Abstract
Purpose
An important question in child psychiatry is the agreement between parents and children. We studied mother–child concordance about the quality of life of children (QoL). We hypothesized that mothers of depressed children rate lower QoL than children for themselves while mothers of non-depressed children rate better QoL; that inter-informant agreement is higher in the non-depressed sample; and finally that agreement increases with age of the child.
Methods
QoL of depressed children (N = 248, mean age 11.45 years, SD 2.02) were compared to that of non-depressed children (N = 1695, mean age 10.34 years, SD 2.19). QoL was examined by a 7 item questionnaire (ILK).
Results
Mothers of depressed children rated lower QoL than their children while mothers of nondepressed children rated higher QoL than their children. Agreement was low in both samples but higher in the controls. Inter-informant agreement was only influenced by depression.
Conclusions
Our results show that mothers relate more serious negative effects to childhood depression than their children and rate less problems for their non-depressed children compared to self-reports. Mother–child agreement is negatively influenced by depression which further stresses the importance of obtaining reports from the child and at least one parent in order to understand the subjective experiences caused by the illness.
Similar content being viewed by others
References
Allen EC, Combs-Orme T, McCarter R, Grossman LS (2000) Self-reported depressive symptoms in school-age children at the time entry into foster care. Amb Child Health 6:45–57
April KT, Feldman DE, Platt RW, Duffy CM (2006) Comparison between children with juvenile idiopathic arthritis (JIA) and their parents concerning perceived quality of life. Quality of Life Research 15:655–661
Baastiansen D, Koot HM, Ferdinand RF, Verhulst FC (2004) Quality of life in children with psychiatric disorders: self-, parent, and clinician report. J Am Acad Child Adolesc Psychiatry 43:221–230
Cavallo F, Zambon A, Boraccino A, Raven-Sieberer U, Torsheim T, Lemma P, The HBSC Positive Health Group (2006) Girls growing through adolescence have a higher risk of poor health. Qual Life Res 15:1577–1585
Coq EM, Boeke AJ, Bezemer PD, Colland VT, Eijk JT (2000) Which source should we use to measure quality of life in children with asthma: the children themselves or their parents? Qual Life Res 9:625–636
Cremeens J, Eiser C, Blades M (2006) Factors influencing agreement between child self-report and parent proxy-reports on the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes 4:58
Davanzo P, Kerwin L, Nikore V, Esparza C, Forness S, Murelle L (2004) Spanish translation and reliability testing of the child depression inventory. Child Psychiatry Hum Dev 35:75–92
De Civita M, Regier D, Alamgir AH, Anis AH, FitzGerald MJ, Marra CA (2005) Evaluating health-related quality-of-life studies in pediatric populations. Pharmacoeconomics 23:659–685
De Los Reyes A, Kazdin AE (2005) Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychol Bull 131(4):483–509
Eiser C, Morse R (2001) Can parents rate their child’s health-related quality of life? Results of a systematic review. Qual Life Res 10:347–357
Havermans T, Vreys M, Proesmans M, de Boeck C (2006) Assessment of agreement between parents and children on health-related quality of life in children with cystic fibrosis. Child Care Health Dev 32:1–7
Jokovic A, Locker D, Stephens M, Guyatt G (2003) Agreement between mothers and children aged 11–14 years in rating child oral health-related quality of life. Community Dent Oral Epidemiol 31:335–343
Kapornai K, Gentzler AL, Tepper P, Kiss E, Mayer L, Tamás Zs, Kovacs M, Vetró á, The International Consortium for Childhood-Onset Mood Disorders (2007) Early developmental characteristics and features of major depressive disorder among child psychiatric patients in Hungary. J Affect Disord 100(1–3):91–101
Kiss E, Baji I, Mayer L, Skultéti D, Benák I, Vetró á (2007) Validity and psychometric properties of the Quality of Life Questionnaire in a Hungarian child population. Psychiatria Hungarica 22(1):33–42
Kiss E, Gentzler AM, George C, Kapornai K, Tamás Zs, Kovacs M, Vetró á (2007) Factors influencing mother–child reports of depressive symptoms and agreement among clinically referred depressed youngsters in Hungary. J Affect Disord 100(1–3):143–151
Klassen AF, Miller A, Fine S (2006) Agreement between parent and child report of quality of life in children with attention-deficit/hyperactivity disorder. Child Care Health Dev 32:397–406
Kovacs M (1992) Children’s Depression Inventory Manual. Multi-Health systems, North Tonawanda,
Kraemer HC, Measelle JR, Ablow JC, Essex MJ, Boyce WT, Kupfer DJ (2003) A new approach to integrating data from multiple informants in psychiatric assessment and research: mixing and matching contexts and perspectives. Am J Psychiatry 160(9):1566–1577
Larson B, Melin L (1992) Prevalence and short-term stability of depressive symptoms in school children. Acta Psychiatr Scand 85:17–22
Levi RB, Drotar D (1999) Health-related quality of life in childhood cancer: discrepancy in parent–child reports. Int J Cancer 12:58–64
Mattejat F, Jungmann J, Meusers M, Moik C, Nölkel P, Schaff C (1988) Das inventar zur erfassung der lebensqulitat bei kindern und jugendlichen (ILK)–eine pilotstudie. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie 26:174–182
Matttejat F, Remschmidt H (1988) Zur erfassung der lebesqualitat bei psychisch gestörten kindern und jugendlichen–eine übersicht. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie 26:183–196
Maziade M, Roy MA, Fournier JP, Cliché D, Merette C, Caron C (1992) Reliability of best-estimate diagnosis in genetic linkeage studies of major psychoses: results from the Quebec pedigree studies. Am J Psychiatry 149:1674–1686
Parsons SK, Barlow SE, Levy SL, Supran SE, Kaplan SH (1999) Health-related quality of life in pediatric bone marrow transplant survivors: according to whom? Int J Cancer Suppl 12:46–51
Poli P, Sbrana B, Marcheschi M, Masi G (2003) Self-reported depressive symptoms in a school sample of Italian children and adolescents. Child Psychiatry Hum Dev 33:209–226
Robitail S, Simeoni MC, Erhart M, Ravens-Sieberer U, Bruil J, Auquier P, The European Kidscreen Group (2006) Validation of the European KIDSCREEN-52 pilot test health-related quality of life questionnaire: first results. J Adolesc Health 39:596.e1–596.e10
Ronen GM, Streiner DL, Rosenbaum P, The Canadian Pediatric Epilepsy Network (2003) Health-related quality of life in children with epilepsy: development and validation of self-report and parent-proxy measures. Epilepsia 44:598–612
Russel KM, Hudson M, Long A, Phipps S (2006) Assessment of health-related quality of life in children with cancer. Cancer 106:2267–2274
Sawyer M, Antoniuo G, Toogood I, Rice M (1999) A comparison of parent and adolescent reports describing the health-related quality of life of adolescents treated for cancer. Int J Cancer Suppl 12:39–45
Sherill JT, Kovacs M (2000) Interview schedule for children and adolescents (ISCA). J Am Acad Child Adolesc Psychiatry 39:67–75
Theunissen NC, Vogels TG, Koopman HM, Verrips GH, Zwinderman KA, Verloove-Vanhorick SP, Wit JM (1998) The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res 7:387–397
Vance YH, Morse RC, Jenney ME, Eiser C (2001) Issues in measuring quality of life in childhood cancer: measures, proxies, and parental mental health. J Child Psychol Psychiatry 42:661–667
Verrips GH, Vogels AG, den Ouden AL, Paneth N, Verloove-Vanhorick SP (2000) Measuring health-related quality of life in adolescents: agreement between raters and between methods of administration. Child Care Health Dev 26(6):457–469
White-Koning M, Arnaud C, Dickinson HO, Thyen U, Beckung E, Fauconnier J, McManus V, Michelsen SI, Parkes J, Parkinson K, Schirripa G, Colver A (2007) Determinants of child-parent agreement in quality-of-life reports: a European study of children with cerebral palsy. Pediatrics 120(4):e804–e814
Acknowledgement
This work was partly supported by National Institute of Mental Health Program Project grant, MH 56193.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kiss, E., Kapornai, K., Baji, I. et al. Assessing quality of life: mother–child agreement in depressed and non-depressed Hungarian. Eur Child Adolesc Psychiatry 18, 265–273 (2009). https://doi.org/10.1007/s00787-008-0727-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00787-008-0727-3