The Clinical Relevance of Divergence in Adolescent–Parent Reports of Adolescent Depression and Anxiety

Details

• Alternative Title:
  Child Adolesc Social Work J
• Personal Author:
  Stein, Sara F. ; Ngo, Quyen M. ; Austic, Elizabeth A. ; Veliz, Philip T. ; McCabe, Sean Esteban ; Boyd, Carol J.
• Description:
  This study examines associations between adolescent problem behaviors and adolescent-parent disagreement in ratings of adolescent depression and anxiety symptoms. Adolescent-parent dyads (| = 463; mean age = 12.68 years; 48.5% female; 78.2% White and 21.8% non-White) reported on adolescent depression and anxiety using parallel scales from the Youth Self Report (Achenbach et al., J Emot Behav Disord 10:194-203, 2002) and the Child Behavior Checklist (Achenbach and Rescorla, The manual for the ASEBA school-age forms & profiles, University of Vermont, Research Center for Children, Youth, and Families, Burlington, 2001) across four waves. Generalized estimating equations were used to examine the relationship between discrepancy scores and adolescent behavioral outcomes: incidence of adolescent past-year substance use (alcohol use, binge drinking, marijuana use, and nonmedical use of controlled medications), delinquency, self-harm behavior, and aggression. Findings showed that larger adolescent-parent divergence scores of depression were associated with higher odds of marijuana use, non-medical use of controlled medications, alcohol use, binge drinking, in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Results further revealed that larger divergence scores on anxiety were associated with higher odds of in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Adolescent-parent reporting discrepancy on adolescent's depression and anxiety symptoms may be indicative of adolescent's social, emotional, and behavioral problems, and the disagreement may signal further need for assessment of the adolescent.
• Keywords:
  Adolescents Adolescent–parent Reporting Discrepancy Anxiety Behavior Problems Depression
• Source:
  Child Adolesc Social Work J. 35(6):611-623
• Pubmed ID:
  38161984
• Pubmed Central ID:
  PMC10756589
• Document Type:
  Journal Article
• Funding:
  UL1 TR000433/TR/NCATS NIH HHSUnited States/ ; K23 AA022641/AA/NIAAA NIH HHSUnited States/ ; R01 DA036541/DA/NIDA NIH HHSUnited States/ ; R49CE002099/ACL/ACL HHSUnited States/ ; R01 DA024678/DA/NIDA NIH HHSUnited States/ ; R03 HD087520/HD/NICHD NIH HHSUnited States/ ; R01 DA031160/DA/NIDA NIH HHSUnited States/ ; R49 CE002099/CE/NCIPC CDC HHSUnited States/ ; T32 DA007267/DA/NIDA NIH HHSUnited States/
• Volume:
  35
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bddeb2a836bfc22d6331bbaba2818b44555f262b4bcb8a20777263fee43508b3
• Download URL:
  https://stacks.cdc.gov/view/cdc/145943/cdc_145943_DS1.pdf
• File Type:
  [PDF - 373.84 KB ]