When parents and children disagree: Informant discrepancies in reports of depressive symptoms in clinical interviews

Baumgartner, Noemi; Häberling, Isabelle; Emery, Sophie; Strumberger, Michael; Nalani, Kristin; Erb, Suzanne; Bachmann, Silke; Wöckel, Lars; Müller-Knapp, Ulrich; Rhiner, Bruno; Contin-Waldvogel, Brigitte; Schmeck, Klaus; Walitza, Susanne; Berger, Gregor

doi:10.1016/j.jad.2020.04.008

Cited by 16 publications

(11 citation statements)

References 46 publications

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“…In general, the problem of informant (parent/child) discrepancy -differences among multiple informants' reports [De Los Reyes et al, 2011] -is well reported in depression research [Baumgartner et al, 2020, Abate et al, 2018, Angold et al, 1987, Kashani et al, 1985, De Los Reyes and Kazdin, 2005, see [De Los Reyes et al, 2015] for a review. Importantly, it is implicated in treatment outcome [Goolsby et al, 2018].…”

Section: Discussionmentioning

confidence: 99%

“…CBCL-Aff is a parent-report measure. Previous literature finds discrepancies between parent-report and child-report measures of depression [Baumgartner et al, 2020, Abate et al, 2018, Angold et al, 1987, Kashani et al, 1985 and warns against using parent-report measures as a proxy for children's affective state [Abate et al, 2018]. Moreover, many items used in CBCL-Aff code phenomena that parents may not see or know.…”

Section: Introductionmentioning

confidence: 99%

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Validation of CBCL depression scores of adolescents in three independent datasets

Zelenina¹,

Pine²,

Stringaris³

et al. 2023

Preprint

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The Adolescent Brain Cognitive Development dataset (ABCD) is a popular source of data for research on children and adolescents, aged 9-11 at baseline. Depression is frequently first diagnosed in adolescents, is prevalent and carries heavy burden, thus ABCD provides an attractive opportunity to research depression in adolescents. The only continuous measure of depression provided in ABCD is the parent-report Child Behavior Checklist’s DSM-5-Oriented Affective Problems scale (CBCL-Aff). It is important for depression research in the ABCD dataset that the CBCL-Aff is a valid measure of depression in this age group. We, therefore, tested the sensitivity and specificity of the CBCL-Aff for depression in the ABCD data. CBCL-Aff agreed with parent-report of children’s symptoms but disagreed with child self-report. To resolve this disagreement, we further confirmed our results in two independent datasets, aged 9-12: the Healthy Brain Network (HBN) and the Brazilian High Risk Cohort Study (BHRC). Both datasets provided clinician-report depression diagnoses, which we used as a gold standard. CBCL-Aff successfully predicted clinician-report diagnoses, supporting its validity as a continuous measure of depression. As parents and children disagreed on the child’s symptoms, we discuss implications of using a parent-report only measure of child depression.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of CBCL depression scores of adolescents in three independent datasets

Zelenina¹,

Pine²,

Stringaris³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Both patient and parent/caregiver report are obtained in less than 1 of 3 of centers, which may be due to the type of measure used, the age of the patient being screened, or convenience factors (eg, clinic flow, space, staff support). This represents one important area for improvement in screening practices, as there is strong evidence for discrepant patient- and parent-reports of child functioning across various domains of biopsychosocial functioning (15).…”

Section: Discussionmentioning

confidence: 99%

Practice Survey: Depression Screening in Pediatric Inflammatory Bowel Disease

Maddux

Drovetta

Mackner

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Background:Little is known about depression screening practices in pediatric inflammatory bowel disease (IBD) care. This study summarizes depression screening within IBD centers in the ImproveCareNow Collaborative Network. Methods: Pediatric IBD providers across 79 IBD centers completed an online survey on current practices surrounding depression screening. Results: Half of centers report doing annual depression screening, largely for patients 12-14 years. The Patient Health Questionnaire (PHQ-9) is most often used. For positive depression screens, most centers refer for evidence-based psychotherapy and/or a psychosocial provider meets with the patient during that visit. Suicidal ideation is addressed by calling a psychosocial provider to clinic or sending a patient to the emergency department. Barriers to routine screening include lack of personnel/resources, billing, and lack of clinic time. Conclusions: Pediatric IBD centers conducting depression screening provide targeted intervention based on screening and include psychosocial providers in the process. Greater understanding of screening efforts can inform future clinical efforts.

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“…In other areas, research is notably lacking. There exists a disconnect between best practice guidance for the use of multi-informant assessment (Achenbach et al, 1987 ) with rater discrepancies that have been identified as potentially problematic to effective decision-making (Youngstrom et al, 2000 ), including and across internalizing concerns (Baumgartner et al, 2020 ). As such, research is needed to inform both the theoretical conceptualization of multi-informant decision-making and practical guidance for educators and clinicians alike to improve the identification and treatment of internalizing concerns.…”

Section: Multi-informant Universal Screeningmentioning

confidence: 99%

Multi-informant Assessment of Internalizing Concerns: Rater Concordance and Implications for Decision-Making

Embse

Kim

Ross

et al. 2023

J Psychopathol Behav Assess

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Rising rates of mental health challenges among youths have become a significant concern following the COVID 19 pandemic. Although strong evidence supports the implementation of universal screening as a preventative approach to address unmet mental health concerns, the research is less clear surrounding the use of such data in decision-making processes when significant discrepancies between informants (e.g., students and teachers) exist. The purpose of the study was twofold. First, the study aimed to determine the degree of rater concordance between teachers and students on students’ internalizing concerns. The second objective was to determine whether concordance on internalizing behaviors differs across ages/grades and if this differentially impacts distal (i.e., academic) outcomes. Results indicated that teachers and students demonstrated limited agreement on ratings of internalizing behaviors. However, when students and teachers agreed, higher and more positive emotional behaviors were linked to higher reading/math performance. Furthermore, patterns of informant dis/agreement and relationships between internalizing concerns and academic outcomes were similar across grade levels. Implications and areas for future research are discussed.

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When parents and children disagree: Informant discrepancies in reports of depressive symptoms in clinical interviews

Cited by 16 publications

References 46 publications

Validation of CBCL depression scores of adolescents in three independent datasets

Validation of CBCL depression scores of adolescents in three independent datasets

Practice Survey: Depression Screening in Pediatric Inflammatory Bowel Disease

Multi-informant Assessment of Internalizing Concerns: Rater Concordance and Implications for Decision-Making

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