Parent-child agreement on children's psychopathology and the impact of parental depression

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research Pub Date : 2023-10-23 DOI:10.1002/mpr.1993

Johanna Löchner, Stephanie Hämmerle, Sarah Ghezih, Kornelija Starman-Wöhrle, Gerd Schulte-Körne, Belinda Platt

{"title":"Parent-child agreement on children's psychopathology and the impact of parental depression","authors":"Johanna Löchner, Stephanie Hämmerle, Sarah Ghezih, Kornelija Starman-Wöhrle, Gerd Schulte-Körne, Belinda Platt","doi":"10.1002/mpr.1993","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Parental depression increases children's risk of mental illness and may simultaneously impair the detection of children's symptoms. Here we investigate the nature of parent-child agreement of children's psychopathology in children of parents with current (cMD) versus remitted (rMD) major depression.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Baseline data from 100 parent-child dyads including healthy children aged 8–17 (<i>M</i> = 11.89, <i>SD</i> = 2.83) and their parents with a history of depression were analysed. The presence of sub-clinical psychopathology (yes/no) in children was assessed using semi-structured diagnostic interviews with child and parent (K-DIPS). Self- (YSR) and parent-report (CBCL) questionnaires were used to measure the severity of symptoms. Parent-child agreement was calculated using Chi-square tests and Cohen's kappa respectively. We compared whether agreement differed between children of parents with cMD (<i>n</i> = 52) versus rMD (<i>n</i> = 48).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In the interviews parents more frequently reported sub-clinical child psychopathology than the children themselves (<i>χ</i><sup>2</sup> <sub>1,100</sub> = 4.63, <i>p</i> < 0.001, <i>d</i> = 0.59). This pattern characterised parents with cMD (<i>χ</i><sup>2</sup> <sub>1,52</sub> = 7.99, <i>p</i> = 0.005; <i>κ</i> = 0.582) but not rMD (<i>χ</i><sup>2</sup> <sub>1,48</sub> = 000, <i>p</i> = 0.686; <i>κ</i> = −0.010), a difference which was statistically significant (<i>z</i> = 3.14, <i>p</i> < 0.001, <i>d</i> = 0.66).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Since agreement between parents and children about the severity of children's symptoms was particularly poor in families where parents were currently depressed, parental mental illness should be taken into account when assessing youth psychopathology.</p>\n </section>\n </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"33 1","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10804260/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Methods in Psychiatric Research","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/mpr.1993","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Parental depression increases children's risk of mental illness and may simultaneously impair the detection of children's symptoms. Here we investigate the nature of parent-child agreement of children's psychopathology in children of parents with current (cMD) versus remitted (rMD) major depression.

Methods

Baseline data from 100 parent-child dyads including healthy children aged 8–17 (M = 11.89, SD = 2.83) and their parents with a history of depression were analysed. The presence of sub-clinical psychopathology (yes/no) in children was assessed using semi-structured diagnostic interviews with child and parent (K-DIPS). Self- (YSR) and parent-report (CBCL) questionnaires were used to measure the severity of symptoms. Parent-child agreement was calculated using Chi-square tests and Cohen's kappa respectively. We compared whether agreement differed between children of parents with cMD (n = 52) versus rMD (n = 48).

Results

In the interviews parents more frequently reported sub-clinical child psychopathology than the children themselves (χ² _1,100 = 4.63, p < 0.001, d = 0.59). This pattern characterised parents with cMD (χ² _1,52 = 7.99, p = 0.005; κ = 0.582) but not rMD (χ² _1,48 = 000, p = 0.686; κ = −0.010), a difference which was statistically significant (z = 3.14, p < 0.001, d = 0.66).

Conclusion

Since agreement between parents and children about the severity of children's symptoms was particularly poor in families where parents were currently depressed, parental mental illness should be taken into account when assessing youth psychopathology.

查看原文本刊更多论文

亲子协议对儿童精神病理学和父母抑郁的影响。

背景：父母的抑郁会增加儿童患精神疾病的风险，同时也可能影响对儿童症状的检测。在这里，我们调查了父母患有当前（cMD）和缓解（rMD）严重抑郁症的儿童的儿童精神病理学的亲子一致性的性质。方法：分析100名8-17岁健康儿童（M=11.89，SD=2.83）及其有抑郁症病史的父母的基线数据。儿童亚临床精神病理学的存在（是/否）通过对儿童和父母的半结构化诊断访谈（K-DIPS）进行评估。使用自我（YSR）和父母报告（CBCL）问卷来测量症状的严重程度。亲子一致性分别采用卡方检验和Cohen’s kappa进行计算。我们比较了父母患有cMD（n=52）和rMD（n=48）的孩子之间的一致性是否不同。结果：在访谈中，父母报告亚临床儿童精神病理学的频率高于儿童本身（χ2 1100=4.63，p 2 1，52=7.99，p=0.005；κ=0.582），但不报告rMD（χ2 1，48=000，p=0.686；κ=-0.010），差异具有统计学意义（z=3.14，p结论：由于父母和孩子之间对儿童症状严重程度的一致性在父母目前情绪低落的家庭中尤其差，因此在评估青少年精神病理学时应考虑父母的精神疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Methods in Psychiatric Research 医学-精神病学

CiteScore

5.20

自引率

6.50%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.