Abstract
Assessment of psychopathology in adolescents can be complicated due to uncertainties about who should be considered the primary informant. While a multimethod, multiinformant approach to assessment allows for a thorough assessment, it can also result in contradictory findings. The purpose of this study was to use a sample of 121 adolescents to investigate issues of parent-adolescent agreement on behavior rating scales and a structured diagnostic interview. Additionally, this study evaluated whether adolescent report offers unique information to the assessment beyond the parent's report. The sample included both normal controls and adolescents who met criteria for diagnosis of an Internalizing or Externalizing disorder based on the DSM-IV criteria. Agreement between parents and adolescents on the Diagnostic Interview for Children and Adolescents—Revised (DICA-R) was low for ADHD (39.4%) and Externalizing Disorders (41.1%) and moderate for Internalizing Disorders (56.6%). A significant difference was found between the number of ADHD symptoms reported, with parents reporting more symptoms (M = 9.42) than adolescents (M = 8.34). Regression analysis indicated that the adolescent completed Youth Self-report (YSR) contributed unique information beyond the parent completed measures in predicting both the adolescent and the parent interviews for Internalizing Disorders. This finding emphasizes the need to continue to collect self-report information, especially when assessing Internalizing disorders, which inherently contain symptoms indicating high-risk behaviors such as suicide ideation.
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REFERENCES
Achenbach, T. M., & Edelbrock, C. S. (1987). Manual for the Youth Self-Report and Profile. Burlington, VT: University Associates in Psychiatry.
Achenbach, T. M., & Edelbrock, C. (1991a). Manual for the Child Behavior Checklist. Burlington: University of Vermont, Department of Psychiatry.
Achenbach, T. M., & Edelbrock, C. (1991b). Manual for the Youth Self-Report. Burlington: University of Vermont, Department of Psychiatry.
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, third edition—revised. Washington, DC: American Psychiatric Association.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC: American Psychiatric Association.
Barkley, R. A. (1988). Child behavior rating scales and checklists. In M. Rutter, A. H. Tuma, & I. S. Lann (Eds.), Assessment and diagnosis in child psychopathology (pp. 113–155). New York: Guilford Press.
Bird, H. R., Gould, M. S., & Staghezza, B. (1992). Aggregating data from multiple informants in child psychiatry epidemiological research. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 78–85.
Boyle, M. H., Offord, D. R., Racine, Y., Sanford, M., Szatmari, P., Fleming, J. E., & Price-Munn, N. (1993). Evaluation of the diagnostic interview for children and adolescents for use in general population samples. Journal of Abnormal Child Psychology, 21(6), 663–681.
Conners, C. K. (1989). Conners' Rating Scales Manual: Conners' Teacher Rating Scales, Conners' Parent Rating Scales. North Tonawanda, NY: Multi-Health Systems.
Costello, E., Edelbrock, C., & Costello, A. (1985). Validity of the NIMH Diagnostic Interview Schedule for Children: A comparison between psychiatric and pediatric referrals. Journal of Abnormal Child Psychology, 13, 579–595.
DuPaul, G. J., Guevremont, D. C., & Barkley, R. A., (1991). Attention deficit-hyperactivity disorder in adolescence: Critical assessment parameters. Clinical Psychology Review, 11, 231–245.
Edelbrock, C., & Costello, A. J. (1990). Structured interviews for children and adolescents. In G. Goldstein & M. Hersen (Eds.), Handbook of psychological assessment (pp. 308–323). Elmsford, NY: Pergamon Press.
Edelbrock, C., Costello, A. J., Dulcan, M. K., Kalas, R., & Conover, N. C. (1985). Age differences in the reliability of the psychiatric interview of the child. Child Development, 56, 265–275.
Eyberg, S. (1980). Eyberg child behavior inventory. Journal of Clinical Child Psychology, 9, 22–28.
Gould, M. S., Bird, H., & Jaramillo, B. S. (1993). Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample. Journal of Abnormal Child Psychology, 21, 287–313.
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on Revised Conners Parent and Teacher Rating Scales. Journal of Abnormal Child Psychology, 6, 221–236.
Herjanic, B., Herjanic, M., Brown, F., & Wheatt, T. (1975). Are children reliable reporters? Journal of Abnormal Child Psychology, 3(1), 41–48.
Hughes, J. N. (1989). The child interview. School Psychology Review, 18(2), 24–29.
Jensen, P. S., & Watanabe, H. (1999). Sherlock Holmes and child psychopathology assessment Approaches: The cases of the false-positive. Journal of the American Academy of Child and Adolescent Psychiatry, 38(2), 146.
Jensen, P. S., Watanabe, H. K., Richters, J. E., Roper, M., Hibbs, E. D., Salzberg, A. D. & Liu, S. (1996). Scales, diagnoses, and child psychopathology: II. Comparing the CBCL and the DISC against external validators. Jonal of Abnormal Psychology, 24(2), 151–168.
Loeber, R., Green, S. M., Lahey, B. B., & Stouthamer-Loeber, M. (1989). Optimal informants on childhood disruptive behaviors. Development of Psychopathology, 1, 317–337.
Pellegrini, D. S., Galinski, C. L., Hart, K. J., & Kendall, P. C. (1993). Cognitive-behavioral assessment of children: A review of measures and methods. In A. J. Finch, W. M. Nelson III, & E. S. Ott (Eds.), Cognitive-behavioral procedures with children and adolescents: A practical guide (pp. 90–129). Needham Heights, MA: Allyn and Bacon.
Rapee, R. M., Barrett, P. M., Mark, Dadds, M. R., & Evans, L. (1994). Reliability of the DSM-III-R childhood anxiety disorders using structured interview: Inter-rater and parent-child agreement. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 984–992.
Reich, W., & Earls, F. (1987). Rules for making psychiatric diagnoses in children on the basis of multiple sources of information: Preliminary strategies. Journal of Abnormal Child Psychiatry, 15, 601–616.
Reich, E., Herjanic, B., Welner, Z., & Gandhy, P. R. (1982). Development of a structured psychiatric interview for children: Agreement on diagnosis comparing child and parent interview for children: Journal of Abnormal Child Psychology, 10, 325–336.
Reich, W., Shayka, T., & Taibleson, C. (1991). The Diagnostic Interview for Children and Adolescents—Revised. St. Louis: Washington University.
Sandberg, S. T., Wieselberg, M., & Shaffer, D. (1980). Hyperkinetic and conduct problem children in a primary school population: Some epidemiological considerations. Journal of Child Psychology, Psychiatry and Allied Disciplines, 21, 293–311.
Sattler, J. M. (1988). Assessment of children (3rd ed.). San Diego: Jerome M. Sattler.
Shea, S. C. (1990). Contemporary psychiatric interviewing: Integration of DSM-III-R, psychodynamic concerns, and mental status. In G. Goldstein & M. Hersen (Eds.), Handbook of Psychological Assessment (pp. 283–307). Elmsford, NY: Pergamon Press.
Wechsler, D. (1974). Wechsler Intelligence Scale for Children (Revised). New York: Psychological Corporation.
Wechsler, D. (1991). Wechsler Intelligence Scale for Children (3rd ed.). San Antonio, TX: Psychological Corporation.
Welner, Z., Reich, W., Herjanic, B., Jung, K. G., & Amado, H., (1987). Reliability, validity, and parent-child agreement studies of the diagnostic interview for children and adolescents (DICA). Journal of the American Academy of Child and Adolescent Psychiatry, 26, 649–653.
Witt, J. C., Elliott, S. N., Gresham, F. M., & Kramer, J. J. (1988). Assessment of Special Children: Tests and the Problem-Solving Process. Glenview, IL: Scott, Foresman and Company.
Young, J. G., O'Brien, J. D., Gutterman, E. M., & Cohen, P. (1987). Research on the clinical interview. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 613–620.
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Hope, T.L., Adams, C., Reynolds, L. et al. Parent vs. Self-Report: Contributions Toward Diagnosis of Adolescent Psychopathology. Journal of Psychopathology and Behavioral Assessment 21, 349–363 (1999). https://doi.org/10.1023/A:1022124900328
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DOI: https://doi.org/10.1023/A:1022124900328