Risk Score for Predicting Adolescent Mental Health Problems Among Children Using Parental Report Only: The TRAILS Study (original) (raw)
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BMC Pediatrics
Background Mental health in adolescence is an increasing global public health concern. Over half of all mental disorders debut by 14 years of age and remain largely untreated up to adulthood, underlining the significance of early detection. The study aimed to investigate whether parental distress rating at the child’s age of 15 predicts a probable mental diagnosis in a three-year follow-up. Methods All data was derived from the Finnish Family Competence (FFC) Study. The analysis focused on whether parental CBCL (Child Behavior Checklist) rating (n = 441) at the child’s age of 15 years predicted the outcome of the child’s standardised DAWBA (Development and Well-Being Assessment) interview at offspring’s 18 years. Results Multivariable analysis showed that a one-unit increase in the total CBCL scores increased the relative risk of a DAWBA-based diagnosis by 3% (RR [95% CI] 1.03 [1.02–1.04], p < 0.001). Conclusions Parental CBCL rating in a community sample at the adolescent’s age ...
PloS one, 2014
This study examines if mental health problems at age 11 and changes in mental health problems between age 11 and 16 predict educational attainment of adolescents at age 19, overall and stratified by gender. Data from 1711 adolescents (76.8% from initial cohort) of the Tracking Adolescents' Individual Lives Survey (TRAILS), a Dutch prospective cohort study with 9 year follow-up, were used. Mental health problems (externalizing, internalizing and attention problems) were measured by the Youth Self Report and the Child Behavior Checklist at ages 11 and 16. Difference scores for mental health problems between age 11 and 16 were calculated. Educational attainment was assessed at age 19. Externalizing, internalizing and attention problems at age 11 were significantly associated with low educational attainment at age 19 (crude model). When adjusted for demographic variables and the other mental health problems, only the association for attention problems remained significant (odds rati...
Background: Discrepancies between multiple informants often create considerable uncertainties in delivering services to youth. The present study assessed the ability of the parent and youth scales of the Strength and Difficulties Questionnaire (SDQ) to predict mental health problems/disorders across several mental health domains as validated against two contrasting indices of validity for psychopathology derived from the Development and Well Being Assess‑ ment (DAWBA): (1) an empirically derived computer algorithm and (2) expert based ICD‑10 diagnoses. Methods: Ordinal and logistic regressions were used to predict any problems/disorders, emotional problems/disor‑ ders and behavioural problems/disorders in a community sample (n = 252) and in a clinic sample (n = 95). Results: The findings were strikingly similar in both samples. Parent and youth SDQ scales were related to any prob‑ lem/disorder. Youth SDQ symptom and impact had the strongest association with emotional problems/disorder and parent SDQ symptom score were most strongly related to behavioural problems/disorders. Both the SDQ total and the impact scores significantly predicted emotional problems/disorders in males whereas this was the case only for the total SDQ score in females. Conclusion: The present study confirms and expands previous findings on parent and youth informant validity. Clini‑ cians should include both parent and youth for identifying any mental health problems/disorders, youth information for detecting emotional problems/disorders, and parent information to detect behavioural problems/disorders. Not only symptom scores but also impact measures may be useful to detect emotional problems/disorders, particularly in male youth.
Predicting Adolescent Mental Health Service Use in a Prospective Record‐Linkage Study
Journal of the American Academy of Child & Adolescent Psychiatry, 1999
Objective: To test to what extent demographic variables and parent-reported problems and competencies in earlyadolescence predict incidence of mental health service use across a 5-year period in the general population. Method: Data on parent-reported problem behavior (Child Behavior Checklist [CBCll), gathered on 2,496 Dutch young adolescents, aged 10 to 12 years in 1989-1990, were linked to psychiatric case register data over the years 1990-1994. Cox proportional hazards models were used to predict the incidence of using mental health services from problem behavior, competencies, and demographic covar iates. Results: Almost all CBCl problem scales predicted the incidence of mental health service use significantly. The effect was constant over time for most scales , but it decreased over time for others . CBCl Activities, gender, and one-parent family were significant predictors after accounting for the problem levels. All effects were simila r for boys and girls. Conclusions: In many cases, there is a remar kable delay between the awareness of the adolescent's problems and seeking and/or receiving professional help. longitudinal studies that use continuous information on service use yield a more comprehensive picture of the utilization of mental health services than studies that aggregate the information over the follow-up period. J. Am. Acad. Child Ado/esc. Psychiatry, 1999, 38(9):1073-1080. Key Words: adolescence , mental health services, psych iatric case registers , psychopathology, Child Behavior Checklist.
Child and Adolescent Psychiatry and Mental Health, 2010
Background: Clinician-rated measures are used extensively in child and adolescent mental health services (CAMHS). The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a short clinicianrated measure developed for ordinary clinical practice, with increasing use internationally. Several studies have investigated its psychometric properties, but there are few data on its correspondence with other methods, rated by other informants. We compared the HoNOSCA with the well-established Achenbach System of Empirically Based Assessment (ASEBA) questionnaires: the Child Behavior Checklist (CBCL), the Teacher's Report Form (TRF), and the Youth Self-Report (YSR).
2017
Internalizing disorders are prevalent among youth. However, disagreements exist between parents' and youth's reports of mental health symptoms. In particular, youth-onset internalizing disorders such as depression and anxiety have been shown to have the highest reporter discrepancies amongst all disorders. In this study we examined what may contribute to these discrepancies by examining the moderating role of family functioning in a sample of 456 parentadolescent dyads. Results indicated that although discrepancies did exist between parent and adolescent (M age = 14.97 years; SD = 0.33 years) reports of both anxiety and depression, family functioning did not significantly moderate these discrepancies. The results of this study provide further knowledge on the subject of youth mental health by establishing the presence of parentadolescent report discrepancies.
Child and Adolescent Psychiatry and Mental Health
Background The prevalence of mental disorders is increasing, and there seems to be a gender difference in prevalence, with girls reporting more mental health problems than boys, especially regarding internalizing problems. Most mental disorders debut early but often remain untreated into adulthood. Early detection of mental disorders is essential for successful treatment, which is not always happening. The study aimed to estimate to what extent teenagers’ self-reports predict probable mental diagnosis as they enter adulthood, particularly regarding gender differences. Methods Self-reported mental health problems, Youth Self-Report (YSR) at 15 years (range 3–110, n = 504) from the ongoing Finnish family competence study (FFC) using modified multivariable Poisson regression analysis for prediction of DAWBA (Development and Wellbeing Assessment) interview outcomes 3 years later. Results One unit’s increase in YSR was estimated to correspond to an increase in the relative risk of a prob...
The prognosis of common mental disorders in adolescents: a 14-year prospective cohort study
Lancet, 2014
Most adults with common mental disorders report their first symptoms before 24 years of age. Although adolescent anxiety and depression are frequent, little clarity exists about which syndromes persist into adulthood or resolve before then. In this report, we aim to describe the patterns and predictors of persistence into adulthood. We recruited a stratified, random sample of 1943 adolescents from 44 secondary schools across the state of Victoria, Australia. Between August, 1992, and January, 2008, we assessed common mental disorder at five points in adolescence and three in young adulthood, commencing at a mean age of 15.5 years and ending at a mean age of 29.1 years. Adolescent disorders were defined on the Revised Clinical Interview Schedule (CIS-R) at five adolescent measurement points, with a primary cutoff score of 12 or higher representing a level at which a family doctor would be concerned. Secondary analyses addressed more severe disorders at a cutoff of 18 or higher. 236 o...