Examining the Relationship Among Parental-Reported Problems, Self-Reported Problems, and Psychiatric Diagnosis in Children and Adolescents

Yıl 2024, Cilt: 21 Sayı: 6, 393 - 406

Fatma Betül Yılmaz , Şaziye Senem Başgül

https://doi.org/10.26466/opusjsr.1531285

Öz

The study aims to investigate the relationship among psychiatric diagnosis, parental reported problems, and the Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV) results of children. The sample of the study consisted of 78 children and adolescents (36 girls and 42 boys), and statistical analyses were made using the chi-square test and Fisher’s exact test. Relationships identified between the following pairs: worry problems with Generalized Anxiety Disorder (GAD), distraction problems with Attention Deficit and Hyperactivity Disorder (ADHD), hyperactivity problems with Tic and Tourette's Syndrome, obsession problems with Obsessive-Compulsive Disorder (OCD), unhappiness with Major Depressive Disorder or dysthymia, and avoidance of communication with autism spectrum disorder. Furthermore, when examining the relationship between psychiatric diagnoses and diagnoses according to the RCADS-CV, we found other connections, such as the psychiatric diagnosis of separation anxiety and RCADS-CV separation anxiety, as well as the psychiatric diagnosis of separation anxiety and RCADS-CV social phobia. Lastly, when investigating the relationship between parentally reported problems and RCADS-CV diagnoses, several associations emerged, including the connection between obsession problems and RCADS-CV OCD diagnosis, relationship problems and RCADS-CV’s OCD diagnosis, unhappiness problems, and RCADS-CV’s depression diagnosis. In conclusion, our findings demonstrate a substantial overlap among parentally reported problems, psychiatric diagnoses, and diagnoses based on RCADS-CV.

Anahtar Kelimeler

Parental-reported problems, self-reported problems, psychiatric diagnosis, children, adolescent.

Etik Beyan

Ethical approval was obtained from the Scientific Research and Publication Ethics Committee of Hasan Kalyoncu University with the reference number E-97105791-050.01.01-27082. The study was conducted in accordance with the ethical standards outlined in the 1964 Declaration of Helsinki and its subsequent amendments.

Çocuk ve Ergenlerde Psikiyatrik Tanı ve Öz Bildirime Dayalı Sorunlar ile Ebeveynlerin Bildirdiği Sorunlar Arasındaki İlişkinin İncelenmesi

Öz

Bu araştırmanın amacı, çocuklarda psikiyatrik tanı, ebeveynlerin bildirdiği sorunlar ve Çocuklarda Anksiyete ve Depresyon Ölçeği – Yenilenmiş Formu (ÇADÖ-Y) sonuçları arasındaki ilişkiyi araştırmaktır. Araştırmanın örneklemini 36 kız ve 42 erkek olmak üzere 78 çocuk ve ergen oluşturmuş olup, istatistiksel analizler Ki-kare testi ve Fisher’in Kesin Olasılık testi kullanılarak yapılmıştır. Çalışma, ebeveynlerin çocukları hakkında bildirdiği sorunlar ile belirli psikiyatrik tanılar arasında önemli ilişkiler ortaya koymuştur. Buna göre aralarında ilişki bulunan tanı ve sorun çiftleri şöyledir: Yaygın Anksiyete Bozukluğu (YAB) ile endişe sorunları, Dikkat Eksikliği ve Hiperaktivite Bozukluğu (DEHB) ile dikkat dağınıklığı sorunları, Tik ve Tourette Sendromu ile hiperaktivite sorunları, Obsesif-Kompulsif Bozukluk (OKB) ile takıntı sorunları, mutsuzluk ile Majör Depresif Bozukluk veya distimi tanıları, otizm spektrum bozukluğu tanısı ile iletişimden kaçınma sorunlarıdır. Ayrıca, psikiyatrik tanılar ile ÇADÖ-Y'nin işaret ettiği tanılar arasındaki ilişkiyi incelendiğinde; ayrılık anksiyetesi psikiyatrik tanısı ile ÇADÖ-Y ayrılık anksiyetesi ; ayrılık anksiyetesi psikiyatrik tanısı ile ÇADÖ-Y sosyal fobi tanısı arasında ilişki bulunmuştur. Son olarak, ebeveynler tarafından bildirilen sorunlar ile ÇADÖ-Y tanıları arasındaki ilişkiye bakıldığında, takıntı sorunları ile ÇADÖ-Y OKB tanısı, ilişki sorunları ile ÇADÖ-Y OKB tanısı, mutsuzluk sorunları ile ÇADÖ-Y depresyon tanısı arasındaki ilişki bulunmuştur. Sonuç olarak, bulgularımız ebeveynlerin bildirdiği sorunlar, psikiyatrik tanılar ve ÇADÖ-Y’ye dayalı tanılar arasında önemli bir örtüşme olduğunu göstermektedir.

Anahtar Kelimeler

Anne baba tarafından bildirilen sorunlar, Öz bildirime dayalı sorunlar, Psikiyatrik tanı, Çocuk, Ergen

Etik Beyan

Hasan Kalyoncu Üniversitesi Bilimsel Araştırma ve Yayın Etiği Kurulu'ndan E-97105791-050.01.01-27082 sayılı etik izin alınmıştır. Çalışma, 1964 Helsinki Deklarasyonu'nda belirlenen etik standartlar ve sonraki güncellemelere uygun olarak gereçekleştirilmiştir.

Kaynakça

• Aguinis, H. & Harden, E. E. (2009). Sample size rules of thumb: Evaluating three common practices. In C. E. Lance & R. J. Vandberg (Eds.), Statistical and methodological myths and urban legends: Doctrine, verity and fable in the organizational and social sciences (pp. 267-286). Routledge.
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Publisher.
• Aras, S., UnlU, G., & Tas, F. V. (2007). Symptoms, diagnoses and diagnostic procedures of patients who presented to the child and adolescent psychiatry outpatient clinic. Klinik Psikiyatri Dergisi, 10(1), 28-37.
• Baumgartner, N., Häberling, I., Emery, S., Strumberger, M., Nalani, K., Erb, S., Bachmann, S., Wöckel, L., Müller-Knapp, U., Rhiner, B., Contin-Waldvogel, B., Schmeck, K., Walitza, S.,& Berger, G. (2020). When parents and children disagree: Informant discrepancies in reports of depressive symptoms in clinical interviews. Journal of Affective Disorders, 272, 223-230. https://doi.org/10.1016/j.jad.2020.04.008
• Boerner, K. E., Chambers, C. T., McGrath, P. J., LoLordo, V., & Uher, R. (2017). The effect of parental modeling on child pain responses: The role of parent and child sex. The Journal of Pain, 18(6), 702-715. https://doi.org/10.1016/j.jpain.2017.01.007
• Bradley, R. H., & Corwyn, R. (2013). From parent to child to parent…: Paths in and out of problem behavior. Journal of Abnormal Child Psychology, 41(4), 515-529. https://doi.org/10.1007/s10802-012-9692-x
• Caqueo-Urízar, A., Urzua, A., Villalonga-Olives, E., Atencio-Quevedo, D., Irarrázaval, M., Flores, J., & Ramirez, C. (2022). Children’s mental health: Discrepancy between child self-reporting and parental reporting. Behavioral Sciences, 12(10), 401. https://doi.org/10.3390/bs12100401
• Canavera, K. E., Wilkins, K. C., Pincus, D. B., & Ehrenreich-May, J. T. (2009). Parent–child agreement in the assessment of obsessive-compulsive disorder. Journal of Clinical Child & Adolescent Psychology, 38(6), 909-915. https://doi.org/10.1080/15374410903258975
• Cavanna, A. E., Luoni, C., Selvini, C., Blangiardo, R., Eddy, C. M., Silvestri, P. R., ... & Termine, C. (2013). Parent and self-report health-related quality of life measures in young patients with Tourette syndrome. Journal of Child Neurology, 28(10), 1305-1308. https://doi.org/10.1177/0883073812457462
• Chorpita, B.F., Yim, L., Moffitt C., Umemoto, L.A., & Francis S.E. (2000) Assessments of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behavior Research and Therapy, 38(8), 835-855 https://doi.org/10.1016/S0005-7967(99)00130-8
• Choudhury, M. S., Pimentel, S. S., & Kendall, P. C. (2003). Childhood anxiety disorders: Parent–child (dis) agreement using a structured interview for the DSM-IV. Journal of the American Academy of Child & Adolescent Psychiatry, 42(8), 957-964. https://doi.org/10.1097/01.CHI.0000046898.27264.A2
• Comings, D. E., & Comings, B. G. (1984). Tourette's syndrome and attention deficit disorder with hyper activity: Are they genetically related? Journal of the American Academy of Child Psychiatry, 23(2), 138-146. https://doi.org/10.1097/00004583-198403000-00004
• De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131(4), 483. https://doi.org/10.1037/0033-2909.131.4.483
• De Los Reyes, A., & Epkins, C. C. (2023). Introduction to the special issue. A dozen years of demonstrating that informant discrepancies are more than measurement error: Toward guidelines for integrating data from multi-informant assessments of youth mental health. Journal of Clinical Child & Adolescent Psychology, 52(1), 1-18. https://doi.org/10.1080/15374416.2022.2158843
• Edelbrock, C., Costello, A. J., Dulcan, M. K., Conover, N. C., & Kala, R. (1986). Parent‐child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27(2), 181-190. https://doi.org/10.1111/j.1469-7610.1986.tb02329.x
• Eiser, C., & Morse, R. (2001). Can parents rate their child's health-related quality of life? Results of a systematic review. Quality of life research, 10, 347-357.
• Epanchin, B. C., & Rennells, M. S. (1989). Parents' and teachers' sensitivity to unhappiness reported by undercontrolled children. Behavioral Disorders, 14(3), 166-174. https://doi.org/10.1177/019874298901400301
• Gadow, K. D., Sprafkin, J., Carlson, G. A., Schneider, J., Nolan, E. E., Mattison, R. E., & Rundberg-Rivera, V. (2002). A DSM-IV–referenced, adolescent self-report rating scale. Journal of the American Academy of Child & Adolescent Psychiatry, 41(6), 671-679. https://doi.org/10.1097/00004583-200206000-00006
• Gormez, V., Kılınçaslan, A., Orengul, A. C., Ebesutani, C., Kaya, I., Ceri, V., Nasiroglu, S., Filiz, M., & Chorpita, B. (2017). Psychometric properties of the Turkish version of the Revised Child Anxiety and Depression Scale–Child Version in a clinical sample. Psychiatry and Clinical Psychopharmacology, 27(1), 84-92. https://doi.org/10.1080/24750573.2017.1297494
• Guinchat, V., Chamak, B., Bonniau, B., Bodeau, N., Perisse, D., Cohen, D., & Danion, A. (2012). Very early signs of autism reported by parents include many concerns not specific to autism criteria. Research in Autism Spectrum Disorders, 6(2), 589-601. https://doi.org/10.1016/j.rasd.2011.10.005
• Hyland, S., Mackin, D. M., Goldstein, B. L., Finsaas, M. C., & Klein, D. N. (2022). Agreement, stability, and validity of parent-and youth-reported anxiety symptoms from childhood to adolescence. Research on Child and Adolescent Psychopathology, 50(11), 1445-1455. https://doi.org/10.1007/s10802-022-00941-1
• Jankovic, J., & Rohaidy, H. (1987). Motor, behavioral and pharmacologic findings in Tourette's syndrome. Canadian Journal of Neurological Sciences, 14(S3), 541-546. https://doi.org/10.1017/S0317167100038087
• Jansen, M., Overgaauw, S., & De Bruijn, E. R. (2020). Social cognition and obsessive-compulsive disorder: a review of subdomains of social functioning. Frontiers in Psychiatry, 11, 118. https://doi.org/10.3389/fpsyt.2020.00118
• Jeffrey, J., Klomhaus, A., Enenbach, M., Lester, P., & Krishna, R. (2020). Self-report rating scales to guide measurement-based care in child and adolescent psychiatry. Child and Adolescent Psychiatric Clinics, 29(4), 601-629. https://doi.org/10.1016/j.chc.2020.06.002
• Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593
• Lagattuta, K. H., Sayfan, L., & Bamford, C. (2012). Do you know how I feel? Parents underestimate worry and overestimate optimism compared to child self-report. Journal of Experimental Child Psychology, 113(2), 211-232. https://doi.org/10.1016/j.jecp.2012.04.001
• Mash, E. J., & Wolfe, D. A. (2015). Abnormal child psychology. Cengage learning.
• Melton, T. H., Croarkin, P. E., Strawn, J. R., & Mcclintock, S. M. (2016). Comorbid anxiety and depressive symptoms in children and adolescents: a systematic review and analysis. Journal of Psychiatric Practice, 22(2), 84-98. https://doi.org/10.1097/PRA.0000000000000132
• McDonald, E., Whitney, S., Horricks, L., Lipman, E. L., & Ferro, M. A. (2021). Parent-child agreement on the Mini İnternational Neuropsychiatric Interview for Children and Adolescents (MINI-KID). Journal of the Canadian Academy of Child and Adolescent Psychiatry, 30(4), 264.
• Upton, P., Lawford, J., & Eiser, C. (2008). Parent–child agreement across child health-related quality of life instruments: A review of the literature. Quality of Life Research, 17, 895-913. https://doi.org/10.1023/A:1012253723272
• Peverill, M., Dirks, M. A., Narvaja, T., Herts, K. L., Comer, J. S., & McLaughlin, K. A. (2021). Socioeconomic status and child psychopathology in the United States: A meta-analysis of population-based studies. Clinical Psychology Review, 83, 101933. https://doi.org/10.1016/j.cpr.2020.101933
• Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 13(2, Sup. 1), 61-69. https://doi.org/10.1089/104454603322126359
• Radez, J., Reardon, T., Creswell, C., Orchard, F., & Waite, P. (2022). Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: a qualitative interview study. European Child & Adolescent Psychiatry, 1-17. https://doi.org/10.1007/s00787-020-01707-0
• Rapaport, M. H., Clary, C., Fayyad, R., & Endicott, J. (2005). Quality-of-life impairment in depressive and anxiety disorders. American Journal of Psychiatry, 162(6), 1171-1178. https://doi.org/10.1176/appi.ajp.162.6.1171
• Rescorla, L., Ivanova, M. Y., Achenbach, T. M., Begovac, I., Chahed, M., Drugli, M. B., ... & Zhang, E. Y. (2012). International epidemiology of child and adolescent psychopathology II: integration and applications of dimensional findings from 44 societies. Journal of the American Academy of Child & Adolescent Psychiatry, 51(12), 1273-1283. https://doi.org/10.1016/j.jaac.2012.09.012
• Riley, A. W. (2004). Evidence that school-age children can self-report on their health. Ambulatory Pediatrics, 4(4), 371-376. https://doi.org/10.1367/A03-178R.1
• Sheldrick, R. C., Neger, E. N., Shipman, D., & Perrin, E. C. (2012). Quality of life of adolescents with autism spectrum disorders: Concordance among adolescents’ self-reports, parents’ reports, and parents’ proxy reports. Quality of Life Research, 21, 53-57. https://doi.org/10.1007/s11136-011-9916-5
• Sprafkin, J., Gadow, K. D., Salisbury, H., Schneider, J., & Loney, J. (2002). Further evidence of reliability and validity of the Child Symptom Inventory-4: Parent checklist in clinically referred boys. Journal of Clinical Child and Adolescent Psychology, 31(4), 513-524.
• Thapar, A., Cooper, M., & Rutter, M. (2017). Neurodevelopmental disorders. The Lancet Psychiatry, 4(4), 339-346. https://doi.org/10.1016/S2215-0366(16)30376-5
• Yang, Z., Wu, H., Lee, P. H., Tsetsos, F., Davis, L. K., Yu, D., Lee, S.H., Dalsgaard, S., Haavik, J., Barta, C., Zayats, T., Eapen, V., Wray, N.R., Devlin, B., Daly, M., Neale, B., Borglum, A.D., Crowley, J.J., Scharf, J., ...Paschou, P. (2021). Investigating shared genetic basis across Tourette syndrome and comorbid neurodevelopmental disorders along the impulsivity-compulsivity spectrum. Biological Psychiatry, 90(5), 317-327. https://doi.org/10.1016/j.biopsych.2020.12.028
• Yeh, M., & Weisz, J. R. (2001). Why are we here at the clinic? Parent–child (dis) agreement on referral problems at outpatient treatment entry. Journal of Consulting and Clinical Psychology, 69(6), 1018. https://doi.org/10.1037/0022-006X.69.6.1018