Results and interpretation
A glance at the child’s emotional world

Results tables
Results offer an overview of the child’s emotional world from her/his own standpoint.

Instant printable results display scores for the 7 diagnostic categories and the Strengths and Competencies scale as well as 3 summary scores (internalizing, externalizing and total score).

Cut-off points
Because the severity of the psychopathology matches the number of symptoms, instruments are more precise at both ends of the 0%-100% continuum of symptoms. Thus, subjects scoring close to the cut-off points are more likely to be misclassified (false positives or false negatives). That risk is increased because the Dominic Interactive does not study symptom frequency or duration.

Therefore, two cut-off points were established for each symptom score in a sample of 297 clinical and general population children in Montreal. As suggested in psychology, lower and higher cut-offs are one and two standard deviations away from the mean. These two cut-off points generate three categories:

Likely normal (green dot)

There may be a problem (yellow dot)

Problem is likely (red dot)

An alert signals whether suicidal ideas were endorsed.

Another alert signals response set, the preferred strategy of children who oppose the assessment.

Click to enlarge

Click to enlarge

Clinical interpretation
A few examples based on comorbidity or the opposite, i.e., a lack of expected associations, shed some light on the kind of information provided by the Dominic Interactive. However, those are only guidelines and the professional remains the person in charge.
Defensive or manipulative children may stage normal Dominic Interactive results (false negatives).

    Examples based on comorbidity:

    • High scores for Tendencies towards Separation Anxiety associated with high scores for Tendencies towards Opposition and/or ADHD may prompt a clinical hypothesis of family overprotection.
    • Children referred for ADHD may be anxious instead. High score for Tendencies towards Attention Deficit associated with high score for Tendencies towards Generalized Anxiety switches the focus from Externalizing to Anxiety Tendencies.
    • Association of high scores for Tendencies towards ADHD with high scores for Tendencies towards Depression in the older fraction of the 6 to 11 age group underlines the unhappiness of the child with her/his condition and tends to be associated with family, school and/or peer rejection. Previous overprotection may have occurred.
    • Comorbidity between Tendencies towards Generalized Anxiety and Conduct problems tends to be associated with a number of depressive symptoms and may be a call for help.

    Examples based on lack of expected associations:

    • Children described as difficult or unpredictable by parents, teachers or peers, but who exhibit normal Dominic Interactive results may lack insight. Such a pattern is worrisome: is the child disconnected from her/his emotions and/or the real world?
    • Results in sharp contrast with parents’ or teachers’ descriptions are also evocative of a dissociation between the child’s perception and the real world.
    • On the other hand, some younger children (ages 6 and 7) may express an inner world of unreal fantasies pervaded with content from TV programs and video games. This suggests impaired contact with the real world.
    • Some younger children (ages 6-7-8) report Tendencies towards Conduct problems and very few symptoms of Opposition, thus communicating aggressive fantasies (as opposed to actual behaviour) their family does not allow them to express.

    (c) 2009 Dominic Interactive
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