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Agreement and discrepancy between mother and child in the evaluation of children’s anxiety symptoms and anxiety life interference

European Child & Adolescent Psychiatry volume 24, pages 327–337 (2015)Cite this article

Abstract

This study explored the agreement and discrepancy between mother and child reports of children’s anxiety symptoms and anxiety life interference. A large community sample of 1,065 Portuguese children aged between 7 and 14 years and their mothers completed a DSM-based anxiety symptoms scale. For a subsample of 135 children with an anxiety disorder, additional data on children’s anxiety life interference and maternal anxiety and depression symptoms were collected. The results showed that children generally reported higher levels of anxiety symptoms than their mothers. Overall, most correlations between mother and child reports of anxiety symptoms were significant but in the low to moderate range, with the strongest associations for symptoms of specific phobias and school phobia. In the subsample of children with an anxiety disorder, mothers reported higher levels of anxiety life interference than children, and the correlation between mother and child reports of anxiety life interference was significant but again modest in magnitude. Lastly, maternal anxiety was positively associated with the discrepancy between mother and child reports of anxiety symptoms. Together, the results of this study further underline the importance of a multi-informant approach in the evaluation of children’s anxiety problems.

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References

  1. Albano A, Chorpita B, Barlow D (2003) Childhood anxiety disorders. In: Mash EJ, Barkley RA (eds) Child psychopathology, 2nd edn. The Guilford Press, New York, pp 279–329

    Google Scholar 

  2. Bodden DHM, Dirksen CD, Bögels SM (2008) Societal burden of clinically anxious youth referred for treatment: a cost-of-illness study. J Abnorm Child Psychol 36:487–497. doi:10.1007/s10802-007-9194-4

    Article  PubMed Central  PubMed  Google Scholar 

  3. Cole DA, Peeke LG, Martin JM, Truglio R, Seroczynski AD (1998) A longitudinal look at the relation between depression and anxiety in children and adolescents. J Consult Clin Psychol 66:451–460. doi:10.1037/0022-006X.66.3.451

    Article  CAS  PubMed  Google Scholar 

  4. Woodward LJ, Ferguson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40:1086–1093. doi:10.1097/00004583-200109000-00018

    Article  CAS  PubMed  Google Scholar 

  5. Frick PJ, Silverthorn P, Evans CS (1994) Assessment of childhood anxiety using structured interviews: patterns of agreement among informants and association with maternal anxiety. Psychol Assess 6:372–379. doi:10.1037/1040-3590.6.4.372

    Article  Google Scholar 

  6. Comer JS, Kendall PC (2004) A symptom-level examination of parent–child agreement in the diagnosis of anxious youths. J Am Acad Child Adolesc Psychiatry 43:878–886. doi:10.1097/01.chi.0000125092.35109.c5

    Article  PubMed  Google Scholar 

  7. Achenbach TM, Edelbrock C (1984) Psychopathology of childhood. Annu Rev Psychol 35:227–256. doi:10.1146/annurev.psych.35.1.227

    Article  CAS  PubMed  Google Scholar 

  8. De Los Reyes A, Kazdin AE (2005) Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychol Bull 131:483–509. doi:10.1037/0033-2909.131.4.483

    Article  Google Scholar 

  9. Cosi S, Canals J, Hernandez-Martinez C, Vigil-Colet A (2010) Parent–child agreement in SCARED and its relationship to anxiety symptoms. J Anxiety Disord 24:129–133. doi:10.1016/j.janxdis.2009.09.008

    Article  PubMed  Google Scholar 

  10. Grills AE, Ollendick TH (2003) Multiple informant agreement and the Anxiety Disorders Interview Schedule for parents and children. J Am Acad Child Adolesc Psychiatry 42:30–40. doi:10.1097/00004583-200301000-00008

    Article  PubMed  Google Scholar 

  11. Muris P, Merckelbach H, Van Brakel A, Mayer B (1999) The revised version of the Screen for Child Anxiety Related Emotional Disorders (SCARED-R): further evidence for its reliability and validity. Anxiety Stress Coping 12:411–425. doi:10.1080/10615809908249319

    Article  CAS  PubMed  Google Scholar 

  12. Muris P, Meesters C, Schouten E (2002) A brief questionnaire of DSM-IV defined anxiety and depression symptoms among children. Clin Psychol Psychother 9:430–442. doi:10.1002/cpp.347

    Article  Google Scholar 

  13. De Los Reyes A, Alfano CA, Beidel DC (2010) The relations among measurements of informant discrepancies within a multisite trial of treatments for childhood social phobia. J Abnorm Child Psychol 38:395–404. doi:10.1007/s10802-009-9373-6

    Article  Google Scholar 

  14. Krain AL, Kendall PC (2000) The role of parental emotional distress in parent report of child anxiety. J Clin Child Psychol 29:328–335. doi:10.1207/S15374424JCCP2903_4

    Article  CAS  PubMed  Google Scholar 

  15. Briggs-Gowan MJ, Carter AS, Schwab-Stone M (1996) Discrepancies among mother, child, and teacher reports: examining the contributions of maternal depression and anxiety. J Abnorm Child Psychol 26:749–765. doi:10.1007/BF01664738

    Article  Google Scholar 

  16. Whiteside SP (2009) Adapting the Sheehan disability scale to assess child and parent impairment related to childhood anxiety disorders. J Clin Child Adolesc Psychol 38:721–730. doi:10.1080/15374410903103551

    Article  PubMed  Google Scholar 

  17. Reuterskiöld L, Öst L-G, Ollendick T (2008) Exploring child and parent factors in the diagnostic agreement on the Anxiety Disorders Interview Schedule. J Psychopathol Behav Assess 30:279–290. doi:10.1007/s10862-008-9081-5

    Article  Google Scholar 

  18. Lyneham HJ, Sburlati ES, Abbott MJ, Rapee RM, Hudson JL, Tolin DF, Carlson SE (2013) Psychometric properties of the Child Anxiety Life Interference Scale (CALIS). J Anxiety Disord 27:711–719. doi:10.1016/j.janxdis.2013.09.008

    Article  PubMed  Google Scholar 

  19. Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232. doi:10.1037/0033-2909.101.2.213

    Article  CAS  PubMed  Google Scholar 

  20. Rapee RM, Barrett PM, Dadds MR, Evans J (1994) Reliability of the DSM-III-R childhood anxiety disorders using structured interview: interrater and parent–child agreement. J Am Acad Child Adolesc Psychiatry 33:984–992. doi:10.1097/00004583-199409000-00008

    Article  CAS  PubMed  Google Scholar 

  21. Niditich LA, Varela RE (2011) Mother–child disagreement in reports of child anxiety: effects of child age and maternal anxiety. J Anxiety Disord 25:450–455. doi:10.1016/j.janxdis.2010.11.009

    Article  Google Scholar 

  22. Lamb ME (2000) The history of research on father involvement. Marriage Fam Rev 29:23–42. doi:10.1300/J002v29n02_03

    Article  Google Scholar 

  23. Muris P, Merckelbach H, Schmidt H, Mayer B (1999) The revised version of the Screen for Child Anxiety Related Emotional Disorders (SCARED-R): factor structure in normal children. Pers Individ Differ 26:99–112. doi:10.1016/S0191-8869(98)00130-5

    Article  Google Scholar 

  24. Pereira AI, Barros L, Neves M (2011) A avaliação de sintomatologia de ansiedade em crianças na perspectiva da criança e dos pais: desenvolvimento das versões portuguesas do SCARED-R (Evaluation of childrens anxiety symptomatology in the child and parent perspective: development of the portuguese version of the SCARED-R). In: Ferreira AS, Verhaeghe A, Silva D, Almeida LS, Lima R, Fraga S (eds) Actas do VIII Congresso Iberoamericano de Avaliação/Evaluación Psicológica. XV Conferência de Avaliação Psicológica: Formas e Contextos. SPP, Lisboa, pp 1520–1531

  25. Albano A, Silverman W (1996) Anxiety disorders interview schedule for DSM-IV. Child version. Clinician manual. Graywind, Oxford

    Google Scholar 

  26. Silverman W, Saavedra L, Pina A (2001) Test–retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40:937–944. doi:10.1097/00004583-200108000-00016

    Article  CAS  PubMed  Google Scholar 

  27. Marques T, Pereira AI, Pedro M, Russo V, Goes AR, Barros L (2014) Preliminary examination of the Portuguese version of the Children Anxiety Interference Scale (submitted)

  28. Derogatis LR (1993) BSI Brief Symptom Inventory. Administration, scoring, and procedures manual, 4th edn. National Computer Systems, Minneapolis

    Google Scholar 

  29. Canavarro MC (1999) Inventário de Sintomas Psicopatológicos: BSI (Inventory of psychopathological symptoms). In: Simões MR, Gonçalves M, Almeida LS (eds) Testes e Provas Psicológicas em Portugal. SHO/APPORT, Braga, pp 87–109

    Google Scholar 

  30. Khanna MS, Kendall PC (2010) Computer-assisted cognitive-behavioral therapy for child anxiety: results of a randomized clinical trial. J Consult Clin Psychol 78:737–745. doi:10.1037/a0019739

    Article  PubMed  Google Scholar 

  31. De Los Reyes A, Kazdin AE (2004) Measuring informant discrepancies in clinical child research. Psychol Assess 16:330–334. doi:10.1037/1040-3590.16.3.330

    Article  Google Scholar 

  32. Clark DB, Smith MG, Neighbors BD, Skerlec LM, Randall J (1994) Anxiety disorders in adolescence: characteristics, prevalence, and comorbidities. Clin Psychol Rev 14:113–137. doi:10.1016/0272-7358(94)90012-4

    Article  Google Scholar 

  33. Angold A, Costello EJ, Farmer EMZ, Burns BJ, Erkanli A (1999) Impaired but undiagnosed. J Am Acad Child Adolesc Psychiatry 38:129–137. doi:10.1097/00004583-199902000-00011

    Article  CAS  PubMed  Google Scholar 

  34. Zwaanswijk M, Van der Ende J, Verhaak PFM, Bensing JM, Verhulst FC (2003) Factors associated with adolescent mental health service need and utilization. J Am Acad Child Adolesc Psychiatry 42:692–700. doi:10.1097/01.CHI.0000046862.56865.B7

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was supported by two grants from Fundação para a Ciência e Tecnologia (PTDC/PSI-PCL/122007/2010; SFRH/BPD/63960/2009). The authors thank all of the schools, families, and children for participating in this study and making it possible.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Affiliations

  1. Faculdade de Psicologia da Universidade de Lisboa, Alameda da Universidade, 1649-013, Lisbon, Portugal

    Ana Isabel Pereira, Luisa Barros, Rita Goes, Teresa Marques & Vanessa Russo

  2. Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands

    Peter Muris

Authors
  1. Ana Isabel Pereira
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  2. Peter Muris
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  3. Luisa Barros
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  4. Rita Goes
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  5. Teresa Marques
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  6. Vanessa Russo
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Correspondence to Ana Isabel Pereira.

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Pereira, A.I., Muris, P., Barros, L. et al. Agreement and discrepancy between mother and child in the evaluation of children’s anxiety symptoms and anxiety life interference. Eur Child Adolesc Psychiatry 24, 327–337 (2015). https://doi.org/10.1007/s00787-014-0583-2

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Keywords

  • Anxiety symptoms
  • Anxiety life interference
  • Children
  • Parent–child agreement and discrepancy