Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESChildhood Anxiety Disorders: Parent–Child (Dis) Agreement Using a Structured Interview for the DSM-IV
Section snippets
Subjects
Participants were children (7–14 years of age) referred for treatment to the Child and Adolescent Anxiety Disorders Clinic at Temple University and their parents. Children and their parents completed the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Versions (ADIS-C/P) (Silverman and Albano, 1996) as part of the standard Child and Adolescent Disorders Clinic intake evaluation. Participants were included if the child received a DSM-IV principal social phobia, generalized
Sample
The sample (N = 45) included 26 males (57%) and 19 females (43%), ranging in age from 7 to 14 years, with a mean age of 10.48 years (SD 2.4 years). In all cases, both children and parents were interviewed. Thirty-nine children (86%) were white, two (4.4%) were black, two (4.4%) were Asian, and the two (4.4%) remaining were of “other” ethnic backgrounds. Table 1 provides frequencies and percentages of composite principal diagnoses for this sample.
Child Interview
Table 1 provides frequencies and percentages for
DISCUSSION
Results demonstrate that there is poor agreement between parents and children for the diagnosis of the major anxiety disorders using a DSM-IV based structured interview when separate interviewers are used. Agreement was found to be poor not only for principal anxiety diagnosis, but also for the presence of an anxiety disorder anywhere in the clinical picture. These results are consistent with previous studies of parent–child agreement for diagnosis of anxiety disorders (Edelbrock et al., 1986;
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This study was supported in part by NIMH research grants MH59087 and MH60653 .