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Mother–Child Agreement on Reports of Internalizing Symptoms Among Children Referred for Evaluation of ADHD

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Abstract

The effects of maternal (bias), child (age, severity of behavior problems), and measurement characteristics (similarity of parent and child measures; types of internalizing symptoms) on mother–child agreement on reports of children's internalizing symptoms were examined for 65 children referred for evaluation of ADHD. Agreement was low and did not improve when parents and children completed parallel measures. Mothers and children were more likely to agree on severity of internalizing symptoms rated as behavioral than those rated as ideational. The majority of discordant reports were of the type that mothers, but not children, reported clinically elevated symptoms. This type of discordance appeared to be a function of maternal negative bias rather than underreporting of symptoms by children.

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REFERENCES

  • Achenbach, T. (1991a). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T. (1991b). Manual for the teacher's report form and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T., McConaughy, S., & Howell, C. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213-232.

    Google Scholar 

  • Alpern, L., & Lyons-Ruth, K. (1993). Preschool children at social risk: Chronicity and timing of maternal depressive symptoms and child behavior at school and home. Development and Psychopathology, 5, 371-387.

    Google Scholar 

  • Antrop, I., Roeyers, H., Oosterlaan, J., & Van Oost, P. (2002). Agreement between parent and teacher ratings of disruptive behavior disorders in children with clinically diagnosed ADHD. Journal of Psychopathology and Behavioral Assessment, 24, 67-73.

    Google Scholar 

  • August, G. J., Realmuto, G. M., MacDonald, A. W., Nugent, S. M., Crosby, R. (1996). Prevalence of ADHD and comorbid disorders among elementary school children screened for disruptive behavior. Journal of Abnormal Child Psychology, 24, 571-595.

    Google Scholar 

  • Barkley, R. (1977). A review of stimulant drug research with hyperactive children. Journal of Child Psychology, Psychiatry, and Allied Disciplines, 18(2), 137-165.

    Google Scholar 

  • Cagney, K., & Lauderdale, D. (2002). Education, wealth, and cognitive function in later life. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57B, 163-172.

    Google Scholar 

  • Cantwell, D. P., Lewinsohn, P. M., Rohde, P., Seeley, J. R. (1997). Correspondence between adolescent report and parent report of psychiatric diagnostic data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 610-619.

    Google Scholar 

  • Chi, T., & Hinshaw, S. (2002). Mother–child relationships of children with ADHD: The role of maternal depressive symptoms and depressive related distortions. Journal of Abnormal Child Psychology, 30, 387-400.

    Google Scholar 

  • Cohen, N., Vallance, D., Barwick, M., Im, N., Menna, R., Horodezky, N., & Isaacson, L. (2000). The interface between ADHD and language impairment: An examination of language, achievement, and cognitive processing. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 353-362.

    Google Scholar 

  • Cole, D., Hoffman, K., Tram, J., & Maxwell, S. (2000). Structural differences in parent and child reports of children's symptoms of depression and anxiety. Psychological Assessment 12, 174-185.

    Google Scholar 

  • Conners, K. (1997). Conners' Rating Scales-Revised: Instruments for use with children and adolescents. Toronto, Ontario: Multi-Health Systems, Inc.

    Google Scholar 

  • Edelbrock, C., & Costello, A. J. (1990). Structured interviews for children and adolescents. In G. Goldstein & M. Hersen (Eds.), Handbook of psychological assessment (pp. 308-323). Elmsford, NY: Pergamon.

    Google Scholar 

  • Edelbrock, C., Costello, A., Dulcan, M, Conover, N., & Kala, R. (1986). Parent–child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27, 181-190.

    Google Scholar 

  • Edelbrock, C., Costello, A. J., Dulcan, M. K., Kala, R., & Conover, N. C. (1985). Age differences in the reliability of the psychiatric interview of the child. Child Development, 56, 265-275.

    Google Scholar 

  • Engel, N. A., Rodrigue, J. R., Geffken, G. R. (1994). Parent–child agreement on ratings of anxiety in schildren. Psychological Reports, 75, 1251-1260.

    Google Scholar 

  • Fergusson, D., Lynskey, M., & Horwood, L. (1993). The effect of maternal depression on maternal ratings of child behavior. Journal of Abnormal Child Psychology, 21, 245-269.

    Google Scholar 

  • Gazmararian, J., Adams, M., & Pamuk, E. (1996). Associations between measures of socioeconomic status and maternal health behavior. American Journal of Preventative Medicine 12, 108-115.

    Google Scholar 

  • Gittelman, R. (1986). Childhood anxiety disorders. In C. Kestenbaum, & D. Williams (Eds.), Handbook of clinical assessment of children and adolescents (pp. 722-742). New York: New York University Press.

    Google Scholar 

  • Herjanic, B., Herjanic, M., Brown, F., & Wheatt, T. (1975). Are children reliable reporters? Journal of Abnormal Child Psychology, 3, 41-48.

    Google Scholar 

  • Herjanic, B., & Reich, W. (1982). Development of a structured psychiatric interview for children: Agreement between child and parent on individual symptoms. Journal of Abnormal Child Psychology, 10, 307-324.

    Google Scholar 

  • Hill, G. (2000). A role for the speech-language pathologist in multidisciplinary assessment and treatment of attention-deficit/hyperactivity disorder. Journal of Attention Disorders, 4, 69-79.

    Google Scholar 

  • Hodges, K. (1990). Depression and anxiety in children: A comparison of self-report questionnaires to clinical interview. Psychological Assessment, 2, 376-381.

    Google Scholar 

  • Hope, T. L., Adams, C., Reynolds, L., Powers, D., Perez, R. A., Kelley, M. L. (1999). Parent vs. self-report: Contributions toward diagnosis of adolescent psychopathology. Journal of Psychopathology and Behavioral Assessment, 21, 349-363.

    Google Scholar 

  • Ivens, C., & Rehm, L. (1988). Assessment of childhood depression: Correspondence between reports by child, mother, and father. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 738-741.

    Google Scholar 

  • Jensen, P. S., Rubio-Stipec, M., Canino, G., Bird, H., Dulcan, M., Schwab-Stone, M., Lahey, B. (1999). Parent and child contributions to diagnosis of mental disorder: Are both informants always necessary? Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1569-15s79.

    Google Scholar 

  • Kazdin, A. (1994). Informant variability in the assessment of childhood depression. In W. Reynolds & H. Johnston (Eds.), Handbook of depression in children and adolescents (pp. 249-271). New York: Plenum.

    Google Scholar 

  • Kazdin, A. E., French, N. H., Unis, A. S., & Esveldt-Dawson, K. (1983). Assessment of childhood depression: Correspondence of child and parent ratings. Journal of the American Academy of Child Psychiatry, 22(2), 157-164.

    Google Scholar 

  • Kovacs, M. (1985). The children's Depression Inventory. Psychopharmacology Bulletin, 21, 995-998.

    Google Scholar 

  • Kovacs, M. (1992). Children's Depression Inventory manual. Toronto, Ontario: Multi-Health Systems, Inc.

    Google Scholar 

  • March, J. (1997). Multidimensional Anxiety Scale for Children. Toronto, Ontario: Multi-Health Systems, Inc.

    Google Scholar 

  • March, J., Parker, J., Sullivan, K., Stallings, P., & Conners, C. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 554-565.

    Google Scholar 

  • March, J., Swanson, J., Arnold, E., Hoza, B., Conners, K., Hinshaw, S., Hechtman, L., Kraemer, H., Greenhill, L., Abikoff, H., Elliott, L., Jensen, P., Newcorn, J., Bitiello, B., Severe, J., Wells, K., & Pelham, W. (2000). Anxiety as a predictor and outcome variable in the sn with ADHD. Journal of Abnormal Psychology, 28, 527-541.

    Google Scholar 

  • Matthys, W., Cuperus, J., & Van Engeland, H. (1999). Deficient social problem-solving in boys with ODD/CD, with ADHD, and with both disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 311-321.

    Google Scholar 

  • Mayes, S., Calhoun, S., & Crowell, E. (2000). Learning disabilities and ADHD: Overlapping spectrum disorders. Journal of Learning Disabilities, 33, 417-424.

    Google Scholar 

  • McDermut, J., Haaga, D., & Bilek, L. (1997). Cognitive bias and irrational beliefs in major depression and dysphoria. Cognitive Therapy and Research, 21, 459-476.

    Google Scholar 

  • Mitsis, E., McKay, K., Schulz, K., Newcorn, J., Halperin, J. (2000). Parent–teacher concordance for DSM-IV attention-deficit/hyperactivity disorder in a clinic-referred sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 308-313.

    Google Scholar 

  • Nguyen, N., Whittlesey, S., Scimeca, K., DiGiacomo, D., Bui, B., Parsons, O., Scarborough, A., & Paddock, D. (1994). Parent–child agreement in prepubertal depression: Findings with a modified assessment method. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1275-1283.

    Google Scholar 

  • Nigg, J. T., & Hinshaw, S. P. (1998). Parent personality traits and psychopathology associated with antisocial behaviors in childhood attention-deficit hyperactivity disorder. Journal of Child Psychology, Psychiatry and Allied Disciplines, 39, 145-159.

    Google Scholar 

  • Pfiffner, L., Calzada, E., & McBurnett, K. (2000). Interventions to enhance social competence. Child and Adolescent Psychiatric Clinics of North America, 9, 689-709.

    Google Scholar 

  • Pliszka, S. R. (1989). Effect of anxiety on cognition, behavior, and stimulant response in ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 882-887.

    Google Scholar 

  • Reich, W., Herjanic, B., Welner, Z., Gandhy, P. R. (1982). Development of a structured psychiatric interview for children: Agreement on diagnosis comparing child and parent interviews. Journal of Abnormal Child Psychology, 10, 325-336.

    Google Scholar 

  • Renouf, A., & Kovacs, M. (1994). Concordance between mothers' reports and children's self-reports of depressive symptoms: A longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 208-216.

    Google Scholar 

  • Reynolds, C., & Richmond, B. (1978). What I think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271-280.

    Google Scholar 

  • Reynolds, C., & Richmond, B. (1985). Revised children's manifest anxiety scale manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Smith, M., Mitchell, J., McCauley, E., & Calderon, R. (1990). Screening for anxiety and depression in an adolescent clinic. Pediatrics, 85, 262-266.

    Google Scholar 

  • Stanger, C., & Lewis, M. (1993). Agreement among parents, teachers, and children on internalizing and externalizing behavior problems. Journal of Clinical Child Psychology, 22, 107-115.

    Google Scholar 

  • Webster-Stratton, C., & Herbert, M. (1994). Troubled families problem children. New York: Wiley.

    Google Scholar 

  • Wierzbicki, M. (1987). A parent form of the Children's Depression Inventory: Reliability and validity in nonclinical populations. Journal of Clinical Psychology, 43, 390-397.

    Google Scholar 

  • Winsler, A., & Wallace, G. (2002). Behavior problems and social skills in preschool children: Parent–teacher agreement and relations with classroom observations. Early Education and Development, 13, 41-58.

    Google Scholar 

  • Woolston, J. L., Rosenthal, S. L., Riddle, M. A., Sparrow, S. S., Cicchetti, D., & Zimmerman, L. D. (1989). Childhood comorbidity of anxiety/affective disorders and behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 707-713.

    Google Scholar 

  • Youngstrom, E., Izard, C., & Ackerman, B. (1999). Dysphoria-rlated bias in maternal ratings of children. Journal of Consulting and Clinical Psychology, 67, 905-916.

    Google Scholar 

  • Youngstrom, E., Loeber, R., & Stouthamer-Loeber, M. (2000). Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. Journal of Consulting and Clinical Psychology, 68, 1038-1050.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, Florida State University, Tallahassee, Florida

    Therese S. Kemper, Rebecca Gerhardstein, Karla K. Repper & Janet A. Kistner

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  1. Therese S. Kemper
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  2. Rebecca Gerhardstein
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  4. Janet A. Kistner
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Correspondence to Janet A. Kistner.

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Kemper, T.S., Gerhardstein, R., Repper, K.K. et al. Mother–Child Agreement on Reports of Internalizing Symptoms Among Children Referred for Evaluation of ADHD. Journal of Psychopathology and Behavioral Assessment 25, 239–250 (2003). https://doi.org/10.1023/A:1025847012201

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