title: Predictors of parent-child agreement on child anxiety diagnoses on the ADIS-IV-C/P.
abstract: Diagnostic agreement between parents' and children's reports on children's anxiety problems is notoriously poor; however, very few investigations have examined specific predictors of inter-rater agreement on child anxiety diagnoses. This study examined predictors of categories of parent and child diagnostic endorsement on the Anxiety Disorders Interview Schedule for Children-IV. One hundred eight children (ages 7-13) and their parents completed structured diagnostic interviews for non-OCD/PTSD anxiety diagnoses and paper and pencil measures of functioning and impairment in a variety of domains. Parent-child agreement was statistically significant for social phobia and separation anxiety disorder, but was overall poor for all anxiety diagnoses. Externalizing disorder status, family accommodation frequency, and child rated impairment in various domains differentially predicted informant discrepancies for different anxiety disorders. These data are among the first to suggest variables that may explain parent-child concordance.
authors: Department of Pediatrics, University of South Florida, Tampa, FL, USA; Rogers Behavioral Health - Tampa Bay, Tampa, FL, USA. Electronic address: rhamblin@rogersbh.org.
authors: Rebecca J
authors: RJ
authors: Hamblin
authors: School of Social Work, University of South Florida, Tampa, FL, USA.
authors: Alison
authors: A
authors: Salloum
authors: School of Aging Studies, University of South Florida, Tampa, FL, USA.
authors: Ross
authors: R
authors: Andel
authors: Department of Pediatrics, University of South Florida, Tampa, FL, USA; Rogers Behavioral Health - Tampa Bay, Tampa, FL, USA.
authors: Joshua M
authors: JM
authors: Nadeau
authors: Department of Pediatrics, University of South Florida, Tampa, FL, USA.
authors: Nicole M
authors: NM
authors: McBride
authors: Department of Pediatrics, University of South Florida, Tampa, FL, USA; Department of Psychiatry & Behavioral Neurosciences, University of South Florida, Tampa, FL, USA; Department of Psychology, University of South Florida, Tampa, FL, USA.
authors: Adam B
authors: AB
authors: Lewin
authors: Department of Pediatrics, University of South Florida, Tampa, FL, USA; Rogers Behavioral Health - Tampa Bay, Tampa, FL, USA; Department of Health Policy and Management, University of South Florida, Tampa, FL, USA; All Children's Hospital - Johns Hopkins Medicine, St. Petersburg, FL, USA.
authors: Eric A
authors: EA
authors: Storch
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis*; D002648:Child; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results
keywords: Anxiety disorders interview schedule; Diagnostic reliability; Diagnostic validity; Generalized anxiety disorder; Inter-rater agreement; Parent-child agreement; Pediatric anxiety; Separation anxiety; Specific phobia