Are Clinicians' Assessments of Improvements in Children's Functioning "global"?

Overview

Journal J Clin Child Adolesc Psychol

Publisher Routledge

Specialties Pediatrics
Psychology

Date 2011 Mar 11

PMID 21391024

Citations 14

Authors

Andres De Los Reyes

Candice A Alfano

Deborah C Beidel

Affiliations

Soon will be listed here.

Abstract

In this study, the authors examined the relations among clinician ratings of treatment improvement and discrepancies between parent and blinded laboratory rater reports of child social functioning administered before and after treatment for social anxiety disorder. Participants included a clinic sample of 101 children (7-16 years old; M = 11.67, SD = 2.57; 51 girls, 81% Caucasian) receiving treatment as part of a two-site controlled trial. Overall, clinician ratings reflected lack of improvement when parents reported persistent (i.e., pre- to posttreament) social functioning deficits not reported by blinded raters. However, when blinded raters reported persistent social skill deficits not reported by parents, we did not observe the same effect on clinician ratings as we did when the direction of discrepant reports was reversed. We replicated these observations in a subset of participants (n = 81) providing parent and child pre-post reports of social anxiety symptoms. These findings have implications for the interpretations of clinical ratings as "primary outcome measures" within controlled trials.

Citing Articles

An Experimental Test of Whether Informants can Report About Child and Family Behavior Based on Settings of Behavioral Expression.

De Los Reyes A, Ehrlich K, Swan A, Luo T, Van Wie M, Pabon S J Child Fam Stud. 2023; 22(2):177-191.

PMID: 36711028 PMC: 9881584. DOI: 10.1007/s10826-012-9567-3.

Mediators of Treatment Outcomes for Anxious Children and Adolescents: The Role of Somatic Symptoms.

Hale A, Ginsburg G, Chan G, Kendall P, McCracken J, Sakolsky D J Clin Child Adolesc Psychol. 2017; 47(1):94-104.

PMID: 28278599 PMC: 6129169. DOI: 10.1080/15374416.2017.1280804.

Introduction to the Special Issue: Discrepancies in Adolescent-Parent Perceptions of the Family and Adolescent Adjustment.

De Los Reyes A, Ohannessian C J Youth Adolesc. 2016; 45(10):1957-72.

PMID: 27384957 DOI: 10.1007/s10964-016-0533-z.

Moderators of Impairment Agreement among Parent-Child Dyads in Pediatric Obsessive-Compulsive Disorder.

Storch E, Rudy B, Wu M, Lewin A, Murphy T J Psychopathol Behav Assess. 2015; 37(2):318-328.

PMID: 26190901 PMC: 4504685. DOI: 10.1007/s10862-014-9456-8.

The validity of the multi-informant approach to assessing child and adolescent mental health.

De Los Reyes A, Augenstein T, Wang M, Thomas S, Drabick D, Burgers D Psychol Bull. 2015; 141(4):858-900.

PMID: 25915035 PMC: 4486608. DOI: 10.1037/a0038498.

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