The contribution of parent and youth information to identify mental health disorders or problems in adolescents

• Published in: Child and adolescent psychiatry and mental health Vol. 11; no. 1; p. 23
• Main Authors: Aebi, Marcel, Kuhn, Christine, Banaschewski, Tobias, Grimmer, Yvonne, Poustka, Luise, Steinhausen, Hans-Christoph, Goodman, Robert
• Format: Journal Article
• Language: English
• Published: England BioMed Central 28.04.2017; BMC
• Subjects: Adolescent psychopathology; Adolescents; Agreements; Attention deficit hyperactivity disorder; Behavior disorders; Behavioural problems; Child & adolescent psychiatry; Child psychology; Children & youth; Clinical medicine; DAWBA; Emotional behavior; Emotional problems; Families & family life; Hyperactivity; Medical personnel; Mental disorders; Mental health; Multi-informants; Parents & parenting; Principal components analysis; Psychopathology; Questionnaires; SDQ; Teenagers; Validity; SDQ; Multi-informants; DAWBA; Emotional problems; Behavioural problems; Adolescent psychopathology
• ISSN: 1753-2000; 1753-2000
• DOI: 10.1186/s13034-017-0160-9

Discrepancies between multiple informants often create considerable uncertainties in delivering services to youth. The present study assessed the ability of the parent and youth scales of the Strength and Difficulties Questionnaire (SDQ) to predict mental health problems/disorders across several mental health domains as validated against two contrasting indices of validity for psychopathology derived from the Development and Well Being Assessment (DAWBA): (1) an empirically derived computer algorithm and (2) expert based ICD-10 diagnoses. Ordinal and logistic regressions were used to predict any problems/disorders, emotional problems/disorders and behavioural problems/disorders in a community sample (n = 252) and in a clinic sample (n = 95). The findings were strikingly similar in both samples. Parent and youth SDQ scales were related to any problem/disorder. Youth SDQ symptom and impact had the strongest association with emotional problems/disorder and parent SDQ symptom score were most strongly related to behavioural problems/disorders. Both the SDQ total and the impact scores significantly predicted emotional problems/disorders in males whereas this was the case only for the total SDQ score in females. The present study confirms and expands previous findings on parent and youth informant validity. Clinicians should include both parent and youth for identifying any mental health problems/disorders, youth information for detecting emotional problems/disorders, and parent information to detect behavioural problems/disorders. Not only symptom scores but also impact measures may be useful to detect emotional problems/disorders, particularly in male youth.