Reliability of diagnostic reporting for children aged 6-11 years: a test-retest study of the Diagnostic Interview Schedule for Children- Revised

Schwab‐Stone, Mary; Fallon, Theodore; Briggs, Margaret; Crowther, Beverly

doi:10.1176/ajp.151.7.1048

Cited by 176 publications

(14 citation statements)

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“…Children's as well as parental reports of symptoms may have provided more information and reduced the risk of this bias. However the sample is relatively young and self-reports in those aged 11 and under can also be unreliable (Schwab-Stone et al, 1994). Finally, the study was also limited by the fact that parent psychopathology was assessed using questionnaire measures.…”

Section: Discussionmentioning

confidence: 99%

Irritability in ADHD: Associations with depression liability

Eyre

Langley

Stringaris

et al. 2017

Journal of Affective Disorders

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BackgroundIrritability and the new DSM-5 diagnostic category of Disruptive Mood Dysregulation Disorder (DMDD) have been conceptualised as related to mood disorder. Irritability is common in Attention Deficit Hyperactivity Disorder (ADHD) but little is known about its association with depression risk in this group. This study aims to establish levels of irritability and prevalence of DMDD in a clinical sample of children with ADHD, and examine their association with anxiety, depression and family history of depression.MethodsThe sample consisted of 696 children (mean age 10.9 years) with a diagnosis of ADHD, recruited from UK child psychiatry and paediatric clinics. Parents completed the Child and Adolescent Psychiatric Assessment, a semi-structured diagnostic interview, about their child. This was used to establish prevalence of DMDD, anxiety disorder and depressive disorder, as well as obtain symptom scores for irritability, anxiety and depression. Questionnaires assessed current parental depression, and family history of depression.ResultIrritability was common, with 91% endorsing at least one irritable symptom. 3-month DMDD prevalence was 31%. Children with higher levels of irritability or DMDD were more likely to have comorbid symptoms of anxiety, depression and a family history of depression.LimitationsResults are based on a clinical sample, so may not be generalizable to children with ADHD in the general population.ConclusionsIrritability and DMDD were common, and were associated with markers of depression liability. Longitudinal studies are needed to examine the association between irritability and depression in youth with ADHD as they get older.

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Section: Discussionmentioning

confidence: 99%

Irritability in ADHD: Associations with depression liability

Eyre

Langley

Stringaris

et al. 2017

Journal of Affective Disorders

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“…Young children may lack the language abilities to report on and/or the cognitive capacity to reflect upon one’s own behaviors or feelings. Children as old as 11 years tend to report fewer psychiatric symptoms and are unreliable in reporting about time factors, such as duration or frequency of symptoms; 37 thus, collateral information is emphasized. 38 Assessing preschool age children is typically accomplished through parent-report and observation.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of anxiety, depression, and behavioral changes in the first year after a diagnosis of childhood acute lymphoblastic leukemia

Myers

Balsamo

et al. 2014

Cancer

124

128

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Background We prospectively assessed anxiety, depression, and behavior in children with standard risk acute lymphoblastic leukemia (SR-ALL) during the first year of therapy and identified associated risk factors. Methods Cohort study of 159 children (age 2–9.99 years) with SR-ALL enrolled on Children’s Oncology Group protocol AALL0331 at 31 sites. Parents completed the Behavior Assessment System for Children, the Family Assessment Device-GF, and the Coping Health Inventory for Parents at ~1, 6 and 12 months after diagnosis. Results Overall, mean scores for anxiety, depression, aggression and hyperactivity were similar to population norms. However, more children scored in the at risk/clinical range for depression than the expected 15% at one month (21.7%, p=0.022), six months (28.6%, p<0.001), and twelve months (21.1%, p=0.032). For anxiety, more scored in the at risk/clinical range at one month (25.2% vs. 15%, p=0.001), but then reverted to expected levels. In adjusted analysis, unhealthy family functioning predicted anxiety (OR=2.24, p=0.033) and depression (OR=2.40, p=0.008). Hispanic ethnicity was associated with anxiety (OR=3.35, p=0.009). Worse physical functioning (p=0.049), unmarried parents (p=0.017), and less reliance on social support (p=0.004) were associated with depression. Emotional distress at one month predicted anxiety (OR=7.11, p=0.002) and depression (OR=3.31, p=0.023) at twelve months. Conclusion Anxiety is a significant problem in a subpopulation of SR-ALL patients immediately after diagnosis, while depression remains a significant problem for at least one year. Children of Hispanic ethnicity or with unhealthy family functioning may be particularly vulnerable. These data suggest that clinicians should screen for anxiety and depression throughout the first year of therapy.

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“…Procedures for Spanish translation and back translation are documented in the work of Bravo and colleagues (1991; 2001). Children under the age of 11 years were not interviewed with the DISC because there is evidence that their reports would not be reliable (Scwhab-Stone, Fallon, Briggs, & Crowther, 1994). The internalizing disorders assessed for this study were: Social Phobia, Separation Anxiety, Panic Disorder, Generalized Anxiety Disorder, PTSD, Major Depressive Disorder, and Dysthymia.…”

Section: Methodsmentioning

confidence: 99%

Family Influences on the Long Term Post-Disaster Recovery of Puerto Rican Youth

Felix

You

Vernberg

et al. 2012

J Abnorm Child Psychol

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This study focused on characteristics of the family environment that may mediate the relationship between disaster exposure and the presence of symptoms that met DSM-IV diagnostic criteria for symptom count and duration for an internalizing disorder in children and youth. We also explored how parental history of mental health problems may moderate this meditational model. Approximately 18 months after Hurricane Georges hit Puerto Rico in 1998, participants were randomly selected based on a probability household sample using 1990 US Census block groups. Caregivers and children (N=1,886 dyads) were interviewed with the Diagnostic Interview Schedule for Children and other questionnaires in Spanish. Areas of the family environment assessed include parent-child relationship quality, parent-child involvement, parental monitoring, discipline, parents’ relationship quality and parental mental health. SEM models were estimated for parents and children, and by age group. For children (4–10 years old), parenting variables were related to internalizing psychopathology, but did not mediate the exposure-psychopathology relationship. Exposure had a direct relationship to internalizing psychopathology. For youth (11–17 years old), some parenting variables attenuated the relation between exposure and internalizing psychopathology. Family environment factors may play a mediational role in psychopathology post-disaster among youth, compared to an additive role for children. Hurricane exposure had a significant relation to family environment for families without parental history of mental health problems, but no influence for families with a parental history of mental health problems.

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Reliability of diagnostic reporting for children aged 6-11 years: a test-retest study of the Diagnostic Interview Schedule for Children- Revised

Abstract: The results suggest that highly structured diagnostic interviews such as the DISC-R may not be appropriate for use with younger children of elementary school age in community-based studies.

Cited by 176 publications

References 0 publications

Irritability in ADHD: Associations with depression liability

Irritability in ADHD: Associations with depression liability

A prospective study of anxiety, depression, and behavioral changes in the first year after a diagnosis of childhood acute lymphoblastic leukemia

Family Influences on the Long Term Post-Disaster Recovery of Puerto Rican Youth

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