Who should we ask about mental health symptoms in adolescents with CFS/ME? Parent-child agreement on the revised children’s anxiety and depression scale,Clinical Child Psychology and Psychiatry

当前位置： X-MOL 学术 › Clin. Child Psychol. Psychiatry › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Who should we ask about mental health symptoms in adolescents with CFS/ME? Parent-child agreement on the revised children’s anxiety and depression scale
Clinical Child Psychology and Psychiatry ( IF 1.8 ) Pub Date : 2021-02-15 , DOI: 10.1177/1359104521994880
Teona Serafimova ₁ , Maria Loades _{1,

2} , Daisy Gaunt ₁ , Esther Crawley _{1,

3}

Affiliation

Background:

One in three adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) have mental health problems. Multi-informant perspectives are key to psychological assessment. Understanding parent-child agreement is crucial to accurate diagnosis, particularly where severe fatigue limits self-report.

Methods:

Agreement on the revised children’s anxiety and depression scale (RCADs) was assessed between parents and children with CFS/ME (n = 93) using Bland-Altman plots, cross tabulations and regression analyses.

Results:

Diagnostic thresholds were met more frequently based on child-report. Parent- and child-report had similar sensitivity and specificity on RCADS compared to gold-standard diagnostic interviews. Regression analysis found similar accuracy between both reports. For anxiety diagnoses, odds ratio (OR) for child-report was 1.10 (CI = 1.06–1.14), and 1.10 (CI = 1.05–1.14) for parent-report. For depression, OR for child report was 1.26 (CI = 1.11–1.43), while for parent-report is was 1.25 (CI = 1.10–1.41). For total score, OR for child-report was 1.10 (CI = 1.05–1.13) while OR for parent-report was 1.09 (CI = 1.05–1.13).

Conclusions:

Reasonable agreement was observed between parent- and child-report of mental health symptoms in paediatric CFS/ME. While parent-report can facilitate psychological evaluation in CFS/ME, this is not a substitute for a child’s own report.

中文翻译：

我们应该向谁询问患有 CFS/ME 的青少年的心理健康症状？修订后的儿童焦虑抑郁量表亲子协议

背景：

三分之一患有慢性疲劳综合征/肌痛性脑脊髓炎 (CFS/ME) 的青少年有心理健康问题。多信息者的观点是心理评估的关键。了解亲子协议对于准确诊断至关重要，尤其是在严重疲劳限制自我报告的情况下。

方法：

使用 Bland-Altman 图、交叉制表和回归分析在父母和患有 CFS/ME ( n = 93) 的儿童之间评估修订后的儿童焦虑和抑郁量表 (RCADs) 的一致性。

结果：

根据儿童报告，诊断阈值更频繁地得到满足。与金标准诊断访谈相比，父母和孩子的报告对 RCADS 具有相似的敏感性和特异性。回归分析发现两份报告的准确性相似。对于焦虑诊断，儿童报告的优势比 (OR) 为 1.10 (CI = 1.06–1.14)，父母报告的优势比 (OR) 为 1.10 (CI = 1.05–1.14)。对于抑郁症，儿童报告的 OR 为 1.26（CI = 1.11-1.43），而父母报告的 OR 为 1.25（CI = 1.10-1.41）。对于总分，儿童报告的 OR 为 1.10（CI = 1.05-1.13），而父报告的 OR 为 1.09（CI = 1.05-1.13）。