title: Cross-informant agreement on child and adolescent withdrawn behavior: a latent class approach.
abstract: Withdrawn behavior (WB) relates to many developmental outcomes, including pervasive developmental disorders, anxiety, depression, psychosis, personality disorders and suicide. No study has compared the latent profiles of different informants' reports on WB. This study uses multi-informant latent class analyses (LCA) of the child behavior checklist (CBCL), teacher report form (TRF) and youth self-report (YSR) to examine phenotypic variance in WB. LCA was applied to the CBCL, TRF and YSR of 2,031 youth (ages 6-18); of which 276 children were clinically-referred. A 4-class solution for the CBCL and 3-class solutions for the YSR and TRF were optimal. The CBCL yielded low symptoms, predominantly shy or secretive moderate symptoms, and all symptoms classes. The TRF lacked the moderate--secretive class, and the YSR lacked the moderate--shy class. Agreement was low. LCA shows similar structure of withdrawn behavior across informants but characterizations of moderate WB vary.
authors.affiliation: Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA. dhr2002@med.cornell.edu
authors.forename: David H
authors.initials: DH
authors.lastname: Rubin
authors.forename: Robert R
authors.initials: RR
authors.lastname: Althoff
authors.forename: John T
authors.initials: JT
authors.lastname: Walkup
authors.forename: James J
authors.initials: JJ
authors.lastname: Hudziak
mesh_terms: D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders / Q000145:classification* / Q000175:diagnosis; D005178:Faculty; D005260:Female; D006801:Humans; D008297:Male; D015233:Models, Statistical; D011569:Psychiatric Status Rating Scales; D057566:Self Report