Developing a Novel Coding System for Retrospective Chart Review of Attention-Deficit/Hyperactivity Disorder, Anxiety, and Medication Adherence in Pediatric Psychiatry
We created a novel coding system for RCR and found substantial to almost perfect interrater reliability for assessing ADHD severity, anxiety severity, global severity, and medication adherence using psychiatry encounter notes documented in an EHR. Our coding system explores conditions that are often heterogeneous and have waxing and waning presentations, using a continuum that captures the complexity of symptoms. Future directions include utilization of coding systems to explore emotion and behavior change over time to optimize treatment.
Authors
- Laura Bezos Saldaña
- Laura Willing (ORCID: https://orcid.org/0000-0001-9617-095X)
- Mi-Young Ryee (ORCID: https://orcid.org/0000-0002-4184-5275)
- Kirsten Russo (ORCID: https://orcid.org/0000-0001-8110-6330)
- Lilia Mucka Andrew
- Nicholas Lohman
- Irene Zhang
- Brianna Santoro
- Ayman Saleh
- Waverly Gestricht-Thompson
Institutions
- George Washington University Hospital (US)
- Kennedy Krieger Institute (US)
- Children's National (US)
- George Washington University (US)
Publication Details
- Journal
- Journal of Child and Adolescent Psychopharmacology
- Published
- 2026-03-20
- DOI
- https://doi.org/10.1177/10445463261436795
- Primary Topic
- Attention Deficit Hyperactivity Disorder
- Type
- article
- Field-Weighted Citation Impact
- 0.00