Test-Retest Reliability of the Preschool Age Psychiatric Assessment (PAPA)

Author(s): Egger HL, Erkanli A, Keeler G, Potts E, Walter BK, et al.



To examine the test-retest reliability of a new interviewer-based psychiatric diagnostic measure (the Preschool Age Psychiatric Assessment) for use with parents of preschoolers aged 2 to 5 years.


A total of 1,073 parents of children attending a large pediatric clinic completed the Child Behavior Checklist 1 1/2-5. For 18 months, 193 parents of high scorers and 114 parents of low scorers were interviewed on two occasions an average of 11 days apart.


Estimates of diagnostic reliability were very similar to those obtained from interviews with parents of older children and adults, with kappas ranging from 0.36 to 0.79. Test-retest intraclass correlations for DSM-IV syndrome scale scores ranged from 0.56 to 0.89. There were no significant differences in reliability by age, sex, or race (African American versus non-African American).


The Preschool Age Psychiatric Assessment provides a reasonably reliable standardized measure of DSM-IV psychiatric symptoms and disorders in preschoolers for use in both research and clinical service evaluations of preschoolers as young as 2 years old. J. AM. ACAD. Child Adolesc. Psychiatry, 2006;45(5):538-549

Similar Articles

Prevalence rates and correlates of psychiatric disorders among preschool children

Author(s): Lavigne JV, Gibbons RD, Christoffel KK, Arend R, Rosenbaum D et al.

Trauma exposure in pre-school children in a war zone

Author(s): Thabet AA, Karim K, Vostanis P

Mental Health of Children in Palestinian Kindergartens: Resilience and Vulnerability

Author(s): Massad S, Javier NF, Mari P, Maureen S, Roseanne C et al.

Interaction of HP1 and Brg1/Brm with the Globular Domain of Histone H3 Is Required for HP1-Mediated Repression

Author(s): Lavigne M, Ragnhild E, Saliha A, Saint-André V, Suk MJ, et al.

Prevalence of psychiatric disorders in preschoolers

Author(s): Wichstrøm L, Berg-Nielsen TS, Angold A, Egger HL, Solheim E et al.

Linear and extended: a common polyglutamine conformation recognized by the three antibodies MW1, 1C2 and 3B5H10

Author(s): Klein F, Zeder-Lutz G, Cousido-Siah A, André M, Aline K et al.

Comorbidity of PTSD, ADHD, Conduct, ODD in Palestinian children after war on Gaza.

Author(s): Thabet AM, Tawahina AA, Ayad ES, David H, Henrick P

Attention-deficit hyperactivity disorder

Author(s): Biederman J, Faraone SV

Prevalence of psychopathology among children and adolescents

Author(s): Roberts R, Attkisson C, Rosenblatt A

Evidence of RNAi in humans from systemically administered siRNA via targeted nanoparticles

Author(s): Davis ME, Zuckerman JE, Choi CH, Seligson D, Tolcher A