Examining parent and child agreement in the diagnosis of adolescent depression
Child and Adolescent Mental Health Oct 04, 2019
Orchard F, et al. - Researchers undertook this research with the aim to examine the inter- and intra-rater reliability of parent report and adolescent self-report of depression symptoms. Independent responses from adolescents (n = 46) and parents (n = 46) to the Schedule for Affective Disorders and Schizophrenia in School-Age Children (Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1997, 980) and the Mood and Feelings Questionnaire (Journal of the American Academy of Child and Adolescent Psychiatry, 27, 1988, 726) were examined in a sample of parent-child dyads, where young people aged 13–17 were referred to a mental health service for depression. In the clinical interview, diagnostic criteria were more frequently met accounting the adolescent's report, and adolescents reported more symptoms of depression than their parents. In addition, tentative results indicated a low parent–child agreement about specific symptoms. Comparing different measures of depression revealed a significant correlation of adolescent report on the questionnaire and interview. Based on these results, they recommend not solely relying on parents to identify depression in their children as this may result in young people with depression being missed and therefore untreated. In addition, they emphasize encouraging and enabling young people themselves to identify the symptoms of depression and have an established pathway to services that offer assessment and treatment.
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