Abstract
Objective
To investigate whether parent–teacher disagreement regarding the presence of psychopathology predicts poor outcome in children who have been referred to mental health services
Methods
A total of 532 6- to 12-year-old children who had been referred to an outpatient department for child and adolescent psychiatry were followed up across an average period of 6.3 years. At initial assessment, standardized parent and teacher ratings of the child’s psychopathology were obtained with the Child Behavoir Checklist (CBCL) and Teacher’s Reprot form (TRF). At follow-up, indices of poor outcome were assessed.
Results
Several CBCL and TRF scale scores predicted poor outcome. Discrepancies between CBCL and TRF scores were not useful as additional predictors. Some additive effects were found; future police/judicial contacts and disciplinary problems in school were predicted by CBCL and TRF scores.
Conclusions
The findings underscored the need for information from different informants in clinical practice. However, discrepancies between parent and teacher ratings do not predict outcome, and should not alert clinicians.
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References
Achenbach TM (1991a) Integrative guide to the 1991 CBCL/4–18, YSR, and TRF profiles. University of Vermont Department of Psychiatry, Burlington VT
Achenbach TM (1991b) Manual for the child behavior checklist/4–18 and 1991 profiles. Department of Psychiatry, University of Vermont, Burlington VT
Achenbach TM (1991c) Manual for the teacher’s report form and 1991 profiles. Department of Psychiatry, University of Vermont Burlington VT
Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232
Arseneault L, Cannon M, Witton J, Murray RM (2004) Causal association between cannabis and psychosis: examination of the evidence. Brit J Psychiatry 184:110–117
Briggs Gowan MJ, Carter AS, Schwab Stone M (1996) Discrepancies among mother, child, and teacher reports: examining the contributions of maternal depression and anxiety. J Abnorm Child Psychol 24:749–765
Cohen J (1988) Power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates Inc, New Jersey Hillsdale
Crystal DS, Ostrander R, Chen Rs, August GJ (2001) Multimethod assessment of psychopathology among DSM-IV subtypes of children with attention-deficit/hyperactivity disorder: Self-, parent, and teacher reports. J Abnorm Child Psychol 29:189–205
de Groot A, Koot HM, Verhulst FC (1996) Cross-cultural generalizability of the youth self-report and teacher’s report form cross-informant syndromes. J Abnorm Child Psychol 24:651–664
Ferdinand RF, Blüm M, Verhulst FC (2001) Psychopathology in adolescence predicts substance use in young adulthood. Addiction 96:861–870
Ferdinand RF, Hoogerheide KN, van der Ende J, Visser JH, Koot HM, et al. (2003) The role of the clinician: three-year predictive value of parents’, teachers’ and clinicians’ judgment of childhood psychopathology. J Child Psychol Psychiatry 44:867–876
Ferdinand RF, Sondeijker F, Van der Ende J, Selten JP, Huizink A, Verhulst FC (2005) Cannabis use predicts future psychotic symptoms; and vice versa. Addiction 100:612–618
Ferdinand RF, van der Ende J, Verhulst FC (2004) Parent-adolescent disagreement regarding psychopathology in adolescents from the general population as a risk factor for adverse outcome. J Abnorm Psychol 113:198–206
Ferdinand RF, Van der Ende J, Verhulst FC (2006a) Parent-teacher disagreement regarding psychopathology in children: a risk factor for adverse outcome? Acta Psychiat Scand (in press)
Ferdinand RF, Van der Ende J, Verhulst FC (2006b) Prognostic value of parent-adolescent disagreement in a referred sample. Eur Child Adoles Psychiatry 15:156–162
Gifford Sawyer M, Baghurst P, Clark J (1992) Differences between reports from children, parents and teachers: implications for epidemiological studies. Aust N Z J Psychiatry 26:652–660
Heijmens Visser J, van der Ende J, Koot HM, Verhulst FC (1999) Continuity of psychopathology in youths referred to mental health services. J Am Acad Child Adoles Psychiatry 38:1560–1568
Heijmens Visser J, van der Ende J, Koot HM, Verhulst FC (2003) Predicting change in psychopathology in youth referred to mental health services in childhood or adolescence. J Child Psychol Psychiatry 44:509–519
Heijmens Visser JH, van der Ende J, Koot HM, Verhulst FC (2000) Predictors of psychopathology in young adults referred to mental health services in childhood or adolescence. Brit J Psychiatry 177:59–65
Jensen AL, Weisz JR (2002) Assessing match and mismatch between practitioner-generated and standardized interview-generated diagnoses for clinic-referred children and adolescents. J Consult Clin Psychol 70:158–168
Kasius MC, Ferdinand RF, van den Berg H, Verhulst FC (1997) Associations between different diagnostic approaches for child and adolescent psychopathology. J Child Psychol Psychiatry, 38:625–632
Kolko DJ, Kazdin AE (1993) Emotional/behavioral problems in clinic and nonclinic children: Correspondence among child, parent and teacher reports. J Child Psychol Psychiatry 34:991–1006
Koot HM, Verhulst FC (1992) Prediction of children’s referral to mental health and special education services from earlier adjustment. J Child Psychol Psychiatry 33:717–729
Offord DR, Boyle MH, Racine Y, Szatmari P, et al. (1996) Integrating assessment data from multiple informants. J Am Acad Child Adoles Psychiatry 35:1078–1085
Power TJ, Costigan TE, Leff SS, Eiraldi RB, Landau S (2001) Assessing ADHD across settings: contributions of behavioral assessment to categorical decision making. J Clin Child Psychol 30:399–412
Sourander A, Piha J (1997) Parent, teacher, and clinical ratings on admission to child psychiatric inpatient treatment: a study of cross-informant correlations using the CBCL, Rutter scales, and the CGAS. Nord J Psychiatry 51:365–370
Stanger C, Lewis M (1993) Agreement among parents, teachers, and children on internalizing and externalizing behavior problems. J Clin Child Psychol 22:107–115
Verhulst FC, Dekker MC, van der Ende J (1997a) Parent, teacher and self-reports as predictors of signs of disturbance in adolescents: whose information carries the most weight? Acta Psychiatr Scand 96:75–81
Verhulst FC, van der Ende J (1997) Factors associated with child mental health service use in the community. J Am Acad Child Adoles Psychiatry 36:901–909
Verhulst FC, van der Ende J, Koot HM (1996) Handleiding voor de CBCL/4–18. Rotterdam: Afdeling Kinder- en jeugdpsychiatrie, Sophia Kinderziekenhuis/Academisch Ziekenhuis Rotterdam/Erasmus Universiteit Rotterdam
Verhulst FC, van der Ende J, Koot HM (1997b) Handleiding voor de Teacher’s Report Form (TRF). Rotterdam: Afdeling Kinder- en jeugdpsychiatrie, Sophia Kinderziekenhuis/Academisch Ziekenhuis Rotterdam/Erasmus Universiteit Rotterdam
Wolraich ML, Lambert EW, Bickman L, Simmons T, Doffing MA, Worley KA (2004) Assessing the impact of parent and teacher agreement on diagnosing attention-deficit hyperactivity disorder. J Dev Behav Pediatr 25:41–47
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. J Consult Clin Psychol 68:1038–1050
Youngstrom EA, Gracious BL, Danielson CK, Findling RL, Calabrese J (2003) Toward an integration of parent and clinician report on the young mania rating scale. J Affect Disord 77:179–190
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Ferdinand, R.F., van der Ende, J. & Verhulst, F.C. Parent–teacher disagreement regarding behavioral and emotional problems in referred children is not a risk factor for poor outcome. Eur Child Adolesc Psychiatry 16, 121–127 (2007). https://doi.org/10.1007/s00787-006-0581-0
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DOI: https://doi.org/10.1007/s00787-006-0581-0