Youth-caregiver Agreement on Clinical High-risk Symptoms of Psychosis

被引：0
作者：
Shana Golembo-Smith
Peter Bachman
Damla Senturk
Tyrone D. Cannon
Carrie E. Bearden
机构：
[1] University of California – Los Angeles,Department of Psychology
[2] University of California – Los Angeles,Department of Psychiatry and Biobehavioral Sciences
[3] University of California – Los Angeles,Department of Biostatistics
[4] Yale University,Department of Psychology
来源：
Journal of Abnormal Child Psychology | 2014年 / 42卷
关键词：
CHR; Clinical high risk; Assessment; Psychosis; Adolescents; Cross-informant agreement;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Early identification of individuals who will go on to develop schizophrenia is a difficult endeavor. The variety of symptoms experienced by clinical high-risk youth make it difficult to identify who will eventually develop schizophrenia in the future. Efforts are being made, therefore, to more accurately identify at-risk individuals and factors that predict conversion to psychosis. As in most assessments of children and adolescents, however, both youth and parental report of symptomatology and resulting dysfunction are important to assess. The goals of the current study were to assess the extent of cross-informant agreement on the Structured Interview for Prodromal Symptoms (SIPS), a widely-used tool employed to determine clinical high-risk status. A total of 84 youth-caregiver pairs participated. Youth and caregiver raters displayed moderate overall agreement on SIPS-rated symptoms. Both youth and caregiver ratings of youth symptomatology contributed significantly to predicting conversion to psychosis. In addition, youth age and quality of youth-caregiver relationships appear to be related to cross-informant symptom ratings. Despite differences on individual SIPS domains, the majority of dyads agreed on youth clinical high-risk status. Results highlight the potential clinical utility of using caregiver informants to determine youth psychosis risk.
引用
收藏
页码：649 / 658
页数：9
相关论文
共 212 条
[1]  
Achenbach TM(2005)Advancing assessment of children and adolescents: Commentary on evidence-based assessment of child and adolescent disorders Journal of Clinical Child and Adolescent Psychology 34 541-547
[2]  
Achenbach TM(1987)Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity Psychological Bulletin 101 213-232
[3]  
McConaughy SH(2007)North American prodrome longitudinal study: a Collaborative multisite approach to prodromal schizophrenia research Schizophrenia Bulletin 33 665-672
[4]  
Howell CT(2003)When adolescents disagree with their mothers: CBCL–YSR discrepancies related to maternal depression and adolescent self–esteem Child: Care, Health and Development 29 207-213
[5]  
Addington J(1992)Aggregating data from multiple informants in child psychiatry epidemiological research Journal of the American Academy of Child and Adolescent Psychiatry 31 78-85
[6]  
Cadenhead KS(2008)Prediction of psychosis in youth at high clinical risk: a Multisite longitudinal study in North America Archives of General Psychiatry 65 28-37
[7]  
Cannon TD(1976)Evaluating signs and symptoms: Comparison of structured interview and clinical approaches The British Journal of Psychiatry 128 397-403
[8]  
Cornblatt B(2009)Construct validity of the perceived criticism measure Behavior Therapy 40 155-163
[9]  
McGlashan TH(1999)Expressed emotion and behavior therapy outcome: a Prospective study with obsessive–compulsive and agoraphobic outpatients Journal of Consulting and Clinical Psychology 67 658-964
[10]  
Perkins DO(2003)Childhood anxiety disorders: Parent–Child (dis) agreement using a structured interview for the Journal of the American Academy of Child & Adolescent Psychiatry 42 957-425
12345678910