Parent-teacher disagreement regarding behavioral and emotional problems in referred children is not a risk factor for poor outcome.
OBJECTIVE
To investigate whether parent-teacher disagreement regarding the presence of psychopathology predicts poor outcome in children who have been referred to mental health services


METHODS
A total of 532 6- to 12-year-old children who had been referred to an outpatient department for child and adolescent psychiatry were followed up across an average period of 6.3 years. At initial assessment, standardized parent and teacher ratings of the child's psychopathology were obtained with the Child Behavior Checklist (CBCL) and Teacher's Report form (TRF). At follow-up, indices of poor outcome were assessed.


RESULTS
Several CBCL and TRF scale scores predicted poor outcome. Discrepancies between CBCL and TRF scores were not useful as additional predictors. Some additive effects were found; future police/judicial contacts and disciplinary problems in school were predicted by CBCL and TRF scores.


CONCLUSIONS
The findings underscored the need for information from different informants in clinical practice. However, discrepancies between parent and teacher ratings do not predict outcome, and should not alert clinicians.
Ferdinand
Robert F
RF
Erasmus Medical Center Rotterdam, Sophia Children's Hospital, Dept. of Child and Adolescent Psychiatry, Dr. Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands. r.f.ferdinand@erasmusmc.nl
van der Ende
Jan
J
Verhulst
Frank C
FC
D000293:Adolescent; D000342:Affective Symptoms / Q000453:epidemiology*; D002648:Child; D002653:Child Behavior Disorders / Q000453:epidemiology*; D034462:Dissent and Disputes; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D015588:Observer Variation; D010290:Parents; D011237:Predictive Value of Tests; D011594:Psychometrics; D012017:Referral and Consultation; D012307:Risk Factors; D013663:Teaching; D016896:Treatment Outcome