Depressive symptoms among teenagers in the emergency department: prevalence estimate and concordance with parental perceptions.

Service de Pédiatrie, Hôpital A. Paré (APHP), 9, Avenue Charles de Gaulle, Boulogne, 92100, France, .
European Journal of Pediatrics (Impact Factor: 1.98). 07/2013; DOI: 10.1007/s00431-013-2060-1
Source: PubMed

ABSTRACT This study aims to estimate the prevalence of depressive symptoms among adolescents seen in hospital emergency departments and to investigate the concordance between self-reported adolescent depression and parental perceptions of their adolescents' health status.
A multicentre cross-sectional survey in three emergency departments receiving adolescents in Ile-de-France took place in 2010. All adolescents completed a questionnaire including the Adolescent Depression Rating Scale (ADRS) and a series of questions concerning somatisation and risk behaviours. Parents simultaneously completed a questionnaire collecting their perceptions of their adolescent's health status.
The study included 346 adolescents, and of them, 320 were fully analysed. ADRS scores were in the normal range for 70.6 % of the sample (score of <3) (n = 226); 19.4 % (n = 62) showed moderate depressive symptoms (3 ≤ score < 6), and 10.0 %, severe depressive symptoms (score of ≥6) (n = 32). We observed a wide discrepancy between adolescent depression, determined by a score on a self-administered scale, and parental perceptions of it.
Routine use of a self-administered questionnaire in emergency units could enable identification of adolescents with moderate or severe depressive symptoms. The present study confirms the importance of increasing parental awareness of their adolescent children's depressive symptoms.

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    ABSTRACT: The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors. The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score<3) for 70.6 % of the sample (n=226), 19.4 % of adolescents (n=62) had moderate depressive symptoms (3≤score<6), and 10.0 % severe depressive symptoms (score≥6) (n=32). The majority of patients consulted for trauma and less than 10 % for acute psychiatric problems; 17 % of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS≥3, i.e., with mental distress. The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.
    Archives de Pédiatrie 04/2014; · 0.41 Impact Factor
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    ABSTRACT: Background: Informant discrepancies have been reported between parent and adolescent measures of depressive disorders and suicidality. We aimed to examine the concordance between adolescent and parent ratings of depressive disorder using both clinical interview and questionnaire measures and assess multi-informant and multi-method approaches to classification. Method: Within the context of assessment of eligibility for a randomized clinical trial, 50 parent–adolescent pairs (mean age of adolescents = 15.0 years) were interviewed separately with a structured diagnostic interview for depression, the KID-SCID. Adolescent self-report and parent-report versions of the Strengths and Difficulties Questionnaire, the Short Mood and Feelings Questionnaire and the Depressive Experiences Questionnaire were also administered. We examined the diagnostic concordance rates of the parent vs. adolescent structured interview methods and the prediction of adolescent diagnosis via questionnaire methods. Results: Parent proxy reporting of adolescent depression and suicidal thoughts and behavior is not strongly concordant with adolescent report. Adolescent self-reported symptoms on depression scales provide a more accurate report of diagnosable adolescent depression than parent proxy reports of adolescent depressive symptoms. Adolescent self-report measures can be combined to improve the accuracy of classification. Parents tend to over report their adolescent’s depressive symptoms while under reporting their suicidal thoughts and behavior. Conclusion: Parent proxy report is clearly less reliable than the adolescent’s own report of their symptoms and subjective experiences, and could be considered inaccurate for research purposes. While parent report would still be sought clinically where an adolescent refuses to provide information, our findings suggest that parent reporting of adolescent suicidality should be interpreted with caution.
    Frontiers in Psychology 07/2014; · 2.80 Impact Factor


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Jun 6, 2014