Factors Associated with Parent–Child Discrepancies in Reports of Mental Health Disorders in Young Children

Bajeux, Emma; Klemanski, David H.; Husky, Mathilde M.; Leray, Emmanuelle; Chee, Christine Chan; Shojaei, Taraneh; Fermanian, Christophe; Kovess-Masfety, Viviane

doi:10.1007/s10578-018-0815-7

Cited by 53 publications

(48 citation statements)

References 52 publications

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“…However, such low child–parent agreement has also observed in a previous study (Liu, Wang, Ji, Cui, & Liu, 2018). It has been reported that greater child–parent agreement would be more easily to be found in children with more severe mental health problems because of the presence of significant symptoms (Bajeux et al, 2018). Because the study sample is a nationally representative school-based sample, we might not observe high child–parent agreement on their reports.…”

Section: Discussionmentioning

confidence: 99%

Relationships between autistic traits, insufficient sleep, and real-world executive functions in children: a mediation analysis of a national epidemiological survey

2019

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Background Although the literature documents low executive functions and sleep deficits in individuals with autism spectrum disorder or subclinical autistic traits, no study has simultaneously examined their relationships in the general child population. This study aimed to examine whether autistic traits impacted real-world executive functions through insufficient sleep in a nationally representative sample of children. Methods This was a national survey of 6832 primary and secondary school students, aged 8–14 years old, with equal sex distribution (3479 boys, 50.8%). Parents reported their child's nocturnal sleep duration and the need for sleep to maintain their daytime function and the Social Responsiveness Scale and the Behavior Rating Inventory of Executive Function (BRIEF) for their children's autistic traits and real-world executive functions, respectively. Results We found that autistic traits exerted indirect effects on real-world executive functions through sleep deficits, independent of sex, and age. Moreover, such an indirect effect was observed only from restricted and repetitive behaviors to executive functions through sleep deficits, but not in the other components of autistic traits (i.e. social communication and interaction). Conclusions Our novel findings underscore the importance of sleep and autistic traits in executive functions and suggest potential mechanisms that may underlie the observed correlational structure among autistic behaviors, sleep deficits, and low executive function performance.

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Section: Discussionmentioning

confidence: 99%

Relationships between autistic traits, insufficient sleep, and real-world executive functions in children: a mediation analysis of a national epidemiological survey

2019

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“…Increased reporting of EBPs in their children by mothers with depression have been postulated to be due to possible distortion, with depressed mothers over-reporting EBPs, or to reflect accuracy, such that children of depressed mothers have more EBPs and mothers are accurately reporting on those (81). One study found that parental psychological distress was associated with increased parental report of BPs and EPs as well as increased EPs according to parental and child report combined, thus suggesting that parental psychopathology is associated with both increased child EPs and with possible over-reporting of EBPs by parents (82). Regardless of whether discrepancy is due to distortion or an accurate reflection of CA-HIV EBPs, the discrepancy demonstrated still highlights the need for multi-informant reports (41).…”

Section: Discussionmentioning

confidence: 99%

Agreement and Discrepancy on Emotional and Behavioral Problems Between Caregivers and HIV-Infected Children and Adolescents From Uganda

et al. 2019

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Background: HIV-infected children and adolescents (CA-HIV) face significant mental health challenges related to a broad range of biological and psychosocial factors. Data are scarce on the agreement and discrepancy between caregivers and CA-HIV regarding emotional and behavioral problems (EBPs) in CA-HIV. Objectives: We determined agreement between self- versus caregiver- reported EBPs and describe factors associated with informant discrepancy among caregiver–youth dyads who participated in the “Mental health among HIV-infected CHildren and Adolescents in KAmpala and Masaka, Uganda” (CHAKA) study. Methods: In a cross-sectional sample, caregiver-reported EBPs were assessed with the Child and Adolescent Symptom Inventory-5 (CASI-5), and self-reported problems were evaluated with the Youth Inventory-4 (YI-4) in 469 adolescents aged 12–17 years and the Child Inventory-4 (CI-4) in 493 children aged 8–11 years. Adolescents were questioned about experiences of HIV stigma. Caregiver psychological distress was assessed with the Self-Reporting Questionnaire (SRQ-20). Linear regression models were applied to identify variables associated with discrepancy scores. Results: Self-reported emotional problems (EPs) were present in 28.8% of adolescents and 36.9% of children, and 14.5% of adolescents self-reported behavioral problems (BPs). There was only a modest correlation ( r ≤ 0.29) between caregiver- and CA-HIV-reported EBPs, with caregivers reporting more EPs whereas adolescents reported more BPs. Informant discrepancy between adolescents and caregivers for BPs was associated with adolescent age and caregiver’s employment and HIV status. Among adolescents, EP discrepancy scores were associated with adolescent’s WHO HIV clinical stage, caregiver level of education, and caregivers caring for other children. Among children, EP discrepancy scores were associated with child and caregiver age, caregiver level of education, and caregiver self-rated health status. HIV stigma and caregiver psychological distress were also associated with discrepancy, such that adolescents who experienced HIV stigma rated their EPs as more severe than their caregivers did and caregivers with increased psychological distress rated EBPs as more severe than CA-HIV self-rated. Conclusions: EBPs are frequently endorsed by CA-HIV, and agreement between informants is modest. Informant discrepancy is related to unique psychosocial and HIV-related factors. Multi-informant reports enhance the evaluation of CA-HIV and informant discrepancies can provide additional insights into the mental health of CA-HIV.

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“…and child perceptions of behavior(Bajeux et al, 2018;Van Roy, Groholt, Heyerdahl, & Clench-Aas, 2010). While it was impossible to examine the child's perspective with the NSCH dataset, it would be important for researchers in the future to assess the child's perspective of flourishment and associated factors.…”

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confidence: 99%

Family resilience and flourishment: Well‐being among children with mental, emotional, and behavioral disorders

Herbell

Breitenstein

Melnyk

et al. 2020

Research in Nursing & Health

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Approximately 20% of children and adolescents in the United States are affected by mental, emotional, and behavioral (MEB) disorders. Child flourishment and family resilience contribute to healthy family development, including the promotion of child MEB wellbeing. Identifying factors that promote child flourishment and family resilience are critical. This study aimed to determine the prevalence and parenting factors associated with family resilience and child flourishment among children aged 6–17 years with MEB disorders. This was a secondary analysis of the 2016–2017 National Survey of Children's Health. The sample consisted of parents and their children (n = 1,900, weighted n = 5,375,670). Data were weighted to be representative of the US population and analyzed using descriptive statistics and linear regression. We found that only 6.3% of children aged 6–17 with an MEB were optimally flourishing. Parental aggravation was negatively associated with child flourishment, and parental coping was positively associated with child flourishment. In total, 66.5% of families with children exhibited resilience. Parental coping and availability of parental emotional support were positively associated with family resilience. Potential interventions that leverage study findings include parent training to increase parental emotional regulation (e.g., increase frustration tolerance, coping skills) and family navigation services to increase parental support (e.g., emotional support, coping skills) through the child's treatment trajectory. Overall, this study provides evidence of a disparity in flourishment in America's youth with MEB disorders, and despite this adversity, families are resilient.

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Factors Associated with Parent–Child Discrepancies in Reports of Mental Health Disorders in Young Children

Cited by 53 publications

References 52 publications

Relationships between autistic traits, insufficient sleep, and real-world executive functions in children: a mediation analysis of a national epidemiological survey

Relationships between autistic traits, insufficient sleep, and real-world executive functions in children: a mediation analysis of a national epidemiological survey

Agreement and Discrepancy on Emotional and Behavioral Problems Between Caregivers and HIV-Infected Children and Adolescents From Uganda

Family resilience and flourishment: Well‐being among children with mental, emotional, and behavioral disorders

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