Journal of Abnormal Child Psychology

, Volume 27, Issue 6, pp 417–428

Informant-Based Determinants of Symptom Attenuation in Structured Child Psychiatric Interviews

Authors

  • John Piacentini
    • Division of Child and Adolescent PsychiatryUCLA School of Medicine
  • Margaret Roper
    • Division of Epidemiology and Services ResearchNational Institute of Mental Health
  • Peter Jensen
    • Division of Clinical and Treatment ResearchNational Institute of Mental Health
  • Chris Lucas
    • Division of Child and Adolescent PsychiatryColumbia University/New York State Psychiatric Institute
  • Prudence Fisher
    • Division of Child and Adolescent PsychiatryColumbia University/New York State Psychiatric Institute
  • Hector Bird
    • Division of Child and Adolescent PsychiatryColumbia University/New York State Psychiatric Institute
  • Karen Bourdon
    • Division of Epidemiology and Services ResearchNational Institute of Mental Health
  • Mary Schwab-Stone
    • Yale Child Study CenterYale University School of Medicine
  • Maritza Rubio-Stipec
    • Yale Child Study CenterYale University School of Medicine
  • Mark Davies
    • Division of Child and Adolescent PsychiatryColumbia University/New York State Psychiatric Institute
  • Mina Dulcan
    • Department of PsychiatryChildren's Memorial Hospital
Article

DOI: 10.1023/A:1021923808118

Cite this article as:
Piacentini, J., Roper, M., Jensen, P. et al. J Abnorm Child Psychol (1999) 27: 417. doi:10.1023/A:1021923808118

Abstract

Informant-related determinants of item attenuation, that is, the drop-off in symptom endorsement rates at retest, were examined in an enriched community subsample of 245 parent–child pairs drawn from the National Institute of Mental Health Methods for Epidemiology of Child and Adolescent Mental Disorders Study. Youngsters and their parents were interviewed with the Diagnostic Interview Schedule for Children (Version 2.3; DISC-2.3) on two occasions with a mean test–retest interval of 12 days. Item attenuation rates were high for both informants, with adults failing to confirm 42% and children 58% of baseline responses at retest. Stepwise regressions revealed that item attenuation at DISC-P retest was higher for adult informants who were younger, and who reported on older and less impaired children. On the DISC-C, attenuation was higher for children who were less impaired, rated as doing worse in school, and who had a longer test–retest interval. These results are broadly consistent with past studies examining the determinants of attenuation and test–retest reliability and have implications for the design and use of structured diagnostic instruments.

Structured interviewsdiagnosisDISCchildattenuationreliabilityinformant

Copyright information

© Plenum Publishing Corporation 1999