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Journal of Pediatric Psychology Advance Access originally published online on July 3, 2007
Journal of Pediatric Psychology 2008 33(1):50-62; doi:10.1093/jpepsy/jsm053
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

The Psychosocial Assessment Tool (PAT2.0): Psychometric Properties of a Screener for Psychosocial Distress in Families of Children Newly Diagnosed with Cancer

Ahna L. H. Pai, PhD1, Anna Maria Patiño-Fernández, PhD1, Mary McSherry, MSW1, David Beele, MSW1, Melissa A. Alderfer, PhD1,2, Anne T. Reilly, MD1, Wei-Ting Hwang, PhD3 and Anne E. Kazak, PhD, ABPP1,2

1Division of Oncology, The Children's Hospital of Philadelphia, 2Department of Pediatrics, University of Pennsylvania School of Medicine, and 3Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine

All correspondence concerning this article should be addressed to Anne E. Kazak, PhD, ABPP, The Children's Hospital of Philadelphia, Room 1486 CHOP North, 34th Street and Civic Center Blvd., Philadelphia, PA. kazak{at}email.chop.edu.


  Abstract

Purpose Psychometric properties of the Psychosocial Assessment Tool 2.0 (PAT2.0), a brief screener for psychosocial risk in families of children with cancer, are presented. Methods Female (N = 132) and male (N = 72) caregivers of 141 children newly diagnosed with cancer completed the PAT2.0 and measures of child behavior symptoms, anxiety, acute stress, and family functioning to establish validity. Internal consistency and test–retest reliability of the PAT2.0 were also examined. Results Internal consistency and two-week test–retest for the PAT2.0 Total score was strong. Validity for the PAT2.0 was supported by significant correlations between the PAT2.0 subscales and measures of corresponding constructs. PAT2.0 Total scores were correlated with acute stress and child behavior symptoms for both mothers and fathers. Receiver-Operating Characteristic curves provided preliminary support for the proposed cutoffs. Conclusion The PAT2.0 Total score is a useful screening tool for family psychosocial risk in the pediatric oncology population.

Key words: assessment; families; parents; pediatric oncology; risk.

Received February 4, 2007; revision received May 31, 2007; accepted June 5, 2007


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