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Novel coding system shows high interrater reliability for ADHD and anxiety assessment in pediatric psychiatry, suggesting better treatment optimization.
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.
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Andrew et al. (2026) studied this question.
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