Informant Agreement in the Assessment of Disruptive Behavior Disorders in Detained Minors in Belgium

Colins, Olivier F.; Vermeiren, Robert; Schuyten, Gilberte; Broekaert, Eric; Soyez, Veerle

doi:10.4088/jcp.v69n0119

Cited by 51 publications

(54 citation statements)

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“…However, recent research has suggested that children with ADHD are more aware of the impact that the disorder has on their internal psychological environment, particularly in terms of problems with concentration and social relationships that cause anxiety about their academic= social functioning and self-concept than previously thought (Klimkeit et al 2006). New data exist that support the simultaneous parental and child evaluation of ADHD symptoms despite their discrepancies, provided that the reasons and clinical importance of such discrepancies are known (Colins et al 2008). The children's distinctive sensitivity to academic achievement that we have discovered is not surprising because the scholarly environment provides more structured feedback to their performance, a feedback that is much less evident for their social and familiar behavioral patterns.…”

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confidence: 79%

Evaluation of Patients' and Parents' Quality of Life in a Randomized Placebo-Controlled Atomoxetine Study in Attention-Deficit/Hyperactivity Disorder

Escobar

Montoya

Polavieja

et al. 2009

Journal of Child and Adolescent Psychopharmacology

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mentioning

confidence: 79%

Evaluation of Patients' and Parents' Quality of Life in a Randomized Placebo-Controlled Atomoxetine Study in Attention-Deficit/Hyperactivity Disorder

Escobar

Montoya

Polavieja

et al. 2009

Journal of Child and Adolescent Psychopharmacology

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“…59 In addition, among the 35 male adolescents who did not self-report a disorder (without impairment), 57% of their parents did. 59 Colins et al 46 interviewed 115 parents out of a sample of 150 detained Belgian male adolescents on ADHD, ODD, and CD (DISC-IV). Poor parent-child agreement was found; parents reported significantly more ADHD and ODD (with and without impairment) Number of studies on the total of 15 index studies e Number of studies on a total of the 8 studies that reported prevalence rates with impairment for this psychiatric disorder or category f Number of studies on a total of the 8 studies that reported prevalence rates without impairment for this psychiatric disorder or category than adolescents, while CD was significantly more prevalent according to adolescents self-report (without impairment) ( Table 2).…”

Section: Informantsmentioning

confidence: 99%

Psychiatric Disorders in Detained Male Adolescents: A Systematic Literature Review

Colins

Vermeiren

Vreugdenhil³

et al. 2010

Can J Psychiatry

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187

125

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Objective: To provide a best estimate of the prevalence of psychiatric disorders among detained male adolescents, with particular emphasis on impairment, multi-informant assessment, and race or ethnicity. Method:Computer-assisted searches were executed to identify relevant studies.Results: Fifteen studies using adolescents as informants met inclusion criteria (n = 3401), of which only 2 reported within a subsample on parent-derived diagnoses. The mean prevalence of any disorder was 69.9% (95% CI 69.5% to 70.3%); with conduct disorder occurring most frequently (46.4%, 95% CI 45.6% to 47.3%), followed by substance use disorder (45.1%, 95% CI 44.6% to 45.5%), oppositional defiant disorder (19.8%, 95% CI 19.2% to 20.3%), and attention-deficit hyperactivity disorder (13.5%, 95% CI 13.2% to 13.9%). Although lower, rates for internalizing disorders were still substantial, with any anxiety disorder found in 15.9% (95% CI 15.6% to 16.1%), major depression in 12.0% (95% CI 11.7% to 12.2%), and posttraumatic stress disorder in 9.6% (95% CI 9.2% to 10.0%). Three studies reported on psychotic disorders, finding low rates (1.35%, 95% CI 1.32% to 1.39%). Estimates of prevalence were only marginally different when impairment was not required, while consistency between adolescents and parents was poor. Findings on the relations between race or ethnicity were too scarce and inconsistent to interpret. Conclusion:Detained male adolescents bear substantial mental health needs, emphasizing the need to organize effective mental health services for this troubled group. However, our knowledge on mental disorders in detained youth should be enhanced, in particular regarding the reliability of adolescents, compared with parent report, and whether clinically relevant differences exist by race or ethnicity.Can J Psychiatry. 2010;55(4):255-263. Clinical Implications· Across countries, detained and incarcerated adolescents have substantial mental health needs. · Standardized mental health screening at detention intakes is warranted. · Effective mental health services should be developed. Limitations· The systematic search of the literature was restricted to detained and incarcerated male adolescents only. · The number of studies on psychiatric disorders in detained male adolescents using a standardized psychiatric interview is still small. · Methodological differences hamper comparison and interpretation of the 15 index study results.

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“…Although it has been recognized that self-report measures can be considered a reliable source of information with regard to externalizing behaviors [7], possible bias associated with self-report could not be avoided. Therefore, future research should include interview method containing information from other sources [4]. Because of limited funding for this study, conducting psychiatric interviews was not possible.…”

Section: J Limitationsmentioning

confidence: 99%

Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Suk

Mill

Vermeiren

et al. 2009

Eur Child Adolesc Psychiatry

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Background: The aim of this study was to investigate suicidal ideations and associated psychopathology in two groups of adolescents, a sample of detained youth and a general population sample. In both groups the comparisons of mental health characteristics between suicidal ideators and non-suicidal youth were conducted separately for girls and boys. Methods: The study sample consisted of 290 delinquent adolescents [228 boys and 62 girls] from three Flemish juvenile detention centers and 1,548 adolescents [811 boys and 737 girls] from an age-matched school-based sample. Both groups were administered the Social and Health Assessment [SAHA], a self-report survey investigating levels of psychopathology [internalizing and externalizing] and risk-taking behavior. Results: Suicidal ideations during the past year were reported by 21.5% of detained males, compared to 6.7% in the general population. In females, 58.1% of detained individuals reported suicidal thoughts during the past year, compared to 14.4% of the general population. In girls and boys from the general population, both internalizing and externalizing problems were higher in suicidal ideators than in non-suicidal youth, while in the detention group mainly internalizing problems were higher in suicidal ideators. When comparing detention suicidal ideators with those from the general population, male suicidal ideators scored higher on delinquency, while detained female suicidal ideators also scored higher on posttraumatic stress, but lower on prosocial beliefs. Limitations: Information used in this study was solely based on self-report measures only and limited to Flemish adolescents. Conclusion: Since suicidal ideation is a frequent problem in detained youth, adequate recognition and treatment seems clinically relevant. While both internalizing and externalizing psychopathology may be an indicator of suicidal ideation in the general population, internalizing problems may be the main clinical predictor in detained youth

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Informant Agreement in the Assessment of Disruptive Behavior Disorders in Detained Minors in Belgium

Cited by 51 publications

References 0 publications

Evaluation of Patients' and Parents' Quality of Life in a Randomized Placebo-Controlled Atomoxetine Study in Attention-Deficit/Hyperactivity Disorder

Evaluation of Patients' and Parents' Quality of Life in a Randomized Placebo-Controlled Atomoxetine Study in Attention-Deficit/Hyperactivity Disorder

Psychiatric Disorders in Detained Male Adolescents: A Systematic Literature Review

Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

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