Abstract
The study compares parent and child reports of child mental health to determine the relationship between parent–child disagreement and parental psychological and attitudinal factors, and to determine how parent–child disagreement is associated with the use of specialized services. A cross-sectional study was conducted with 1268 children aged 6–11 years using the Dominic Interactive and the Strengths and Difficulties Questionnaire. Psychological distress and negative parental attitudes were associated with greater reporting of mental health problems, leading to greater parent-child agreement on symptom presence, and to parental over-reporting of symptoms. Parent/child agreement was associated with 43.83% of contact with a mental health provider for externalizing and 33.73% for internalizing problems. The contribution of key parental psychological and attitudinal factors in parent–child disagreement on child mental health status may prove helpful in improving the identification of children in need of specialized services.
Similar content being viewed by others
References
Ford T, Review P (2008) How can epidemiology help us plan and deliver effective child and adolescent mental health services? J Child Psychol Psychiatry 49(9):900–914
Farmer EM et al (2003) Pathways into and through mental health services for children and adolescents. Psychiatr Serv 54(1):60–66
Angold A et al (2002) Psychiatric disorder, impairment, and service use in rural African American and White youth. Arch Gen Psychiatry 59:893–901
Merikangas KR, He J (2014) Epidemiology of mental disorders in children and adolescents. In: From research to practice in child and adolescent mental health
Canino G et al (2004) The DSM-IV rates of child and adolescent Disordersin Puerto Rico: prevalence, correlates, service use, and the effects of impairment. Arch Gen Psychiatry 61(1):85–93
Fergusson DM, Horwood JL (2001) The Christchurch health and development study: review of findings on child and adolescent mental health. Aust NZ J Psychiatry 35(3):287–296
Wu P et al (2001) Factors associated with use of mental health services for depression by children and adolescents. Psychiatr Serv 52(2):189–195
Lewinsohn PM, Rohde P, Seeley JR (1998) Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clin Psychol Rev 18(7):765–794
Williams CD, Lindsey M, Joe S (2011) Parent–adolescent concordance on perceived need for mental health services and its impact on service use. Child Youth Serv Rev 33(11):2253–2260
Ferdinand RF, van der Ende J, Verhulst FC (2006) Prognostic value of parent–adolescent disagreement in a referred sample. Eur Child Adolesc Psychiatry 15(3):156–162
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(4):483
De Los Reyes A et al (2015) The validity of the multi-informant approach to assessing child and adolescent mental health. Psychol Bull 141(4):858
Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101(2):213
Salbach-Andrae H et al (2009) Agreement between youth-reported and parent-reported psychopathology in a referred sample. Eur Child Adolesc Psychiatry 18(3):136–143
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(1):30–40
Rothen S et al (2009) Parent–child agreement and prevalence estimates of diagnoses in childhood: direct interview versus family history method. Int J Methods Psychiatr Res 18(2):96–109
Van der Meer M, Dixon A, Rose D (2008) Parent and child agreement on reports of problem behaviour obtained from a screening questionnaire, the SDQ. Eur Child Adolesc Psychiatry 17(8):491–497
Canning EH (1994) Mental disorders in chronically ill children: case identification and parent-child discrepancy. Psychosom Med 56(2):104–108
Sourander A, Helstelä L, Helenius H (1999) Parent-adolescent agreement on emotional and behavioral problems. Soc Psychiatry Psychiatr Epidemiol 34(12):657–663
Treutler CM, Epkins CC (2003) Are discrepancies among child, mother, and father reports on children’s behavior related to parents’ psychological symptoms and aspects of parent–child relationships? J Abnorm Child Psychol 31(1):13–27
Van der Toorn SL et al (2010) Maternal depressive symptoms, and not anxiety symptoms, are associated with positive mother–child reporting discrepancies of internalizing problems in children: a report on the TRAILS Study. Eur Child Adolesc Psychiatry 19(4):379–388
Van Roy B et al (2010) Understanding discrepancies in parent-child reporting of emotional and behavioural problems: effects of relational and socio-demographic factors. BMC Psychiatry 10(1):1
Valla JP, Bergeron L, Smolla N (2000) The Dominic-R: a pictorial interview for 6- to 11-year-old children. J Am Acad Child Adolesc Psychiatry 39(1):85–93
Valla JP et al (1994) A structured pictorial questionnaire to assess DSM-III-R-based diagnoses in children (6–11 years): development, validity, and reliability. J Abnorm Child Psychol 22(4):403–423
Valla JP et al (1997) Reliability of the Dominic-R: a young child mental health questionnaire combining visual and auditory stimuli. J Child Psychol Psychiatry 38(6):717–724
Shojaei T et al (2009) Psychometric properties of the Dominic Interactive in a large French sample. Can J Psychiatry 54(11):767–776
Kuijpers R et al (2014) Cross-country construct validity of the ‘Dominic Interactive’. Eur J Public Health 24(suppl 2):cku165
Kuijpers RC et al (2015) Reliability, factor structure, and measurement invariance of the Dominic interactive across European countries: cross-country utility of a child mental health self-report. Psychol Assess 28(5):239
Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586
Laird RD, De Los Reyes A (2013) Testing informant discrepancies as predictors of early adolescent psychopathology: why difference scores cannot tell you what you want to know and how polynomial regression may. J Abnorm Child Psychol 41(1):1–14
De Los Reyes A, Bunnell BE, Beidel DC (2013) Informant discrepancies in adult social anxiety disorder assessments: Links with contextual variations in observed behavior. J Abnorm Psychol 122(2):376
Pitrou I et al (2010) Child overweight associated psychopathology, and social functioning: a French school-based survey in 6-to 11-year-old children. Obesity 18(4):809–817
Pitrou I et al (2010) The associations between headaches and psychopathology: a survey in school children. Headache 50(10):1537–1548
Shojaei T, Valla J-P (2009) Psychometric properties of the Dominic Interactive in a large French sample. Can J Psychiatry 54(11):767
Shojaei T et al (2009) The strengths and difficulties questionnaire: validation study in French school-aged children and cross-cultural comparisons. Soc Psychiatry Psychiatr Epidemiol 44(9):740–747
Valla JP et al (2002) A French study of the Dominic Interactive. Soc Psychiatry Psychiatr Epidemiol 37(9):441–448
Husky MM et al (2017) Self-reported mental health in children ages 6–12 years across eight European countries. Eur Child Adolesc Psychiatry 1–11
Murphy DA et al (2000) Test–retest reliability of Dominic anxiety and depression items among young children. J Psychopathol Behav Assess 22(3):257–270
Bidaut-Russell M et al (1998) Reliability of the Terry: a mental health cartoon-like screener for African-American children. Child Psychiatry Hum Dev 28(4):249–263
Valla J et al (2002) A French study of the Dominic Interactive. Soc Psychiatry Psychiatr Epidemiol 37(9):441–448
Bourdon KH et al (2005) The Strengths and Difficulties Questionnaire: US normative data and psychometric properties. J Am Acad Child Adolesc Psychiatry 44(6):557–564
Stone LL et al (2010) Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4-to 12-year-olds: a review. Clin Child Family Psychol Rev 13(3):254–274
Bergeron L, Valla JP, Breton JJ, Pilot study for the Quebec Child Mental Health Survey (1992) Part II. Correlates of DSM-III-R criteria among six to 14 year olds. Can J Psychiatry 37(6):381–386
Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483
Korkeila J et al (2003) Establishing a set of mental health indicators for Europe. Scand J Public Health 31(6):451–459
Salbach-Andrae H, Lenz K, Lehmkuhl U (2009) Patterns of agreement among parent, teacher and youth ratings in a referred sample. Eur Psychiatry 24(5):345–351
Van Der Ende J, Verhulst FC (2005) Informant, gender and age differences in ratings of adolescent problem behaviour. Eur Child Adolesc Psychiatry 14(3):117–126
Woo B et al (2007) Emotional and behavioural problems in Singaporean children based on parent, teacher and child reports. Singapore Med J 48(12):1100
Seiffge-Krenke I, Kollmar F (1998) Discrepancies between mothers’ and fathers’ perceptions of sons’ and daughters’ problem behaviour: A longitudinal analysis of parent–adolescent agreement on internalising and externalising problem behaviour. J Child Psychol Psychiatry 39(05):687–697
Karver MS (2006) Determinants of multiple informant agreement on child and adolescent behavior. J Abnorm Child Psychol 34(2):242–253
Kolko DJ, Kazdin AE (1993) Emotional/behavioral problems in clinic and nonclinic children: correspondence among child, parent and teacher reports. J Child Psychol Psychiatry 34(6):991–1006
Ge X et al (1995) Mutual influences in parent and adolescent psychological distress. Dev Psychol 31(3):406–419
Merikangas KR et al (2011) Service utilization for lifetime mental disorders in US adolescents: results of the National comorbidity survey–adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 50(1):32–45
Burns BJ et al (1995) Children’s mental health service use across service sectors. Health Aff 14(3):147–159
Kataoka SH, Zhang L, Wells KB (2002) Unmet need for mental health care among US children: variation by ethnicity and insurance status. Am J Psychiatry 159(9):1548–1555
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Bajeux, E., Klemanski, D., Husky, M. et al. Factors Associated with Parent–Child Discrepancies in Reports of Mental Health Disorders in Young Children. Child Psychiatry Hum Dev 49, 1003–1010 (2018). https://doi.org/10.1007/s10578-018-0815-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10578-018-0815-7