Journal
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
Volume 42, Issue 1, Pages 30-40Publisher
ELSEVIER SCIENCE INC
DOI: 10.1097/00004583-200301000-00008
Keywords
diagnostic agreement; Anxiety Disorders Interview Schedule; Child and Parent versions
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Objective: To examine concordance of child, parent, and consensus agreement on the Anxiety Disorders interview Schedule, Child and Parent versions (ADIS-C/P), for an outpatient sample of children and adolescents and to explore moderators of those relations. Child characteristics (age, gender, social desirability), a family environment variable (conflict), and type of diagnoses (internalizing, externalizing) were systematically examined. Method: These relations were examined in 165 children and adolescents referred to a psychological clinic by family practitioners, pediatricians, schools, and mental health professionals. Participants were individuallyadministered the ADIS-C or ADIS-P by separate clinicians, and consensus diagnoses were determined In a clinical conference. Agreements between child-parent, child-consensus, and parent-consensus were determined. Results: Poor levels of agreement were found among our informants, especially between child and parent and to some extent between child and consensus. Agreement was higher between parent and consensus, suggesting that our clinicians tended to favor parent input over child input. Although the effects were complex, characteristics of the child, family, and type of diagnosis moderated or qualified these findings. Conclusions: Although discrepancies exist among our informants, our overall findings suggest important information is obtained from each informant and, when combined with certain modifying characteristics, may lead to diagnostic and treatment decisions.
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