Who should we ask about mental health symptoms in adolescents with CFS/ME? Parent-child agreement on the revised children's anxiety and depression scale.
Chronic fatigue syndrome
anxiety
depression
myalgic encephalomyelitis
paediatric chronic fatigue syndrome
parent child agreement
Journal
Clinical child psychology and psychiatry
ISSN: 1461-7021
Titre abrégé: Clin Child Psychol Psychiatry
Pays: England
ID NLM: 9604507
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
pubmed:
16
2
2021
medline:
16
10
2021
entrez:
15
2
2021
Statut:
ppublish
Résumé
One in three adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) have mental health problems. Multi-informant perspectives are key to psychological assessment. Understanding parent-child agreement is crucial to accurate diagnosis, particularly where severe fatigue limits self-report. Agreement on the revised children's anxiety and depression scale (RCADs) was assessed between parents and children with CFS/ME ( Diagnostic thresholds were met more frequently based on child-report. Parent- and child-report had similar sensitivity and specificity on RCADS compared to gold-standard diagnostic interviews. Regression analysis found similar accuracy between both reports. For anxiety diagnoses, odds ratio (OR) for child-report was 1.10 (CI = 1.06-1.14), and 1.10 (CI = 1.05-1.14) for parent-report. For depression, OR for child report was 1.26 (CI = 1.11-1.43), while for parent-report is was 1.25 (CI = 1.10-1.41). For total score, OR for child-report was 1.10 (CI = 1.05-1.13) while OR for parent-report was 1.09 (CI = 1.05-1.13). Reasonable agreement was observed between parent- and child-report of mental health symptoms in paediatric CFS/ME. While parent-report can facilitate psychological evaluation in CFS/ME, this is not a substitute for a child's own report.
Sections du résumé
BACKGROUND
BACKGROUND
One in three adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) have mental health problems. Multi-informant perspectives are key to psychological assessment. Understanding parent-child agreement is crucial to accurate diagnosis, particularly where severe fatigue limits self-report.
METHODS
METHODS
Agreement on the revised children's anxiety and depression scale (RCADs) was assessed between parents and children with CFS/ME (
RESULTS
RESULTS
Diagnostic thresholds were met more frequently based on child-report. Parent- and child-report had similar sensitivity and specificity on RCADS compared to gold-standard diagnostic interviews. Regression analysis found similar accuracy between both reports. For anxiety diagnoses, odds ratio (OR) for child-report was 1.10 (CI = 1.06-1.14), and 1.10 (CI = 1.05-1.14) for parent-report. For depression, OR for child report was 1.26 (CI = 1.11-1.43), while for parent-report is was 1.25 (CI = 1.10-1.41). For total score, OR for child-report was 1.10 (CI = 1.05-1.13) while OR for parent-report was 1.09 (CI = 1.05-1.13).
CONCLUSIONS
CONCLUSIONS
Reasonable agreement was observed between parent- and child-report of mental health symptoms in paediatric CFS/ME. While parent-report can facilitate psychological evaluation in CFS/ME, this is not a substitute for a child's own report.
Identifiants
pubmed: 33586480
doi: 10.1177/1359104521994880
pmc: PMC8172254
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
367-380Subventions
Organisme : Department of Health
ID : DRF-2016-09-021
Pays : United Kingdom
Organisme : Department of Health
ID : SRF-2013-06-013
Pays : United Kingdom
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