Parent–youth agreement on symptoms and diagnosis: Assessment with a diagnostic interview in an adolescent inpatient clinical population

Lauth, Bertrand; Arnkelsson, Guðmundur B.; Magnússon, Páll; Skarphéðinsson, Guðmundur; Ferrari, Pierre; Pétursson, Hannes

doi:10.1016/j.jphysparis.2010.09.004

Cited by 26 publications

(22 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study of children ages 8-17, within one month of child injury, parent–child symptom agreement for acute stress disorder was examined (Kassam-Adams et al, 2006) and parent–child ratings of symptom severity were moderately positive ( r = .35), and lower than those in the current sample ( r = .53). Greater parent–child agreement was found in two high-risk samples (Lauth et al, 2010; Phipps, Long, Hudson, & Rai, 2005), with levels similar to those observed in the present study.…”

Section: Discussionsupporting

confidence: 90%

The Role of Anxiety Control and Treatment Implications of Informant Agreement on Child PTSD Symptoms

Humphreys

Weems

Scheeringa

2015

Journal of Clinical Child & Adolescent Psychology

View full text Add to dashboard Cite

Objective To examine parent and child agreement of child posttraumatic stress disorder (PTSD) symptoms pre- and posttreatment, as well as potential moderators of agreement including treatment responder status, child anxiety control, and parent self-reported PTSD symptoms. Method We examined child self-reported and parent-reported child PTSD symptoms from the Diagnostic Interview Schedule for Children. Of the 141 parent–child pairs, the mean age of children was 12.72 (SD = 3.40), 53 percent were female, and 54 percent were Black. A subsample of participants (n = 47) was assessed after completion of a cognitive behavioral therapy treatment for PTSD. Results Moderate levels of agreement were found at baseline, though Criterion D (increased arousal) symptoms had lower levels of agreement than the other symptom clusters. Symptom agreement was lower at posttreatment. Treatment responders had higher levels of baseline informant agreement than treatment non-responders. Child perceived anxiety control significantly moderated informant agreement, such that pairs with children who had high levels of perceived control of their anxiety had lower PTSD symptom agreement where children reported lower symptoms relative to their parents. Contrary to expectations, parent self-reported PTSD did not moderate parent–child symptom agreement. Conclusion Factors associated with higher parent–child agreement of child PTSD symptoms were being a PTSD treatment responder and children with lower perceived anxiety control. These findings have potential implications for determining those who may benefit from greater symptom monitoring over the course of intervention and potential alternative intervention approaches.

show abstract

Section: Discussionsupporting

confidence: 90%

The Role of Anxiety Control and Treatment Implications of Informant Agreement on Child PTSD Symptoms

Humphreys

Weems

Scheeringa

2015

Journal of Clinical Child & Adolescent Psychology

View full text Add to dashboard Cite

show abstract

“…Other modes of assessing concordance could have been undertaken. Interestingly, Lauth et al (2010) reported that item level analysis of both diagnostic and self reported measures may produce higher reliability and possibly greater accuracy in assessing clinical change at a finer gradient. Our interest was in classification and psychiatric diagnosis so we have not undertaken such an analysis.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, multi-informant approaches, while generally preferred clinically in child and adolescent mental health, often show discrepancies in the classification of disorders between different informants be they parents, children or teachers (De Los Reyes and Kazdin, 2005; Sznajder et al, 2013). For example, a study by Lauth et al (2010) using a sample obtained from an adolescent inpatient setting reported poor parent–adolescent agreement for most symptoms, but particularly for depressive symptomatology and reports of suicidal ideation. The inconsistency was attributed to both over and under reporting by parents (Lauth et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…For example, a study by Lauth et al (2010) using a sample obtained from an adolescent inpatient setting reported poor parent–adolescent agreement for most symptoms, but particularly for depressive symptomatology and reports of suicidal ideation. The inconsistency was attributed to both over and under reporting by parents (Lauth et al, 2010). Similarly, in another study, Dolle et al (2012) reported low agreement between child and parent diagnostic interviews.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Depression and suicidal behavior in adolescents: a multi-informant and multi-methods approach to diagnostic classification

et al. 2014

View full text Add to dashboard Cite

Background: Informant discrepancies have been reported between parent and adolescent measures of depressive disorders and suicidality. We aimed to examine the concordance between adolescent and parent ratings of depressive disorder using both clinical interview and questionnaire measures and assess multi-informant and multi-method approaches to classification.Method: Within the context of assessment of eligibility for a randomized clinical trial, 50 parent–adolescent pairs (mean age of adolescents = 15.0 years) were interviewed separately with a structured diagnostic interview for depression, the KID-SCID. Adolescent self-report and parent-report versions of the Strengths and Difficulties Questionnaire, the Short Mood and Feelings Questionnaire and the Depressive Experiences Questionnaire were also administered. We examined the diagnostic concordance rates of the parent vs. adolescent structured interview methods and the prediction of adolescent diagnosis via questionnaire methods.Results: Parent proxy reporting of adolescent depression and suicidal thoughts and behavior is not strongly concordant with adolescent report. Adolescent self-reported symptoms on depression scales provide a more accurate report of diagnosable adolescent depression than parent proxy reports of adolescent depressive symptoms. Adolescent self-report measures can be combined to improve the accuracy of classification. Parents tend to over report their adolescent’s depressive symptoms while under reporting their suicidal thoughts and behavior.Conclusion: Parent proxy report is clearly less reliable than the adolescent’s own report of their symptoms and subjective experiences, and could be considered inaccurate for research purposes. While parent report would still be sought clinically where an adolescent refuses to provide information, our findings suggest that parent reporting of adolescent suicidality should be interpreted with caution.

show abstract

“…À titre d'illustration, la dépression et les idéations suicidaires chez le jeune prennent des formes cliniques très variées [11] et peuvent être peu ou mal perçues par les parents ainsi que par les professionnels [11,27,28]. Dans ce contexte, l'utilisation d'interviews semi-structurés ou de questionnaires comme l'Adolescent Depression Rating Scale (ADRS) ont démontré une réelle efficacité, permettant d'affiner le diagnostic [11,21,23,[26][27][28][29]. Cependant, l'entretien basé sur l'association libre garde toute sa pertinence sur le plan clinique [22], permettant une réelle efficacité diagnostique, d'autant plus s'il est réalisé en pluridisciplinarité, où la co-intervention ouvre sur les niveaux de communication analogique et digitale.…”

Section: Discussionunclassified

Les urgences pédopsychiatriques aux cliniques universitaires Saint-Luc à Bruxelles : état des lieux et pertinence de la création de lits de crise

Koener

Deschietere

Becker

2015

Neuropsychiatrie de l'Enfance et de l'Adolescence

View full text Add to dashboard Cite

Parent–youth agreement on symptoms and diagnosis: Assessment with a diagnostic interview in an adolescent inpatient clinical population

Cited by 26 publications

References 49 publications

The Role of Anxiety Control and Treatment Implications of Informant Agreement on Child PTSD Symptoms

The Role of Anxiety Control and Treatment Implications of Informant Agreement on Child PTSD Symptoms

Depression and suicidal behavior in adolescents: a multi-informant and multi-methods approach to diagnostic classification

Les urgences pédopsychiatriques aux cliniques universitaires Saint-Luc à Bruxelles : état des lieux et pertinence de la création de lits de crise

Contact Info

Product

Resources

About