The changing practices of an infant psychiatry program: The McGill experience

Minde, Klaus; Tidmarsh, Lee

doi:10.1002/(sici)1097-0355(199722)18:2<135::aid-imhj3>3.0.co;2-o

Cited by 20 publications

(9 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our sample, 56.3% of all mother-child dyads showed ‘disordered’ mother-child relationships at admission to therapy, according to Table 1 (PIR-GAS < 40) based on full-information ratings. This base rate was comparable to other psychiatric samples (see [8] with 52.4%; [9] with 52%; [18] with 40.5%). Moreover, the observed base rate represented a statistically desirable distribution of the quality of relationships, which allowed for describing the inter-rater reliability of coders.…”

Section: Discussionsupporting

confidence: 85%

“…Olson and colleagues [6] and Shaw and colleagues [7] demonstrated the interplay of individual and relationship factors in the pathogenesis of early childhood mental illness using a child’s difficult temperament and negativity in the mother-child interaction to predict externalizing disorders. In studies conducted by Minde and Tidmarsh [8] and Keren and colleagues [9], 53% to 73% of a clinical sample fulfilled the DC:0–3 criteria for the diagnosis of a relationship disorder. In a Danish general population sample, this rate was 8.5%, and there was a significant association between having a relationship disorder and the occurrence of hyperactivity/attention deficit disorder, reactive attachment disorder, disorder of conduct and emotions, or regulatory disorders [10].…”

Section: Introductionmentioning

confidence: 99%

“…A second source refer to the qualification of raters, e.g. from social workers [8], trained child psychiatrist [9] to pediatrician [23]. This heterogeneity may exist because in empirical studies, researchers conduct the PIR-GAS rating according to the specific circumstances of the study, whereas clinicians may conduct a PIR-GAS rating according to the conditions and requirements of the clinical setting.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Inter-rater reliability and aspects of validity of the parent-infant relationship global assessment scale (PIR-GAS)

Müller

Achtergarde

Frantzmann

et al. 2013

Child and Adolescent Psychiatry and Mental Health

View full text Add to dashboard Cite

BackgroundThe Parent-Infant Relationship Global Assessment Scale (PIR-GAS) signifies a conceptually relevant development in the multi-axial, developmentally sensitive classification system DC:0-3R for preschool children. However, information about the reliability and validity of the PIR-GAS is rare. A review of the available empirical studies suggests that in research, PIR-GAS ratings can be based on a ten-minute videotaped interaction sequence. The qualification of raters may be very heterogeneous across studies.MethodsTo test whether the use of the PIR-GAS still allows for a reliable assessment of the parent-infant relationship, our study compared a PIR-GAS ratings based on a full-information procedure across multiple settings with ratings based on a ten-minute video by two doctoral candidates of medicine. For each mother-child dyad at a family day hospital (N = 48), we obtained two video ratings and one full-information rating at admission to therapy and at discharge. This pre-post design allowed for a replication of our findings across the two measurement points. We focused on the inter-rater reliability between the video coders, as well as between the video and full-information procedure, including mean differences and correlations between the raters. Additionally, we examined aspects of the validity of video and full-information ratings based on their correlation with measures of child and maternal psychopathology.ResultsOur results showed that a ten-minute video and full-information PIR-GAS ratings were not interchangeable. Most results at admission could be replicated by the data obtained at discharge. We concluded that a higher degree of standardization of the assessment procedure should increase the reliability of the PIR-GAS, and a more thorough theoretical foundation of the manual should increase its validity.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Inter-rater reliability and aspects of validity of the parent-infant relationship global assessment scale (PIR-GAS)

Müller

Achtergarde

Frantzmann

et al. 2013

Child and Adolescent Psychiatry and Mental Health

View full text Add to dashboard Cite

show abstract

“…Since the introduction, a number of clinical reports using DC 0‐3 have been published. They demonstrate the advantages of a system that reflects both the individual's behavior and the context of the relationship (Cordeiro, Da Silva & Goldschmidt, 2003; Dunitz, Scheer, Kvas & Macari, 1996; Guédeney et al , 2003; Frankel, Boyum & Harmon, 2004; Minde & Tidmarsch, 1997; Thomas & Guskin, 2001; Weston et al , 2003). The reports indicate that inter‐rater reliability can be ensured on a satisfactory level (Guédeney et al , 2003; Skovgaard, Houmann, Christiansen & Andreasen, 2005).…”

Section: Introductionmentioning

confidence: 97%

Infant Mental Health Assessment: The use of DC 0‐3 in an outpatient child psychiatric clinic in Scandinavia

Mothander

Moe²

2008

Scandinavian J Psychology

View full text Add to dashboard Cite

The study focuses on Infant Mental Health data from an outpatient psychiatric clinic using the "Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood" (DC 0-3) and parental questionnaires, CBCL and ITSC. In total, 138 infants (aged 0-3) went through the diagnostic procedure. Sixty-eight per cent were diagnosed within Axis I, with regulatory disorder, disorder of affect and traumatic stress disorder being the most frequent diagnoses. In addition, 48% were classified as having a relationship disorder according to Axis II, with an additional 40% being considered to be at risk of developing a relationship disorder. The mothers' and fathers' ratings of their children's externalized and sensitivity problems were in agreement with the clinicians, but the ratings of internalized problems as well as relationship problems presented a more complex pattern.

show abstract

“…In addition, several authors have drawn attention to the importance for the child's development not only of the child's relationship with each parent, but also of the relationship within the parental couple itself [3,12]. Minde and Tidmarsh [37] found that 43% of the families consulting for behavioral disorders in toddlers and young children aged 15-48 months presented marital problems. The way in which the parents are able to coordinate their respective investment with the child, i.e., the quality of ''co-parenting'', also seems essential in the child's development [36].…”

Section: Discussionmentioning

confidence: 99%

Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent–infant psychotherapy

Hervé

Paradis

Rattaz

et al. 2009

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

The efficacy of parent-child psychotherapies is widely recognized today. There are, however, less data on predictive factors for outcome in infants and toddlers and their parents. The aim of this study was to highlight predictive factors for outcome after a brief psychotherapy in a population of 49 infants and toddlers aged 3-30 months presenting functional or behavioral disorders. Two assessments were performed, the first before treatment and the second a month after the end of the therapy. These assessments included an evaluation of the child's symptoms, and of depressive or anxiety symptoms in the parents. The assessments after therapy show complete or partial improvement in the child's symptoms for nearly three quarters, and a decrease in the number of anxious and depressive mothers, and also in the number of depressive fathers. Three independent factors appear as predictive of unfavorable outcome for the child: frequency and intensity of behavioral problems and fears, and the absence of the father at more than two-thirds of consultations. The outcome for the mother is associated solely with her anxiety score at the start of the therapy. This study underlines the particular difficulties involved in the treatment of infants and toddlers presenting behavioral disturbances and emotional difficulties, and the value of involving the father in treatment.

show abstract

The changing practices of an infant psychiatry program: The McGill experience

Cited by 20 publications

References 23 publications

Inter-rater reliability and aspects of validity of the parent-infant relationship global assessment scale (PIR-GAS)

Inter-rater reliability and aspects of validity of the parent-infant relationship global assessment scale (PIR-GAS)

Infant Mental Health Assessment: The use of DC 0‐3 in an outpatient child psychiatric clinic in Scandinavia

Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent–infant psychotherapy

Contact Info

Product

Resources

About