Klinik Araştırma
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Adolescent-Parent Agreement in terms of Symptoms of Adolescents Diagnosed with Anxiety Disorder

Yıl 2022, Cilt 12, Sayı 5, 710 - 715, 30.09.2022
https://doi.org/10.16899/jcm.1148404

Öz

Aim: Considering the role of the parent in the children and adolescent's access to treatment, it is important that the symptoms are adequately noticed by the parents. In this study, it was aimed to examine the adolescent-parent agreement in terms of symptoms of adolescents with anxiety disorder. Material and Method: 100 adolescents who applied to the child and adolescent psychiatry outpatient clinic and were diagnosed with anxiety disorder according to the DSM-5 diagnostic criteria were included in the study. In the study, the sociodemographic form and the Revised Child Anxiety and Depression Scale (RCADS) adolescent and parent form were used for data collection. Results: When the parent and adolescent forms of RCADS were compared, the adolescent scores were significantly higher than the parents in all subscales and scale total scores, except for the separation anxiety subscale. The ICC (95% CI) value between the parent and adolescent forms of RCADS ranged from 0.06 to 0.74. Conclusion: In our study, it was found that adolescents scored their symptoms higher than their parents, and the correlation between parent-child reporting was low-moderate. Age, gender, comorbidity, and parental psychopathology were among the factors affecting adolescent-parent agreement.

Kaynakça

  • Narmandakh A, Roest AM, de Jonge P, Oldehinkel AJ. Psychosocial and biological risk factors of anxiety disorders in adolescents:a TRAILS report. Eur Child Adolesc Psychiatry 2021;30:1969-82.
  • Wehry AM, Beesdo-Baum K, Hennelly MM, Connolly SD, Strawn JR. Assessment and treatment of anxiety disorders in children and adolescents. Curr Psychiatry Rep 2015;17:52.
  • De Los Reyes A. Introduction to the special section:More than measurement error:Discovering meaning behind informant discrepancies in clinical assessments of children and adolescents. J Clin Child Adolesc Psychol 2011;40:1–9.
  • Becker-Haimes EM, Jensen-Doss A, Birmaher B, Kendall PC, Ginsburg GS. Parent-youth informant disagreement:Implications for youth anxiety treatment. Clin Child Psychol Psychiatry 2018;23:42-56.
  • Becker EM, Jensen-Doss A, Kendall PC, Birmaher B, Ginsburg GS. All anxiety is not created equal:Correlates of parent/youth agreement vary across subtypes of anxiety. J Psychopathol Behav Assess 2016;38:528–37.
  • Duncan L, Georgiades K, Wang L et al. Psychometric evaluation of the mini international neuropsychiatric interview for children and adolescents (MINI-KID) Psychol Assess 2018;30:916–28.
  • Van Roy B, Groholt B, Heyerdahl S, Clench-Aas J. Understanding discrepancies in parent-child reporting of emotional and behavioural problems:Effects of relational and socio-demographic factors. BMC Psychiatry 2010;10:56.
  • Popp L, Neuschwander M, Mannstadt S, In-Albon T, Schneider S. Parent-child diagnostic agreement on anxiety symptoms with a structured diagnostic interview for mental disorders in children. Front Psychology 2017;8:404.
  • Berg-Nielsen TS, Vika A, Dahl AA. When adolescents disagree with their mothers:CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem. Child:Care Health Dev 2003;29:207–13.
  • Treutler CM, Epkins CC. 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 2003;31:13–27.
  • Rothen S, Vandeleur CL, Lustenberger Y et al. Parent-child agreement and prevalence estimates of diagnoses in childhood:direct interview versus family history method. Int J Methods Psychiatr Res 2009;18:96–109.
  • Salbach-Andrae H, Klinkowski N, Lenz K, Lehmkuhl U. Agreement between youth-reported and parent-reported psychopathology in a referred sample. Eur Child Adolesc Psychiatry 2009;18:136–43.
  • Eg J, Bilenberg N, Costello EJ, Wesselhoeft R. Self- and parent-reported depressive symptoms rated by the mood and feelings questionnaire. Psychiatry Res 2018;268:419–25.
  • Orchard F, Pass L, Marshall T, Reynolds S. Clinical characteristics of adolescents referred for treatment of depressive disorders. Child Adolesc Ment Health, 2017;22:61–8.
  • Orchard F, Pass L, Cocks L, Chessell C, Reynolds S. Examining parent and child agreement in the diagnosis of adolescent depression. Child Adolesc Ment Health 2019;24:338–44.
  • Foley DL, Rutter M, Angold A et al. Making sense of informant disagreement for overanxious disorder. J Anxiety Disord 2005;19:193-210.
  • Storch EA, Ehrenreich May J, Wood JJ et al. Multiple informant agreement on the anxiety disorders interview schedule in youth with autism spectrum disorders. J. Child Adolesc. Psychopharmacol 2012;22:292–9.
  • Miller LD, Martinez YJ, Shumka E, Baker H. Multiple Informant Agreement of Child, Parent, and Teacher Ratings of Child Anxiety within Community Samples. Can J Psychiatry 2014;59:34-9.
  • Merikangas KR, He JP, Burstein M et al. Service utilization for lifetime mental disorders in U.S. adolescents:results of the national comorbidity survey-adolescent supplement (NCSA). J Am Acad Child Adolesc Psychiatry 2011;50:32–45.
  • Gormez V, Kılınçaslan A, Orengul AC et al. Psychometric properties of the Turkish version of the Revised Child Anxiety and Depression Scale– Child Version in a clinical sample. Psychiatry Clin Psychopharmacol 2017;27:84-92.
  • Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropract Med 2016;15:155–63.
  • Choudhury MS, Pimentel SS, Kendall PC. Childhood anxiety disorders:parent-child (dis)agreement using a structured interview for the DSM-IV. J Am Acad Child Adolesc. Psychiatry 2003;42:957–64.
  • Grills AE, Ollendick TH. Multiple informant agreement and the anxiety disorders interview schedule for parents and children. J Am Acad Child Adolesc. Psychiatry 2003;1:30.
  • Propp O, Schilder A, Hahlweg K, Hannighofer J, Schulz W. Übereinstimmung von Mutter-Kind-Aussagen und deren Einflussfaktoren am Beispiel des Kinder-DIPS in der Diagnostik psychischer Störungen im Jugendalter. Z Klin Psychol Psychother 2014;43:92–103.
  • Hoffman LJ, Chu BC. Target problem (mis) matching:Predictors and consequences of parent–youth agreement in a sample of anxious youth. J Anxiety Disord 2015;31:11–9.
  • McDonald E, Whitney S, Horricks L, Lipman EL, Ferro MA. Parent-Child Agreement on the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). J Can Acad Child Adolesc Psychiatry 2021;30:264-72.
  • Ebesutani C, Chorpita BF, Higa-Mcmillan CK, Nakamura BJ, Regan J, Lynch RE. A psychometric analysis of the revised child anxiety and depression scales-parent version in a school sample. J Abnorm Child Psychol 2011;39:173–85.
  • Gormez V, Kilincaslan A, Ebesutani C et al. Psychometric properties of the parent version of the revised child anxiety and Depression Scale in a clinical sample of Turkish children and adolescents. Child Psychiatry Hum Dev 2017;48:922–33.
  • Hamblin RJ, Salloum A, Andel R et al. Predictors of parent-child agreement on child anxiety diagnoses on the ADIS-IV-C/P. Psychiatry Res 2016;245:303–10.
  • Hemmingsson H, Ólafsdóttir LB, Egilson ST. Agreements and disagreements between children and their parents in health-related assessments. Disabil Rehabil 2017;39:1059–72.
  • Ferdinand RF, van der Ende J, Verhulst FC. Prognostic value of parent–adolescent disagreement in a referred sample. Eur Child Adolesc Psychiatry 2006;15:156–62.
  • Smith SR. Making sense of multiple informants in child and adolescent psychopathology:A guide for clinicians. J Psychoeduc Assess 2007;25:139–49.

Anksiyete Bozukluğu Tanılı Ergenlerin Belirtileri Açısından Ergen-Ebeveyn Uyumu

Yıl 2022, Cilt 12, Sayı 5, 710 - 715, 30.09.2022
https://doi.org/10.16899/jcm.1148404

Öz

Amaç: Çocuk ve ergenin tedaviye erişiminde ebeveynin rolü göz önünde bulundurulduğunda, semptomların ebeveyn tarafından yeterince fark edilmesi önem taşımaktadır. Bu çalışmada, anksiyete bozukluğu olan ergenlerin semptomları açısından ergen-ebeveyn uyumunun incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çocuk ve ergen psikiyatri polikliniğine başvuran ve DSM-5 tanı kriterlerine göre anksiyete bozukluğu tanısı alan 100 ergen çalışmaya dahil edildi. Çalışmada veri toplama amacı ile sosyodemografik form ve Çocuklar için Anksiyete ve Depresyon Ölçeği (ÇADÖ) ergen ve ebeveyn formu kullanıldı. Bulgular: ÇADÖ ebeveyn ve ergen formları karşılaştırıldığında, ayrılık anksiyetesi alt ölçeği dışında diğer tüm alt ölçek ve ölçek toplam puanında çocuk puanları ebeveyne göre anlamlı olarak daha yüksekti. ÇADÖ ebeveyn ve ergen formları arasındaki ICC (%95 CI) değeri 0,06 ila 0,74 aralığındaydı. Sonuç: Çalışmamızda ergenlerin belirtilerini ebeveynlerinden daha yüksek puanladıkları, ebeveyn-ergen bildirimi arasındaki korelasyonun düşük-orta düzeyde olduğu saptanmıştır. Yaş, cinsiyet, komorbidite ve ebeveyn psikopatolojisi ergen-ebeveyn uyumunu etkileyen faktörlerdendi.

Kaynakça

  • Narmandakh A, Roest AM, de Jonge P, Oldehinkel AJ. Psychosocial and biological risk factors of anxiety disorders in adolescents:a TRAILS report. Eur Child Adolesc Psychiatry 2021;30:1969-82.
  • Wehry AM, Beesdo-Baum K, Hennelly MM, Connolly SD, Strawn JR. Assessment and treatment of anxiety disorders in children and adolescents. Curr Psychiatry Rep 2015;17:52.
  • De Los Reyes A. Introduction to the special section:More than measurement error:Discovering meaning behind informant discrepancies in clinical assessments of children and adolescents. J Clin Child Adolesc Psychol 2011;40:1–9.
  • Becker-Haimes EM, Jensen-Doss A, Birmaher B, Kendall PC, Ginsburg GS. Parent-youth informant disagreement:Implications for youth anxiety treatment. Clin Child Psychol Psychiatry 2018;23:42-56.
  • Becker EM, Jensen-Doss A, Kendall PC, Birmaher B, Ginsburg GS. All anxiety is not created equal:Correlates of parent/youth agreement vary across subtypes of anxiety. J Psychopathol Behav Assess 2016;38:528–37.
  • Duncan L, Georgiades K, Wang L et al. Psychometric evaluation of the mini international neuropsychiatric interview for children and adolescents (MINI-KID) Psychol Assess 2018;30:916–28.
  • Van Roy B, Groholt B, Heyerdahl S, Clench-Aas J. Understanding discrepancies in parent-child reporting of emotional and behavioural problems:Effects of relational and socio-demographic factors. BMC Psychiatry 2010;10:56.
  • Popp L, Neuschwander M, Mannstadt S, In-Albon T, Schneider S. Parent-child diagnostic agreement on anxiety symptoms with a structured diagnostic interview for mental disorders in children. Front Psychology 2017;8:404.
  • Berg-Nielsen TS, Vika A, Dahl AA. When adolescents disagree with their mothers:CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem. Child:Care Health Dev 2003;29:207–13.
  • Treutler CM, Epkins CC. 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 2003;31:13–27.
  • Rothen S, Vandeleur CL, Lustenberger Y et al. Parent-child agreement and prevalence estimates of diagnoses in childhood:direct interview versus family history method. Int J Methods Psychiatr Res 2009;18:96–109.
  • Salbach-Andrae H, Klinkowski N, Lenz K, Lehmkuhl U. Agreement between youth-reported and parent-reported psychopathology in a referred sample. Eur Child Adolesc Psychiatry 2009;18:136–43.
  • Eg J, Bilenberg N, Costello EJ, Wesselhoeft R. Self- and parent-reported depressive symptoms rated by the mood and feelings questionnaire. Psychiatry Res 2018;268:419–25.
  • Orchard F, Pass L, Marshall T, Reynolds S. Clinical characteristics of adolescents referred for treatment of depressive disorders. Child Adolesc Ment Health, 2017;22:61–8.
  • Orchard F, Pass L, Cocks L, Chessell C, Reynolds S. Examining parent and child agreement in the diagnosis of adolescent depression. Child Adolesc Ment Health 2019;24:338–44.
  • Foley DL, Rutter M, Angold A et al. Making sense of informant disagreement for overanxious disorder. J Anxiety Disord 2005;19:193-210.
  • Storch EA, Ehrenreich May J, Wood JJ et al. Multiple informant agreement on the anxiety disorders interview schedule in youth with autism spectrum disorders. J. Child Adolesc. Psychopharmacol 2012;22:292–9.
  • Miller LD, Martinez YJ, Shumka E, Baker H. Multiple Informant Agreement of Child, Parent, and Teacher Ratings of Child Anxiety within Community Samples. Can J Psychiatry 2014;59:34-9.
  • Merikangas KR, He JP, Burstein M et al. Service utilization for lifetime mental disorders in U.S. adolescents:results of the national comorbidity survey-adolescent supplement (NCSA). J Am Acad Child Adolesc Psychiatry 2011;50:32–45.
  • Gormez V, Kılınçaslan A, Orengul AC et al. Psychometric properties of the Turkish version of the Revised Child Anxiety and Depression Scale– Child Version in a clinical sample. Psychiatry Clin Psychopharmacol 2017;27:84-92.
  • Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropract Med 2016;15:155–63.
  • Choudhury MS, Pimentel SS, Kendall PC. Childhood anxiety disorders:parent-child (dis)agreement using a structured interview for the DSM-IV. J Am Acad Child Adolesc. Psychiatry 2003;42:957–64.
  • Grills AE, Ollendick TH. Multiple informant agreement and the anxiety disorders interview schedule for parents and children. J Am Acad Child Adolesc. Psychiatry 2003;1:30.
  • Propp O, Schilder A, Hahlweg K, Hannighofer J, Schulz W. Übereinstimmung von Mutter-Kind-Aussagen und deren Einflussfaktoren am Beispiel des Kinder-DIPS in der Diagnostik psychischer Störungen im Jugendalter. Z Klin Psychol Psychother 2014;43:92–103.
  • Hoffman LJ, Chu BC. Target problem (mis) matching:Predictors and consequences of parent–youth agreement in a sample of anxious youth. J Anxiety Disord 2015;31:11–9.
  • McDonald E, Whitney S, Horricks L, Lipman EL, Ferro MA. Parent-Child Agreement on the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). J Can Acad Child Adolesc Psychiatry 2021;30:264-72.
  • Ebesutani C, Chorpita BF, Higa-Mcmillan CK, Nakamura BJ, Regan J, Lynch RE. A psychometric analysis of the revised child anxiety and depression scales-parent version in a school sample. J Abnorm Child Psychol 2011;39:173–85.
  • Gormez V, Kilincaslan A, Ebesutani C et al. Psychometric properties of the parent version of the revised child anxiety and Depression Scale in a clinical sample of Turkish children and adolescents. Child Psychiatry Hum Dev 2017;48:922–33.
  • Hamblin RJ, Salloum A, Andel R et al. Predictors of parent-child agreement on child anxiety diagnoses on the ADIS-IV-C/P. Psychiatry Res 2016;245:303–10.
  • Hemmingsson H, Ólafsdóttir LB, Egilson ST. Agreements and disagreements between children and their parents in health-related assessments. Disabil Rehabil 2017;39:1059–72.
  • Ferdinand RF, van der Ende J, Verhulst FC. Prognostic value of parent–adolescent disagreement in a referred sample. Eur Child Adolesc Psychiatry 2006;15:156–62.
  • Smith SR. Making sense of multiple informants in child and adolescent psychopathology:A guide for clinicians. J Psychoeduc Assess 2007;25:139–49.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Asiye ARICI GÜRBÜZ>
dr.ekrem tok ruh sağlığı hastanesi
0000-0003-2508-7125
Türkiye


Canan KUYGUN KARCI> (Sorumlu Yazar)
özel muayenehane
0000-0002-9355-9449
Türkiye

Erken Görünüm Tarihi 11 Temmuz 2022
Yayımlanma Tarihi 30 Eylül 2022
Kabul Tarihi 5 Eylül 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 5

Kaynak Göster

AMA Arıcı Gürbüz A. , Kuygun Karcı C. Adolescent-Parent Agreement in terms of Symptoms of Adolescents Diagnosed with Anxiety Disorder. J Contemp Med. 2022; 12(5): 710-715.