A Symptom-Level Examination of Parent–Child Agreement in the Diagnosis of Anxious Youths

Comer, Jonathan S.; Kendall, Philip C.

doi:10.1097/01.chi.0000125092.35109.c5

Cited by 343 publications

(275 citation statements)

References 32 publications

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“…Specifically, when parents and children endorse symptoms during structured diagnostic interviews, disagreements tend to be lower when the symptoms assessed are observable (e.g., behavioral avoidance) and based on behaviors exhibited in non-school settings. In contrast, higher disagreements occur when the symptoms assessed are unobservable or subjectively expressed (e.g., anxious worry) and based on behaviors exhibited in school settings (Comer and Kendall 2004). Thus, akin to parent and teacher reports of disruptive behavior (De Los Reyes et al 2009a), parent and child reports of anxiety symptoms vary systematically in terms of the nature and setting of the child's symptoms.…”

mentioning

confidence: 90%

The Relations among Measurements of Informant Discrepancies within a Multisite Trial of Treatments for Childhood Social Phobia

Reyes

Alfano

Beidel

2009

J Abnorm Child Psychol

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Discrepancies between informants' reports of children's behavior are robustly observed in clinical child research and have important implications for interpreting the outcomes of controlled treatment trials. However, little is known about the basic psychometric properties of these discrepancies. This study examined the relation between parent-child reporting discrepancies on measures of child social phobia symptoms, administered before and after treatment for social phobia. Participants included a clinic sample of 81 children (7-16 years old [M=11.75, SD=2.57]; 39 girls, 42 boys) and their parents receiving treatment as part of a multisite controlled trial. Pretreatment parent-child reporting discrepancies predicted parent-child discrepancies at posttreatment, and these relations were not better accounted for by the severity of the child's pretreatment primary diagnosis. Further, treatment responder status moderated this relation: Significant relations were identified for treatment non-responders and not for treatment responders. Overall, findings suggest that informant discrepancies can be reliably employed to measure individual differences over the course of controlled treatment trials. These data provide additional empirical support for recent work suggesting that informant discrepancies can meaningfully inform understanding of treatment response as well as variability in treatment outcomes.

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mentioning

confidence: 90%

The Relations among Measurements of Informant Discrepancies within a Multisite Trial of Treatments for Childhood Social Phobia

Reyes

Alfano

Beidel

2009

J Abnorm Child Psychol

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“…There is a strong consensus of opinion that the clinical assessment of children and adolescents' psychopathology requires data from multiple informants [15,28]. When multiple informants, however, provide information, discrepancies among them are to be expected [20].…”

Section: Introductionmentioning

confidence: 99%

“…Studies revealed that parent-child agreement for the diagnoses of childhood anxiety and depressive disorders showed low to moderate levels of informant agreement [7,14,15]. Research has also investigated informant disagreement with regard to specific childhood externalizing problems (aggression, hyperactivity/inattention and oppositional behavior) and revealed low to moderate levels of informant agreement as well [20,25,26,30].…”

Section: Introductionmentioning

confidence: 99%

Agreement between youth-reported and parent-reported psychopathology in a referred sample

Salbach‐Andrae

Klinkowski²,

Lenz³

et al. 2009

Eur Child Adolesc Psychiatry

142

101

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Objective: The study examined parent-youth agreement regarding reports on psychopathology among adolescents suffering from psychiatric disorders. Method: A total of 1,718 patients between the age of 11 and 18, as well as their parents, were assessed using the child behavior checklist (CBCL), and the youth self-report (YSR). Results: Poor to low agreement between parent- and adolescent-reported problem behavior on the internalizing scale, the total problem scale and moderate agreement concerning the externalizing scale of the CBCL and the YSR were found. Independent from the amount of psychiatric diagnoses, adolescents reported significantly less behavioral problems than their parents. Concerning externalizing problems, parent-youth disagreement was stronger for patients suffering from comorbid psychiatric disorders, than for adolescents displaying only one psychiatric disorder. Conclusion: In clinically referred children, parents are likely to emphasize the severity of the difficulties, whereas adolescents’ under-report symptoms

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“…The emotional understanding of young anxious children can also be limited [11,46], potentially affecting their reports on research measures. In particular, young children often under-report anxious symptoms [47], or have a poor grasp of the link between cognition and emotion [48].…”

Section: Possible Implicationsmentioning

confidence: 99%

Cognitive findings in childhood anxiety: Translations for clinical practice

Manassis¹

2013

Translational Neuroscience

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IntroductionIn the past decade, the literature on cognition in anxious children has expanded rapidly. New To ensure a thorough review of relevant findings, a search of PubMed was undertaken using the search words "cognition", "anxiety", and "children". As this search yielded several hundred papers, only those published within the past 10 years were retrieved.Key citations within these retrieved papers were also obtained, including some from the psychological literature. Thus, this paper represents a selective rather than exhaustive review with emphasis on recent findings. All COGNITIVE FINDINGS IN CHILDHOOD ANXIETY: TRANSLATIONS FOR CLINICAL PRACTICE AbstractBackground: The study of cognition in anxious children (i.e., those with anxiety disorders and those with high trait anxiety) is a burgeoning field. Cognitive biases towards encoding threatening information, interpreting stimuli as threatening, and selecting avoidant responses have been found to affect these children, and in some cases their parents too. These biases as well as certain cognitive abilities and deficits have been related to childhood anxiety and its treatment. Given the plethora of recent findings, implications for the practicing clinician are not always obvious. Methods: Using a review of recent medical literature, this paper summarizes key findings and examines potential links to clinical practice. Results: The need to appreciate the reciprocal relationship between anxiety and cognition is highlighted (i.e., anxiety can contribute to cognitive biases and deficits, but cognitive problems can also contribute to anxiety). Cognitive factors can also predict poor response to traditional treatments, and thus suggest modifications of treatment that may benefit some children. Treatments focused on cognitive biases are gaining popularity, but their role in the treatment of anxious children and in relation to other anxiety treatments merits further study. Conclusion: Recent cognitive findings enhance our clinical understanding of anxious children, and may suggest ways of tailoring evidence-based treatments to best meet the needs of children with diverse cognitive profiles and developmental needs.

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A Symptom-Level Examination of Parent–Child Agreement in the Diagnosis of Anxious Youths

Cited by 343 publications

References 32 publications

The Relations among Measurements of Informant Discrepancies within a Multisite Trial of Treatments for Childhood Social Phobia

The Relations among Measurements of Informant Discrepancies within a Multisite Trial of Treatments for Childhood Social Phobia

Agreement between youth-reported and parent-reported psychopathology in a referred sample

Cognitive findings in childhood anxiety: Translations for clinical practice

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