Assessment of Adolescent Mental Health and Behavioral Problems in Institutional Care: Discrepancies Between Staff-Reported CBCL Scores and Adolescent-Reported YSR Scores

Gearing, Robin E.; Schwalbe, Craig S.; MacKenzie, Michael J.; Brewer, Kathryne B.; Ibrahim, Rawan W.

doi:10.1007/s10488-014-0568-y

Cited by 23 publications

(34 citation statements)

References 29 publications

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“…Parental stress and other factors may explain the substantial differences seen in the impact of epilepsy on children based on child self-report versus parent proxy report for quality of life 34,35 and felt stigma. 36 Related to the above, the child psychiatry literature, in general, reveals considerable differences between child self-report and parent-proxy reports of behavior, [37][38][39][40][41][42][43] Critical to interpreting parental reports in children with and without a disorder such as epilepsy are the systematic biases in parental report that have been documented. In general (nonclinical) samples, parents are not especially sensitive to internalizing (mood) symptoms and disorders reported by children themselves, 41 thus reports for "control" children would be expected to underestimate levels of mood (internalizing) problems.…”

Section: Proxy Vs Self-reportmentioning

confidence: 99%

Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal

2017

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Psychiatric and behavioral disorders are important aspects of epilepsy and have received increasing attention in the last several years. The literature upon which most of the field relies contains some biases that must be carefully examined and resolved in future studies: (1) In the pediatric epilepsy literature, many reports find children with epilepsy have high levels of behavioral and psychiatric disorders when compared to appropriate controls. Most of these studies rely on parent-proxy completed instruments to assess these behavioral endpoints. Parents’ reports are not objective but reflect parents’ reactions and emotions. Increasing evidence suggests inherent biases in proxy reports and highlights the need to assess children directly. (2) Peri-ictal phenomena may be mischaracterized as underlying mood disorders. (3) Many studies report elevated levels of psychiatric morbidity before and after the diagnosis of epilepsy suggesting an inherent relation between the two types of disorders. Psychogenic nonepileptic seizures, while widely recognized as posing a diagnostic dilemma in the clinic, may account for some of these research findings. Diagnostic errors between epilepsy and PNES need careful consideration when evaluating studies demonstrating associations between psychiatric disorders and epilepsy or poorer seizure control in association with psychiatric disorders in people who have epilepsy. Mental health concerns are important for everyone. An accurate, undistorted understanding of the relation between mental health disorders and epilepsy is essential to insure appropriate therapy and avoid unnecessary and potentially harmful treatments and avoid common misconceptions.

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Section: Proxy Vs Self-reportmentioning

confidence: 99%

Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal

2017

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“…In fact, RC has been considered a risk factor for potentially having a negative impact on childrens' psychological development, behavior, and mental health (Rutter, 2000). Several studies have shown the higher prevalence of mental health problems in adolescents in RC, when compared to those living in a family context (Erol, Simsek, & Munir, 2010;Gearing, Schwalbe, MacKenzie, Brewer, & Ibrahim, 2014;Janssens & Deboutte, 2009;Kjelsberg & Nygren, 2004;Marinlovic & Backovic, 2007;Schmid, Goldbeck, Nuetzel, & Fegert, 2008). Mental health problems' prevalence data reported in different studies range from 43 to 86% (Bronsard et al, 2011;Janssens & Deboutte, 2009;Jozefiak et al, 2016;Oliván, 2002;Sempik, Ward, & Darker, 2008;Simms, Dubowitz, & Szilagyi, 2000).…”

mentioning

confidence: 99%

Emotional and Behavioral Problems and Psychosocial Skills in Adolescents in Residential Care

Campos

Barbosa‐Ducharne

Dias

et al. 2019

Child Adolesc Soc Work J

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Research suggests that mental health problems in adolescents in residential care (RC) are more prevalent than for youth in the community, and that psychosocial competencies are protective factors of mental health. This study compared adolescents in RC in Portugal, with a Portuguese community sample on the incidence of mental health problems and psychosocial skills, explored gender differences and the relationships between mental health problems and psychosocial competencies. Four hundred and forty-three adolescents in RC participated. Results showed that the RC adolescents had higher levels of mental health problems lower academic achievement, a poorer social support network, but were more involved in sports and hobbies, household chores than the adolescents in the normative sample. Gender differences were observed. Psychosocial skills were negatively correlated with mental health problems. These findings indicate an urgent need in Portugal for early screening of mental health problems and socio-cognitive interventions for youth in RC.

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“…Por otra parte, aunque el CBCL ha mostrado ser un instrumento útil para la evaluación del comportamiento externalizado de niños en acogimiento residencial, esta debe complementarse con otras formas de valoración más específicas de tal forma que permitan un conocimiento más amplio y certero del comportamiento; en este sentido, se concuerda con Gearing et al, (2015).…”

Section: Discussionunclassified

“…Los problemas de comportamiento externalizado en niños que se encuentran en acogimiento residencial han sido asociados a diversos factores, entre ellos: la edad de ingreso a la institución, las características tanto de las instituciones como de los cuidadores, la duración del acogimiento, la comunicación e interacción con los progenitores y las experiencias traumáticas como el maltrato, el abuso y el desamparo (Delgado, 2013;Fernández-Daza, 2013;Fernández-Fernández, 2014;Gearing, Schwalbe, MacKenzie, Brewer, & Ibrahim, 2015;Moreno, Hernández, & Suárez, 2016).…”

Section: Introductionunclassified

“…Estudios recientes plantean que para los niños que residen en entornos institucionales, el personal actúa como cuidador principal y a menudo proporciona evaluaciones de la psicopatología infantil. Pero, existe poca investigación sobre cómo y cuándo los cuidadores están más preparados para informar sobre la salud mental de los jóvenes, lo que sugiere la necesidad de investigación adicional en esta área crítica (Gearing et al, 2015).…”

Section: Introductionunclassified

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Reporte de padres, profesores y cuidadores sobre problemas de comportamiento externalizado de niños y adolescentes en acogimiento residencial versus niños que viven con sus familias

Fernández-Daza

2020

Estud. psicol. (Campinas)

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Resumen Los comportamientos externalizados en niños y adolescentes en acogimiento residencial se presentan con regularidad, convirtiéndose en predictores de conductas delictivas, dinámicas relacionales disfuncionales, consumo de sustancias, entre otros. El objetivo general del presente estudio fue identificar y comparar problemas de comportamiento externalizado de niños y adolescentes en acogimiento residencial y con sus familias, reportados por padres, profesores y cuidadores. La muestra estuvo conformada por 222 adolescentes y preadolescentes entre los 11 y 16 años del Distrito Federal de Caracas y del Estado Miranda-Venezuela. El instrumento utilizado fue el Cuestionario sobre el Comportamiento de Niños y Niñas de 6-18 años. No se encontraron diferencias estadísticamente significativas entre los grupos. Sin embargo, la puntuación en ruptura de normas es más alta en el grupo que vive en acogimiento residencial, contrario a la del grupo control cuya puntuación más alta fue en conducta agresiva. Los hallazgos permiten entrever que, aunque en los reportes de padres, profesores y cuidadores no se encontraron diferencias entre los grupos en relación con el comportamiento externalizado, los puntajes altos pueden concebirse como conductas en riesgo ante las cuales hay que actuar con cautela y hacer seguimiento.

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Assessment of Adolescent Mental Health and Behavioral Problems in Institutional Care: Discrepancies Between Staff-Reported CBCL Scores and Adolescent-Reported YSR Scores

Cited by 23 publications

References 29 publications

Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal

Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal

Emotional and Behavioral Problems and Psychosocial Skills in Adolescents in Residential Care

Reporte de padres, profesores y cuidadores sobre problemas de comportamiento externalizado de niños y adolescentes en acogimiento residencial versus niños que viven con sus familias

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