title: Agreement between parents and children regarding anxiety and depression diagnoses in children with asthma.
abstract: This study examined parent-child agreement regarding anxiety and depressive disorders in youth with asthma and evaluated key demographic and health differences associated with parent-child agreement. Of 756 outpatient youth with asthma, 122 (16.0%) were diagnosed with a DSM-IV anxiety or depression disorder using the Diagnostic Interview Schedule for Children (C-DISC). Parents reported on internalizing symptoms using the Child Behavior Checklist (CBCL). Logistic regression analyses were used to examine factors related to parent- and child-reported symptom agreement. Low rates of agreement (48.9%) between youth and parents regarding diagnosis of a DSM-IV anxiety or depressive disorder were found among youth with asthma. Increased agreement was associated with higher externalizing behavior score on the CBCL and more anxiety and depressive symptoms on the C-DISC. Children without behavioral problems and with less severe anxiety and depression were recognized significantly less often by their parents.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington 98195, USA. rockhill@u.washington.edu
authors.forename: Carol M
authors.initials: CM
authors.lastname: Rockhill
authors.forename: Joan E
authors.initials: JE
authors.lastname: Russo
authors.forename: Elizabeth
authors.initials: E
authors.lastname: McCauley
authors.forename: Wayne J
authors.initials: WJ
authors.lastname: Katon
authors.forename: Laura P
authors.initials: LP
authors.lastname: Richardson
authors.forename: Paula
authors.initials: P
authors.lastname: Lozano
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000367:Age Factors; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D001249:Asthma / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D019263:Dysthymic Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D015588:Observer Variation; D010290:Parents / Q000523:psychology; D010552:Personality Assessment / Q000706:statistics & numerical data*; D011320:Primary Health Care; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012649:Self Concept; D012737:Sex Factors; D012803:Sick Role; D012917:Social Adjustment