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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 4/2008

01-12-2008

Exploring Child and Parent Factors in the Diagnostic Agreement on the Anxiety Disorders Interview Schedule

Auteurs: Lena Reuterskiöld, Lars-Göran Öst, Thomas Ollendick

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 4/2008

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Abstract

Worryingly low levels of parent–child agreement on child psychiatric diagnosis are reported. This study examined parent–child agreement on diagnostic categories and severity ratings with the Anxiety Disorders Interview Schedule, Child and Parents versions (ADIS-C/P). Children’s age, gender, motivation and self-concept and parent’s general psychopathology and diagnoses were examined. Participants were 110 children (aged 8–14 years) with a principal specific phobia diagnosis, and their parents. Findings revealed excellent parent–child agreement on principal specific phobia diagnosis (97.3%), and fair levels of concordance on most co-occurring secondary diagnoses. As expected, children with high motivation had generally stronger parent–child agreement on diagnoses and severity ratings (for ADHD p < .001). Parents reported overall more diagnoses for their children (for GAD p < .03; SOCP p < .02) and parents with diagnoses seemed more tuned in to their children’s problematic behavior. It is suggested that clinicians screen for motivation status early in the assessment phase and use both parts of the ADIS-C/P.
Voetnoten
1
Experience from our previous study on children’s phobias (Öst et al. 2001) was that a one-session exposure treatment for injection phobia was insufficient, and therefore this phobia was excluded from the present study.
 
2
The following equation was used: z = |ĸ 1 - ĸ 2|/√[(SE1)2 + (SE2)2]. This way of comparing kappa scores has previously been used by Safford et al. (2005).
 
3
Sixteen cases had the median score 20 and were randomly placed in one of the two motivation groups.
 
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Metagegevens
Titel
Exploring Child and Parent Factors in the Diagnostic Agreement on the Anxiety Disorders Interview Schedule
Auteurs
Lena Reuterskiöld
Lars-Göran Öst
Thomas Ollendick
Publicatiedatum
01-12-2008
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 4/2008
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-008-9081-5

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