Article

Agreement between parents and children regarding anxiety and depression diagnoses in children with asthma

Department of Psychiatry and Behavioral Sciences, University of Washington Seattle, Seattle, Washington, United States
The Journal of nervous and mental disease (Impact Factor: 1.81). 12/2007; 195(11):897-904. DOI: 10.1097/NMD.0b013e318159289c
Source: PubMed

ABSTRACT This study examined parent-child agreement regarding anxiety and depressive disorders in youth with asthma and evaluated key demographic and health differences associated with parent-child agreement. Of 756 outpatient youth with asthma, 122 (16.0%) were diagnosed with a DSM-IV anxiety or depression disorder using the Diagnostic Interview Schedule for Children (C-DISC). Parents reported on internalizing symptoms using the Child Behavior Checklist (CBCL). Logistic regression analyses were used to examine factors related to parent- and child-reported symptom agreement. Low rates of agreement (48.9%) between youth and parents regarding diagnosis of a DSM-IV anxiety or depressive disorder were found among youth with asthma. Increased agreement was associated with higher externalizing behavior score on the CBCL and more anxiety and depressive symptoms on the C-DISC. Children without behavioral problems and with less severe anxiety and depression were recognized significantly less often by their parents.

0 Followers
 · 
73 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Im Rahmen der pädiatrischen Vorsorgeuntersuchung wurden 144 Kinder mit einem Durchschnittsalter von 9,1 Jahren mit dem Mannheimer Elternfragebogen untersucht. Bei gut einem Drittel der Befragten lagen Probleme im Ess- bzw. Schlafverhalten oder Konzentrationsstörungen sowie verschiedene Ängste vor. In einem zeitlichen Abstand von 3,2 Jahren erfolgte eine erneute Überprüfung ihres psychischen Status mit dem ,,Strengths and Difficulties Questionnaire“ (SDQ) und einem Fragebogen zum Gesundheitszustand [“36-Item Short Form Health Survey“ (SF 36)]. Die Ergebnisse sprechen für eine Stabilität psychischer und emotionaler Auffälligkeiten vom Grundschulalter in die Adoleszenz hinein.Kinder- und Jugendärzten kommt in der Primärprävention psychischer Störungen eine wichtige Lotsenfunktion zu. Entsprechende diagnostische und therapeutische Kenntnisse sollten deshalb intensiviert werden und in den fachärztlichen Curricula Berücksichtigung finden.
    Monatsschrift Kinderheilkunde 01/2014; 162(1). DOI:10.1007/s00112-013-3035-z · 0.28 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Approximately 7.1 million children in the US suffer from asthma. An exploratory qualitative study using a stratified purposive sampling method was conducted. The sample included four Latina and four African American female caregivers of children (ages 6-12) who had asthma. Caregivers were asked open-ended questions about perceptions of their children's emotional responses to asthma. Major themes and subthemes were identified with content analysis. Sons were reported as quiet when experiencing asthma. Daughters were described as being verbal, worried, excited. A question from the study was whether the children's responses were related to caregivers' (a) actions, (b) responses to asthma, and/or(c) race/ethnicity.
    Issues in Mental Health Nursing 05/2013; 34(5):325-34. DOI:10.3109/01612840.2012.753559
  • [Show abstract] [Hide abstract]
    ABSTRACT: Only one-third of US adolescents with depression obtain treatment for depression. Teen and parent barriers differ, but both contribute to low treatment rates. Primary care providers (PCPs) may be able to elicit and address such barriers, but little is known about their perceptions of teen and parent barriers, and whether they recognize these differences.
    Journal of developmental and behavioral pediatrics: JDBP 08/2014; 35(8). DOI:10.1097/DBP.0000000000000089 · 2.12 Impact Factor