Johanna Löchner, Stephanie Hämmerle, Sarah Ghezih, Kornelija Starman-Wöhrle, Gerd Schulte-Körne, Belinda Platt
{"title":"亲子协议对儿童精神病理学和父母抑郁的影响。","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":"{\"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}","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}
Parent-child agreement on children's psychopathology and the impact of parental depression
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 (χ21,100 = 4.63, p < 0.001, d = 0.59). This pattern characterised parents with cMD (χ21,52 = 7.99, p = 0.005; κ = 0.582) but not rMD (χ21,48 = 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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
