Assessment of Childhood Depression: Correspondence of Child and Parent Ratings

Kazdin, Alan E.; French, Nancy H.; Unis, Alan S.; Esveldt‐Dawson, Karen

doi:10.1016/s0002-7138(09)62329-3

Cited by 257 publications

(133 citation statements)

References 17 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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“…Less clear, however, is the CDI's ability to distinguish between children with depressive disorders and children who display other kinds of clinical problems [for a review, see Silverman and Rabian, 1999]. Some studies have found that children with depressive disorders score significantly higher on the CDI than nondepressed clinical samples [e.g., Haley et al, 1985;Hodges, 1990;McCauley et al, 1988; whereas other studies have reported no differences between the CDI scores of depressed and nondepressed clinical samples [e.g., Kazdin, 1987;Kazdin et al, 1983;Saylor et al, 1984].…”

mentioning

confidence: 99%

High-end specificity of the children's depression inventory in a sample of anxiety-disordered youth

Comer

Kendall

2005

Depress. Anxiety

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Using a receiver operating characteristic (ROC) analysis, the present study investigated the ability of the Children's Depression Inventory (CDI) to correctly detect depression in a sample of treatment-seeking anxious youth (N=44). The ADIS-C/P was used to determine diagnostic status of participants. Anxious children who met diagnostic criteria for a depressive disorder scored higher on the CDI than anxious children who did not meet criteria for a depressive disorder, supporting the CDI as a continuous measure of depressive symptomatology. In contrast, with regard to detecting a depressive disorder, CDI cut scores did not achieve favorable values across diagnostic utility indices (including the cut score of 13 that has been recommended). These findings support the CDI as a continuous measure of depressive symptoms, but do not support the CDI as a sole assessment for a diagnosis of depression within a sample of anxiety-disordered youth.

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“…It would be interesting to determine whether a parental measure that specifically assesses depression instead of a broad band questionnaire would improve the predictive ability. Research on the English version of the parent version of the CDI (CDI-P) resulted in a high degree of internal consistency, good test-retest reliability, and a moderately high degree of convergent validity (Cole, Truglio, & Peeke, 1997;Kazdin, French, Unis, & Esveldt-Dawson, 1983;Wierzbicki, 1987). In future research it might be interesting to further investigate the role of parent reports.…”

Section: Discussionmentioning

confidence: 99%

Adequate Screening of Youngsters for Depressive Characteristics

Theuwis¹,

Braet²,

Roelofs

et al. 2013

PSYCHOL BELG

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Introduction. In order to set up an effective early-detection of depressive symptoms in youngsters, the current study aims to investigate whether two measure moments of the Children's Depression Inventory (CDI) improve screening and whether a multi-informant procedure is superior compared to a single-informant procedure thereby controlling for comorbid symptoms. Method. Youngsters (10-15 years) filled in the CDI and an Anxiety Scale at Time 1 and the CDI and Youth Self Report one week later. Next, a structured clinical interview was administered. The Child Behaviour CheckList was filled in by the parents. Results. Two measure moments of the CDI are not more accurate in capturing disordered mood changes. Furthermore, parent reports were no significant contributor to the variance over and above the CDI. Discussion. A second moment does not increase screening accuracy. Further research on setting up an effective multistage screening procedure for depressive symptoms for youngsters is however necessary.

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Assessment of Childhood Depression: Correspondence of Child and Parent Ratings

Cited by 257 publications

References 17 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

High-end specificity of the children's depression inventory in a sample of anxiety-disordered youth

Adequate Screening of Youngsters for Depressive Characteristics

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