Abstract
Parent and child reports were examined to study how epidemiological researchers can best use the information provided to describe childhood psychopathology. As part of a multisite methodologic study of mental disorders in children, a probability sample (N=248) of children aged 9 to 17 years from the San Juan metropolitan area was selected. This sample was enriched with 74 clinic cases. Both parents and children were administered the DISC.2. Results showed that prevalence estimates were influenced by the informant. The clinicians' diagnosis is more concordant with children's reports of depression and with parents' reports of disruptive disorders. Parents and children provided unique information when interviewed with a structured psychiatric interview about child psychopathology. Their unique perspectives contributed to the observed discordance that emerged when DISC parent and DISC child results are compared. Combining the two perspectives with a simple “OR” rule at the symptom level did not seem to capture the unique perspectives.
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Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity.Psychological Bulletin, 101, 213–232.
American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
Angold, A., Weissman, M. M., John, K., Merikangas, K. R., Prusoff, B. A., Wickramaratne, P., Gammon, G. D., & Warner, V. (1987). Parent and child reports of depressive symptoms in children at low and high risk of depression.Journal of Child and Psychological Psychiatry, 28, 901–915.
Bird, H. R., Canino, G. J., Rubio-Stipec, M., Gould, M., Ribera, J. C., Sesman, M., Woodbury, M., Huertas-Goldman, S., Pagan, A., Sánchez-Lacay, A., & Moscoso, M. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico.Archives of General Psychiatry, 45, 1120–1126.
Bird, H. R., Gould, M. S., Rubio-Stipec, M., Staghezza, B., & Canino, G. (1991). Screening for childhood psychopathology in the community using the Child Behavior Checklist.Journal of American Academy Child and Adolescent Psychiatry, 30, 116–122.
Bird, H. R., Gould, M. S., & Staghezza, B. M. (1993). Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years.Journal of American Academy Child and Adolescent Psychiatry, 32, 361–368.
Bravo, M., Canino, G., Rubio-Stipec, M., & Woodbury-Fariña, M. (1991). A cross-cultural adaptation of psychiatric epidemiologic instrument: The Diagnostic Interview Schedule's adaptation in Puerto Rico.Culture, Medicine and Psychiatry, 15, 1–18.
Bravo, M., Woodbury-Fariña, M. A., Canino, G., & Rubio-Stipec, M. (in press). The Diagnostic Interview Schedule for Children (DISC): Its translation and adaptation in Puerto Rico.Culture, Medicine and Psychiatry.
Canino, G., Bird, H. R., & Rubio-Stipec, M. (1987). Reliability of child diagnoses in a Hispanic sample.Journal of the American Academy of Child and Adolescent Psychiatry, 26, 560–565.
Costello, A. J., Edelbrock, C., Dulcan, M. K., Kalas, R., & Klaric, S. H. (1984).Development and testing of the NIMH diagnostic interview schedule for children in a clinic population: final report (Contract RFP-DB081-0027). Rockville, MD: Center for Epidemiologic Studies, NIMH.
Edelbrock, C., Costello, A. J., Dulcan, M. K., Calabro Conover, N., & Kalas, R. (1986). Parent-child agreement on child psychiatric symptoms assessed via structured interview.Journal of Child and Psychological Psychiatry, 27, 181–190.
Flaherty, J. A. (1987). Appropriate and inappropriate research methodologies for hispanic mental health. In Gaviria, M. (Ed.),Health and behavior: Research agenda for Hispanics (pp. 117–186). Chicago: University of Illinois Press.
Fleiss, J. L. (1981). The measurement of interrater agreement. InStatistical methods for rates and proportions (pp. 212–236). New York: John Wiley & Sons, Inc.
Hollingshead, A. B., & Redlich, F. C. (1958).Social class and mental illness. New York: John Wiley & Sons.
Leckman, J. F., Sholomskas, D., Thompson, W. D., Belanger, A., & Weissman, M. (1982). Best estimate of lifetime psychiatric diagnosis.Archives of General Psychiatry, 39, 879–883.
Loeber, R., Green, M. S., Lahey, B. B., & Stouthamer-Loeber, M. (1989). Optimal informants on childhood disruptive behaviors.Development and Psychopathology, 1, 317–337.
Orvaschel, H., Thompson, W. D., Belanger, A., Prusoff, B. A., & Kidd, K. K. (1982). Comparison of the family history method to direct interview: Factors affecting the diagnosis of depression.Journal of Affective Disorders, 4, 49–59.
Reich, W., & Earls, F. (1987). Rules for making psychiatric diagnosis in children on the basis of multiple sources of information: Preliminary strategies.Journal of Abnormal Child Psychology, 15, 601–606.
Reich, W., Herjanic, B., Welner, Z., & Gandhy, P. R. (1982). Development of a structured psychiatric interview for children: Agreement on diagnosis comparing child and parent interviews.Journal of Abnormal Child Psychology, 10, 325–336.
Ribera, J. C., Canino, G., Rubio-Stipec, M., Bravo, M., Bird, H. R., Freeman, D., Shrout, P., Bauermeister, J., Alegría, M., Woodbury-Fariña, M., Huertas, S., & Guevara, L. M. (1994).The Diagnostic Interview Schedule for Children (DISC.2.1) in Spanish: Reliability in a Hispanic population. Manuscript submitted for publication.
Robins, L. N. (1985). Reflections on testing the validity of psychiatric interviews.Archives of General Psychiatry, 42, 918–924.
Shaffer, D., Schwab-Stone, M., Fisher, P., Cohen, P., Piacentini, J., Davies, M., Conners, C. K., & Regier, D. (1993). The Diagnostic Interview Schedule for Children revised versions (DISC-R): Preparation, field testing, inter-rater reliability and acceptability.Journal of the American Academy of Child and Adolescent Psychiatry, 32, 643–650.
Shaffer, D., Schwab-Stone, M., Fisher, P., Davies, M., Piacentini, J., & Gioia, P. (1988).A revised version of the Diagnostic Interview Schedule for Children (DISC R): Results of a field trial and proposal for a new instrument (DISC.2) (Technical report). New York: Columbia University.
Shrout, P. E., Canino, G. J., Bird, H. R., Rubio-Stipec, M., Bravo, M., & Burnam, M. A. (1992). Mental health status among Puerto Ricans, Mexican Americans, and Non-Hispanic Whites.American Journal of Community Psychology, 20, 729–752.
Sylvester, C. E., Hyde, T. S., & Reichler, I. J. (1987). The Diagnostic Interview for Children at risk for anxiety disorders for depression.Journal of American Academy of Child and Adolescent Psychiatry, 26, 668–673.
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We acknowledge the research group of the Behavioral Sciences Research Institute for their valuable contributions to this work. We also recognize José V. Martínez, Vivian E. Febo, and Zenaida González for the data analyses, and Elizabeth Pastrana and Felícita Laboy for the secretarial work.
This research was supported by grants (MH46732) from the National Institute of Mental Health (NIMH) as part of a collaborative methodologic epidemiologic study of children and adolescents (MECA) between the Universities of Columbia, Emory, Puerto Rico, Yale, and the NIMH.
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Rubio-Stipec, M., Canino, G.J., Shrout, P. et al. Psychometric properties of parents and children as informants in child psychiatry epidemiology with the Spanish diagnostic interview schedule for children (DISC.2). J Abnorm Child Psychol 22, 703–720 (1994). https://doi.org/10.1007/BF02171997
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DOI: https://doi.org/10.1007/BF02171997