Parent‐child agreement on children's psychopathology and the impact of parental depression

Abstract Background Parental depression increases children's risk of mental illness and may simultaneously impair the detection of children's symptoms. Here we investigate the nature of parent‐child agreement of children's psychopathology in children of parents with current (cMD) vers...

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Main Authors: Johanna Löchner, Stephanie Hämmerle, Sarah Ghezih, Kornelija Starman‐Wöhrle, Gerd Schulte‐Körne, Belinda Platt
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:International Journal of Methods in Psychiatric Research
Subjects:
Online Access:https://doi.org/10.1002/mpr.1993
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author Johanna Löchner
Stephanie Hämmerle
Sarah Ghezih
Kornelija Starman‐Wöhrle
Gerd Schulte‐Körne
Belinda Platt
author_facet Johanna Löchner
Stephanie Hämmerle
Sarah Ghezih
Kornelija Starman‐Wöhrle
Gerd Schulte‐Körne
Belinda Platt
author_sort Johanna Löchner
collection DOAJ
description Abstract Background Parental depression increases children's risk of mental illness and may simultaneously impair the detection of children's symptoms. Here we investigate the nature of parent‐child agreement of children's psychopathology in children of parents with current (cMD) versus remitted (rMD) major depression. Methods Baseline data from 100 parent‐child dyads including healthy children aged 8–17 (M = 11.89, SD = 2.83) and their parents with a history of depression were analysed. The presence of sub‐clinical psychopathology (yes/no) in children was assessed using semi‐structured diagnostic interviews with child and parent (K‐DIPS). Self‐ (YSR) and parent‐report (CBCL) questionnaires were used to measure the severity of symptoms. Parent‐child agreement was calculated using Chi‐square tests and Cohen's kappa respectively. We compared whether agreement differed between children of parents with cMD (n = 52) versus rMD (n = 48). Results In the interviews parents more frequently reported sub‐clinical child psychopathology than the children themselves (χ2 1,100 = 4.63, p < 0.001, d = 0.59). This pattern characterised parents with cMD (χ2 1,52 = 7.99, p = 0.005; κ = 0.582) but not rMD (χ2 1,48 = 000, p = 0.686; κ = −0.010), a difference which was statistically significant (z = 3.14, p < 0.001, d = 0.66). Conclusion Since agreement between parents and children about the severity of children's symptoms was particularly poor in families where parents were currently depressed, parental mental illness should be taken into account when assessing youth psychopathology.
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spelling doaj.art-803a514557694b66a4a1fc865ad3a2672024-03-27T15:10:42ZengWileyInternational Journal of Methods in Psychiatric Research1049-89311557-06572024-03-01331n/an/a10.1002/mpr.1993Parent‐child agreement on children's psychopathology and the impact of parental depressionJohanna Löchner0Stephanie Hämmerle1Sarah Ghezih2Kornelija Starman‐Wöhrle3Gerd Schulte‐Körne4Belinda Platt5Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital Eberhard Karls Tübingen German Center for Mental Health (DZPG) Tubingen GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital LMU Munich Munich GermanyGerman Youth Institute e.V. Munich GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital LMU Munich Munich GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital LMU Munich Munich GermanyDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy University Hospital LMU Munich Munich GermanyAbstract Background Parental depression increases children's risk of mental illness and may simultaneously impair the detection of children's symptoms. Here we investigate the nature of parent‐child agreement of children's psychopathology in children of parents with current (cMD) versus remitted (rMD) major depression. Methods Baseline data from 100 parent‐child dyads including healthy children aged 8–17 (M = 11.89, SD = 2.83) and their parents with a history of depression were analysed. The presence of sub‐clinical psychopathology (yes/no) in children was assessed using semi‐structured diagnostic interviews with child and parent (K‐DIPS). Self‐ (YSR) and parent‐report (CBCL) questionnaires were used to measure the severity of symptoms. Parent‐child agreement was calculated using Chi‐square tests and Cohen's kappa respectively. We compared whether agreement differed between children of parents with cMD (n = 52) versus rMD (n = 48). Results In the interviews parents more frequently reported sub‐clinical child psychopathology than the children themselves (χ2 1,100 = 4.63, p < 0.001, d = 0.59). This pattern characterised parents with cMD (χ2 1,52 = 7.99, p = 0.005; κ = 0.582) but not rMD (χ2 1,48 = 000, p = 0.686; κ = −0.010), a difference which was statistically significant (z = 3.14, p < 0.001, d = 0.66). Conclusion Since agreement between parents and children about the severity of children's symptoms was particularly poor in families where parents were currently depressed, parental mental illness should be taken into account when assessing youth psychopathology.https://doi.org/10.1002/mpr.1993diagnostichigh risk groupparental depressionyouth depression
spellingShingle Johanna Löchner
Stephanie Hämmerle
Sarah Ghezih
Kornelija Starman‐Wöhrle
Gerd Schulte‐Körne
Belinda Platt
Parent‐child agreement on children's psychopathology and the impact of parental depression
International Journal of Methods in Psychiatric Research
diagnostic
high risk group
parental depression
youth depression
title Parent‐child agreement on children's psychopathology and the impact of parental depression
title_full Parent‐child agreement on children's psychopathology and the impact of parental depression
title_fullStr Parent‐child agreement on children's psychopathology and the impact of parental depression
title_full_unstemmed Parent‐child agreement on children's psychopathology and the impact of parental depression
title_short Parent‐child agreement on children's psychopathology and the impact of parental depression
title_sort parent child agreement on children s psychopathology and the impact of parental depression
topic diagnostic
high risk group
parental depression
youth depression
url https://doi.org/10.1002/mpr.1993
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