Development of a structured psychiatric interview for children: Agreement between child and parent on individual symptoms

Herjanic, Barbara; Reich, Wendy

doi:10.1007/bf00912324

Cited by 876 publications

(368 citation statements)

References 13 publications

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“…However, studies in child psychology that compared parent and child reports obtained separately have found low to moderate agreement between child and parent in reports of relationships at home, at school and with peers, somatic symptoms, psychiatric problems and school performance (Herjanic, Herjanic, Brown & Wheatt, 1975;Herjanic & Reich, 1997), ratings of incidence, severity and duration of depression (Kashani, Orvaschel, Burk & Reid, 1985;Kazdin, French, Unis & Esveldt-Dawson, 1983) and psychotic symptoms and affective disturbances (Edelbrock, Costello, Dulcan, Conover & Kala, 1986). In general, these researchers found good agreement between child and parent for items that were concrete, observable and unambiguous, with poor agreement on items where a judgment was required.…”

Section: Discussionmentioning

confidence: 99%

A qualitative analysis of a dyad approach to health-related quality of life measurement in children with asthma

Ungar

Mirabelli

Cousins

et al. 2006

Social Science & Medicine

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The measurement of health-related quality of life (HRQOL) in children often relies on parents as proxy respondents. Yet, several studies have shown poor to moderate correlations between parent and child responses, questioning the validity of the parent as proxy. This qualitative study examined a dyad approach, where parent and child were interviewed together. The objective was to observe and describe the interaction in a dyad interview, wherein both parent and child perspectives are used and where the parent may expand the child's cognitive abilities to create a more meaningful description of the child's HRQOL. Children aged 8-15 years with a clinical diagnosis of asthma and their primary caregivers were recruited from The Hospital for Sick Children, Toronto, Canada. The dyads were administered the Health Utilities Index Mark II/III, the Pediatric Asthma Quality of Life Questionnaire and the PedsQL ™ Pediatric Quality of Life Inventory. Interviews were audio-taped and a second researcher recorded observations. Consistent with Grounded Theory methodology, observations were indexed according to categories and subcategories related to the response process. Data were analysed using open, axial and selective coding and constant comparison. Saturation was achieved at 16 dyad interviews. A cultural review and reflexive role taking were included to minimize interviewer bias and enhance rigour. Findings were grouped in the following 11 themes: recall difficulty, respondent bias, interviewer bias, frustration, coercion/parental influence, inter-relational conflict, psychic discomfort for health states, emotional sensitivity, parent as advocate, parent as enabler and comprehension. The specification of these categories facilitated the creation of an interview guide to accompany the administration of standardized HRQOL questionnaires to parent-child dyads. Such a guide would facilitate discussion between parent and child and enhance the consistency of the interview process.

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Section: Discussionmentioning

confidence: 99%

A qualitative analysis of a dyad approach to health-related quality of life measurement in children with asthma

Ungar

Mirabelli

Cousins

et al. 2006

Social Science & Medicine

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“…As baixas concordâncias encontradas são semelhantes às estimadas em outras investigações. 1,8 Por exemplo, para informações obtidas de crianças e adolescentes de seis a 16 anos e suas respectivas mães, estimaram-se Índices Kappa razoável para sentimentos de depressão (IK=0,24), e pequenos para dificuldade para se concentrar (IK=0,17), perda (IK=0,15) e oscilação do apetite (IK=0,10). 8 Isso contraria uma esperada concordância entre respostas de adolescentes e suas mães, considerando-se a proximidade usual da relação mãe e filho.…”

Section: Discussionunclassified

“…Recursos esses, necessários para o adequado fornecimento de dados por meio de questionários, amplamente utilizados em pesquisa na área da saúde. 9,13 Mais recentemente, a qualidade das informações prestadas por adolescentes vem sendo questionada e avaliada em vários estudos, 1,2,4,5,8,13 considerando-se que possíveis falhas podem ocorrer devido à pouca maturidade, incipiente desenvolvimento cognitivo e da percepção do mundo, encontrados em indivíduos jovens. No Brasil, não foram encontrados estudos que abordam essa temáti-ca, embora várias pesquisas com adolescentes tenham sido realizadas.…”

Section: Introductionunclassified

“…Estudos de confiabilidade com dados obtidos de pais e filhos adolescentes têm mostrado concordâncias elevadas para características físicas permanentes, 18 mas não para dimensões subjetivas, como a maioria dos sintomas psicológicos. 1,2,4,8,10,13 As mães, pela proximidade de sua relação com os filhos, são as informantes secundárias mais utilizadas. Alguns pesquisadores referem que, geralmente, os pais sobre-registram os sintomas psicológicos, enquanto que as mães os sub-registram, exceto para alterações do comportamento ou distúrbios emocionais, 10 como sintomas depressivos e depressão.…”

Section: Introductionunclassified

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Concordância de informações de adolescentes e suas mães em inquérito de saúde

Fraga-Maia

Santana

2005

Rev. Saúde Pública

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Resumo ObjetivoEstimar o grau de concordância entre informações obtidas de trabalhadores adolescentes e suas mães em inquérito de saúde. Métodos Os dados provêm de inquérito populacional, de base domiciliar, conduzido com amostra aleatória de superfície de residentes da área urbana de Salvador, capital do Estado da Bahia. A amostra compõe-se de 82 pares de adolescentes trabalhadores de 10 a 14 anos de idade e suas mães. Após entrevista com os adolescentes, numa outra visita, suas mães foram convidadas a responder um questionário similar por um entrevistador cego. Sintomas respiratórios, depressivos, alterações do padrão do sono e problemas na vizinhança e na escola foram as variáveis analisadas. O grau de concordância foi estimado com proporções de acordo e Índice Kappa. Resultados Estimativas de acordo foram, em geral, baixas, com as mães fornecendo mais freqüentemente respostas positivas que os adolescentes, determinando vieses negativos, ou seja, estimativas menores, caso os resultados se baseassem no informante. A confiabilidade foi mais elevada entre os meninos em comparação com as meninas, para todas variáveis exceto para alterações do padrão de sono. Para sintomas depressivos, o nível de escolaridade da mãe se associou negativamente com o grau de concordância. Conclusões Informações obtidas de adolescentes diferem das obtidas de suas mães. Baixas concordâncias não equivalem a um problema de validade, que deverá ser avaliada em estudos futuros para essa população. Abstract Objective

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“…While the use of non-identical measures must be considered when examining data from the developmental competencies, support for the observed difference across raters in the more subjective, intrinsic dimensions of adolescent behavior comes from prior research that similarly found differences in adolescents' and parents' reports in these areas (Herjanic andReich 1982, Steele et al 1996). Moreover, adolescents and parents in our study reported significantly different perceptions of future expectations, despite the use of identical measures.…”

Section: Discussionmentioning

confidence: 99%

Cross-informant agreement between adolescents with myelomeningocele and their parents

Sawin¹,

Bellin²,

Builta³

et al. 2006

Developmental Medicine &Amp; Child Neurology

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The development of self‐management skills by adolescents with myelomeningocele is an ongoing process. Previous studies lack consensus about what data can be accurately obtained from adolescents. This cross‐sectional study using a convenience sample of 66 adolescent‐parent dyads evaluated whether adolescents with myelomeningocele and their parents are interchangeable reporters of data. Adolescents' ages ranged from 12 to 21 years with a mean of 16 years 2 months (SD 2y 8mo); 38 were female, 28 were male; 30% had thoracic lesions, 32% had lumbar lesions, 15% had lumbosacral lesions, 23% had sacral lesions, and 85% had ventriculoperitoneal shunts. In this analysis, participants reported activities (decision‐making, household responsibility, and friendship activities) and select outcomes (functional status, self‐management, and social competence) similarly. However, differences emerged in reports of beliefs (adolescent future expectations, family variables) and select developmental competencies (school, job, athletic, behavioral, attractiveness, and romantic appeal). Analysis using t‐test and interclass correlations supported a pattern of adolescent‐parent agreement in areas of observable behavior and differences in more subjective domains such as perception of developmental competencies.

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Development of a structured psychiatric interview for children: Agreement between child and parent on individual symptoms

Cited by 876 publications

References 13 publications

A qualitative analysis of a dyad approach to health-related quality of life measurement in children with asthma

A qualitative analysis of a dyad approach to health-related quality of life measurement in children with asthma

Concordância de informações de adolescentes e suas mães em inquérito de saúde

Cross-informant agreement between adolescents with myelomeningocele and their parents

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