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08-02-2019 | Original Article

Youth Depression Screening with Parent and Self-Reports: Assessing Current and Prospective Depression Risk

Auteurs: Joseph R. Cohen, Felix K. So, Jami F. Young, Benjamin L. Hankin, Brenda A. Lee

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2019

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Abstract

Few studies have examined the incremental validity of multi-informant depression screening approaches. In response, we examined how recommendations for using a multi-informant approach may vary for identifying concurrent or prospective depressive episodes. Participants included 663 youth (AgeM = 11.83; AgeSD = 2.40) and their caregiver who independently completed youth depression questionnaires, and clinical diagnostic interviews, every 6 months for 3 years. Receiver operating characteristic (ROC) analyses showed that youth-report best predicted concurrent episodes, and that both youth and parent-report were necessary to adequately forecast prospective episodes. More specifically, youth-reported negative mood symptoms and parent-reported anhedonic symptoms incrementally predicted future depressive episodes. Findings were invariant to youth’s sex and age, and results from person and variable-centered analyses suggested that discrepancies between informants were not clinically meaningful. Implications for future research and evidence-based decision making for depression screening initiatives are discussed.
Voetnoten
1
As the overwhelming number of caregivers were mothers, and past research suggests non-significant differences between informants who are caregivers [23], all caregivers were included and treated equally in the present study.
 
2
Additional analyses showed that all findings presented in this manuscript were invariant to data method collection (e.g., in-person versus phone versus mail).
 
3
Cutoffs for pediatric depression screens ideally have a sensitivity and specificity level of 90% [32]. However, preliminary analyses showed that using a 90% sensitivity cutoff for subthreshold scores was not clinically useful (i.e., over 80% of youth reported scores above the cutoff). Thus, 70% sensitivity was used to determine the subthreshold cutoff as this is the average level of sensitivity for cutoff scores on existing screening measures [36].
 
4
All statistics reported are based on the findings at baseline. As covariates can lead to unstable class solutions [50], analyses were also conducted without age and sex in the model. The pattern of findings was identical. Please contact the first author for statistics for non-significant models or models replicated past baseline.
 
5
Different cut-off scores for boys and girls and youth of different ages were also tested, but did not lead to a significant improvement in sensitivity/specificity, nor alter the pattern of findings.
 
6
As this study specifically focused on first lifetime episodes as opposed to prospective episodes more broadly, base rates were dissimilar between the two studies. We therefore used the AUC and DLRs, which are unaffected by base rate, to compare the two studies.
 
7
We note that in Youngstrom’s original model, red references “acute treatment.” As our findings are based on non-clinician administered inventories, we recalibrated the recommendations within the model.
 
Literatuur
2.
go back to reference Garber J, Horowitz JL (2002) Depression in children. In: Gotlib I, Hammen’s C (eds) Handbook of depression. The Guilford Press, New York, pp 510–540 Garber J, Horowitz JL (2002) Depression in children. In: Gotlib I, Hammen’s C (eds) Handbook of depression. The Guilford Press, New York, pp 510–540
4.
go back to reference Tanski S, Garfunkel LC, Duncan PM, Weitzman M (2010) Performing preventive services: a Bright Futures handbook. American Academy of Pediatrics, Itasca Tanski S, Garfunkel LC, Duncan PM, Weitzman M (2010) Performing preventive services: a Bright Futures handbook. American Academy of Pediatrics, Itasca
11.
go back to reference Fristad MA, Emery BL, Beck SJ (1997) Use and abuse of the children’s depression inventory. J Consult Clin Psychol 65:699–702CrossRefPubMed Fristad MA, Emery BL, Beck SJ (1997) Use and abuse of the children’s depression inventory. J Consult Clin Psychol 65:699–702CrossRefPubMed
12.
15.
go back to reference Streiner DL, Norman GR, Cairney J (2015) Health measurement scales: a practical guide to their development and use, 5th edn. Oxford University Press, New YorkCrossRef Streiner DL, Norman GR, Cairney J (2015) Health measurement scales: a practical guide to their development and use, 5th edn. Oxford University Press, New YorkCrossRef
18.
go back to reference Dolle K, Schulte-Körne G, O’Leary AM, von Hofacker N, Izat Y, Allgaier AK (2012) The Beck Depression Inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. Psychiatry Res 200:843–848CrossRefPubMed Dolle K, Schulte-Körne G, O’Leary AM, von Hofacker N, Izat Y, Allgaier AK (2012) The Beck Depression Inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. Psychiatry Res 200:843–848CrossRefPubMed
19.
go back to reference Lauth B, Arnkelsson GB, Magnússon P, Skarphéðinsson G, Ferrari P, Pétursson H (2010) Parent–youth agreement on symptoms and diagnosis: assessment with a diagnostic interview in an adolescent inpatient clinical population. J Physiol Paris 104:315–322CrossRefPubMed Lauth B, Arnkelsson GB, Magnússon P, Skarphéðinsson G, Ferrari P, Pétursson H (2010) Parent–youth agreement on symptoms and diagnosis: assessment with a diagnostic interview in an adolescent inpatient clinical population. J Physiol Paris 104:315–322CrossRefPubMed
20.
21.
go back to reference Stiffler MC, Dever BV (2015) Mental health screening at school: instrumentation, implementation, and critical issues. Springer, New YorkCrossRef Stiffler MC, Dever BV (2015) Mental health screening at school: instrumentation, implementation, and critical issues. Springer, New YorkCrossRef
22.
go back to reference Fristad MA, Weller RA, Weller EB, Teare M, Preskorn SH (1991) Comparison of the parent and child versions of the children’s depression inventory (CDI). Ann Clin Psychiatry 3:341–346CrossRef Fristad MA, Weller RA, Weller EB, Teare M, Preskorn SH (1991) Comparison of the parent and child versions of the children’s depression inventory (CDI). Ann Clin Psychiatry 3:341–346CrossRef
23.
go back to reference Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213CrossRefPubMed Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213CrossRefPubMed
24.
go back to reference van de Looij-Jansen PM, Jansen W, Wilde EJ, Donker MC, Verhulst FC (2010) Discrepancies between parent-child reports of internalizing problems among preadolescent children: relationships with gender, ethnic background, and future internalizing problems. J Early Adolesc 31:443–462CrossRef van de Looij-Jansen PM, Jansen W, Wilde EJ, Donker MC, Verhulst FC (2010) Discrepancies between parent-child reports of internalizing problems among preadolescent children: relationships with gender, ethnic background, and future internalizing problems. J Early Adolesc 31:443–462CrossRef
30.
go back to reference Kovacs M (1992) Children’s depression inventory (CDI) manual. Multi-Health Systems, New York Kovacs M (1992) Children’s depression inventory (CDI) manual. Multi-Health Systems, New York
32.
37.
go back to reference Straus SE, Glasziou P, Richardson WS, Haynes RB (2011) Evidence-based medicine: how to practice and teach EBM, 4th edn. Churchill Livingstone, New York Straus SE, Glasziou P, Richardson WS, Haynes RB (2011) Evidence-based medicine: how to practice and teach EBM, 4th edn. Churchill Livingstone, New York
40.
go back to reference Garber J (1984) The developmental progression of depression in female children. New Dir Child Adolesc Dev 1984:29–58CrossRef Garber J (1984) The developmental progression of depression in female children. New Dir Child Adolesc Dev 1984:29–58CrossRef
43.
go back to reference Muthén LK, Muthén BO (1998–2011) Mplus user’s guide, 6th edn. Muthén & Muthén, Los Angeles Muthén LK, Muthén BO (1998–2011) Mplus user’s guide, 6th edn. Muthén & Muthén, Los Angeles
44.
go back to reference Edwards JR (2002) Alternatives to difference scores: Polynomial regression analysis and response surface methodology. In: Drasgow F, Schmitt N (eds) Measuring and analyzing behavior in organizations: advances in measurement and data analysis. Jossey-Bass, San Francisco, pp 350–400 Edwards JR (2002) Alternatives to difference scores: Polynomial regression analysis and response surface methodology. In: Drasgow F, Schmitt N (eds) Measuring and analyzing behavior in organizations: advances in measurement and data analysis. Jossey-Bass, San Francisco, pp 350–400
47.
go back to reference Swets J (1988) Measuring the accuracy of diagnostic systems. Science. 240: 1285–1293 Swets J (1988) Measuring the accuracy of diagnostic systems. Science. 240: 1285–1293
50.
go back to reference Tofighi D, Enders CK (2008) Identifying the correct number of classes in growth mixture models. In: Hancock GR, Samuelsen’s KM (eds) Latent variable mixture models. Library of Congress, Washington, DC, pp 317–342 Tofighi D, Enders CK (2008) Identifying the correct number of classes in growth mixture models. In: Hancock GR, Samuelsen’s KM (eds) Latent variable mixture models. Library of Congress, Washington, DC, pp 317–342
56.
go back to reference Thapar AK, Hood K, Collishaw S, Hammerton G, Rice F (2016) Identifying key parent-reported symptoms for detecting depression in high risk adolescents. Psychiatry Res 242:210–217CrossRefPubMed Thapar AK, Hood K, Collishaw S, Hammerton G, Rice F (2016) Identifying key parent-reported symptoms for detecting depression in high risk adolescents. Psychiatry Res 242:210–217CrossRefPubMed
Metagegevens
Titel
Youth Depression Screening with Parent and Self-Reports: Assessing Current and Prospective Depression Risk
Auteurs
Joseph R. Cohen
Felix K. So
Jami F. Young
Benjamin L. Hankin
Brenda A. Lee
Publicatiedatum
08-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-019-00869-6