPSP and school staff. Limitations of emotional health screening and the DPSP are discussed, and future steps are outlined.


Assessment | 2005

Using the Short Mood and Feelings Questionnaire to Detect Depression in Detained Adolescents.

Elena S. Kuo; Ann Vander Stoep; David G. Stewart

OBJECTIVE To test the effectiveness of a telehealth service delivery model for the treatment of children with attention-deficit/hyperactivity disorder (ADHD) that provided pharmacological treatment and caregiver behavior training. METHOD The Childrens ADHD Telemental Health Treatment Study (CATTS) was a randomized controlled trial with 223 children referred by 88 primary care providers (PCPs) in 7 communities. Children randomized to the experimental telehealth service model received 6 sessions over 22 weeks of combined pharmacotherapy, delivered by child psychiatrists through videoconferencing, and caregiver behavior training, provided in person by community therapists who were supervised remotely. Children randomized to the control service delivery model received treatment with their PCPs augmented with a telepsychiatry consultation. Outcomes were diagnostic criteria for ADHD and oppositional defiant disorder (ODD) and role performance on the Vanderbilt ADHD Rating Scale (VADRS) completed by caregivers (VADRS-Caregivers) and teachers (VADRS-Teachers) and impairment on the Columbia Impairment Scale-Parent Version (CIS-P). Measures were completed at 5 assessments over 25 weeks. RESULTS Children in both service models improved. Children assigned to the telehealth service model improved significantly more than children in the augmented primary care arm for VADRS-Caregiver criteria for inattention (χ(2)[4] = 19.47, p < .001), hyperactivity (χ(2)[4] = 11.91, p = .02), combined ADHD (χ(2)[4] = 14.90, p = .005), ODD (χ(2)[4] = 10.05, p = .04), and VADRS-Caregiver role performance (χ(2) [4] = 12.40, p = .01) and CIS-P impairment (χ(2)[4] = 20.52, p < .001). For the VADRS-Teacher diagnostic criteria, children in the telehealth service model had significantly more improvement in hyperactivity (χ(2)[4] = 11.28, p = .02) and combined ADHD (χ(2)[4] = 9.72, p = .045). CONCLUSION The CATTS trial demonstrated the effectiveness of a telehealth service model to treat ADHD in communities with limited access to specialty mental health services. Clinical trial registration information-Childrens Attention Deficit Disorder With Hyperactivity (ADHD) Telemental Health Treatment Study; http://clinicaltrials.gov; NCT00830700.

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Kathleen Myers

University of Washington

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Aaron R. Lyon

University of Washington

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Isaac C. Rhew

University of Washington

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Kevin M. King

University of Washington

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Noel S. Weiss

University of Washington

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Molly Adrian

University of Washington

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Elena S. Kuo

Group Health Cooperative

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