Comparison of Education Reports of Behavioural Symptoms

Comparison of Education Reports of Behavioural SymptomsRunning notch Teacher, infantren, and provokes publishs of behavioural symptomsComparison amidst teacher, peasantren, and p arents reports of demeanoural symptoms associated with riotous behaviors.Karelyn M. Gonzlez-Cruz, M.S., Jos J. Cabiya., Ph.D., Lymaries Padilla, Ph.D. Jovette Snchez, M.S.(The object/ take on described was acquited by Grant Number 1 R24 MD00152-01, from the interior(a) Center on Minority Health and Health Disparities, National pioneers of Health. Its contents are solely the responsibility of the authors and do not necessarily re contribute the official views of the National Institutes of Health.)Key Words check age children, aggressive behavior, Attention shortfall Hyperactivity Disorder, Oppositional Defiant Disorder, impulsiveness depression.AbstractThe design of the sacrifice pilot require was to compare the teacher, children, and adverts reports of behavioral symptoms associated with roiled behaviors development the diagnostic interview account of Children-Parent version (DISC-P), the diagnostic Interview history of Children-Youth (DISC-Y) and the Bauermeister give lessons appearance armory (BSBI). The parents of 52 children consented to participate in the DISC-P and DISC-Y interviews. The results showed that parents and children had a moderate form of sympathy in answering symptoms of major depressive episode, symptoms of traumatic stress disorder, and symptoms of generalized solicitude disorder. The results in addition showed that teachers had a high degree of obligation with children in their report of disruptive symptoms while no agreement was found surrounded by teachers and parents reports. Teachers reports of disruptive behaviors such as irritability, hostility, distraction, and emit motivating had a moderate correlation with children reports of symptoms related to to conduct disorders and homophile(a). These results might kick up tha t parents order more(prenominal) efficiently emotional disorders than teachers. On the contrary, teachers appear to identify more efficiently disruptive behaviors than parents do.Comparison between teacher, children, and parents reports of behavioral symptoms associated with disruptive behaviorsAssessment of child psychiatric disorders traditionally relies on training obtained from aggregate informants, usually the parent, the child, and sometimes new(prenominal)s such as teachers and additional family members. These informants may try different information rough the presence, severity, and duration of a childs symptomatology or behavior (Achenbach, McConaughy, Howell, 1987). Several studies stupefy compared parent and child reports of the children psychiatric symptoms in merged diagnostic interviews like the Diagnostic Interview for Children and childishs (DICA Herjanic Reich, 1982 Reich, Herjanic, Welner, Gandy, 1982 Welner, Reich, Herjanic, Jung, Amado, 1987), the Diagnostic Interview history for Children (DISC Edelbrock, Costello, Dulcan, Calabro Conover, Kalas, 1986 Loeber, Green, Lahey, Stouthamer-Loeber, 1989 Weissman et al., 1987), and the Schedule for Affective Disorders and Schizophrenia for civilize-age Children (K-SADS Chambers et al., 1985 Orvaschel, Puig-Antich, Chambers, Tabrizi, Johnson, 1982). These studies have documented low to moderate agreement between parents and children report of psychiatric symptoms. In general, these reports have found that parents report more behavior symptoms about their children than the children report about themselves, whereas children report having more affective and neurotic symptoms than their parents report about them (Edelbrock et al., 1986 Herjanic Reich, 1982).In addition, a meta-analysis of more than 200 studies examined agreement among informants, and reported moderate to short(p) agreement for most studies, including those in which agreement was assessed along symptom dimensions k ind of than by categorical diagnoses (Achenbach, McConaughy, Howell, 1987). Somewhat better agreement between parents and children has been ascertained in clinical samples when semi organise interviews were used by clinicians (Orvaschel, Thompson, Belanger, Prusoff, Kidd, 1982) and for externalizing as compared to internalizing symptoms (Reich, Herjanic, Welner, Gandhy, 1982). Asymmetrical describe of certain types of symptoms has been found to be the most frequent source of disagreement. Parents break away to report externalizing behaviors or problems more often while children tend to report internalizing depressive or anxiety symptoms with greater frequency Edelbrock et al., 1986 Reich et al., 1982).In addition, a get word completed by Bravo, et al. (2001) with a Puerto Rican sample found that parents were generally mediocre or moderately reliable informants when describe about their children. Children (11-17 years) were excellent or moderately reliable informants on disru ptive and substance-related disorders, but were unreliable when insurance coverage about anxiety and depressive disorders. For lifetime diagnoses, they found that parents were fine reporters of their childrens conduct disorder, as well as substance-related disorders, whereas their children were excellent or moderately reliable reporting about most of these disorders.However, no study was found that have assessed the kinship between the teachers, parents and children report of clinical symptoms related to disruptive disorders. The goal of the present pilot study was to compare the teachers, children, and parents reports of behavioral symptoms associated with disruptive behaviors using the Diagnostic Interview Schedule of Children-Parent version (DISC-P), the Diagnostic Interview Schedule of Children-Youth (DISC-Y) and the Bauermeister School Behavior Inventory (BSBI).MethodParticipantsFifty ii (26 boys and 26 girls) from ages 9 to 12 (mean age was 10) from the San Juan metropolit an expanse, who were referred by their teacher for disruptive behavior in the schoolroom, were administered a symptoms checklist based on the DSM-IV-TR diagnostic criteria for disruptive disorders (American psychiatric Association, 2000). Informed consent to participate in the study was then quest from the parents of these children. The socioeconomic status of all of these children was low. The mean age was 10.06 (SD = 1.07). Of the 52 referred children, 17 children (9 boys and 8 girls) were evaluated with the DISC-Y. The mean age of this group was 10.12 (SD = 1.16).InstrumentsBauermeister School Behavior Inventory (BSBI). This inventory consists of six scales for male children and five for female children completed by the teachers that evaluate anxiety symptoms, social alienation, depression, irritability-hostility, distraction-motivation and activity impulsiveness. Internal consistency fluctuates between .74 and .96 test-re-test dependableness (four week period fluctuated betw een .52 to .89. This instrument was developed, validated and regulate for Puerto Rican population (Bauermeister, 1994).Computerized Diagnostic Interview Schedule for Children (C-DISC) (Shafer, D. et al. 2000). The DISC is the most widely used and studied mental health interview that has been tested in both clinical and community populations. It is a comprehensive, incorporated interview that covers 36 mental health disorders for children immatures, using DSM-IV criteria. The version used in this study was the most recent Spanish translation of the DISC-IV (Bravo et al., 2001), with parallel youth (DISC-Y) and parent (DISC-P) versions. The test-retest reliability of the DISC-IV has been reported in both Spanish and English-speaking clinic samples tame comparable results (Bravo et al., 2001 Shaffer, Fisher, Lucas, Dulcan, Schwab-Stone, 2000). The disorders assessed by the DISC were prevalentized anxiety, Panic, Post-traumatic stress, Major Depression, Dysthymia, Attention Defi cit Hyperactivity, Oppositional Defiant, Conduct Disorder, Alcohol Abuse / Dependence, Marijuana Abuse / Dependence, Nicotine Dependence and other Substance Abuse / Dependence.Socio-demographic interview. The questionnaire used in the Research Scientific Institute at the Carlos Albizu University was administered. The questionnaire provides socio-demographic information about the child and his/her family.ProceduresTeachers completed the BSBI after the parents consented to participate in the study. The projects director selected advanced doctoral students in clinical psychology to be trained as interviewers. These students received two day intensive DISC workshops from trainers certified by the Columbia University master developers of the DISC. They were blind to experimental hypotheses. Interviewers contacted by phone the head teacher caretaker of each child to arrange for the DISC-P interview in the school. They administered first the DISC-P to the parent and afterwards they admin istered the DISC-Y to the child. The principal caretaker received an compensation of twenty dollars for their participation. The interviews took place in a classroom with comfortable chairs, illumination, tables, and non distractions.Quality control procedures were established to guarantee the integrity of the info gathering process. The projects director conducted weekly meetings for the supervision of preserve practice DISC interviews according to the DISC instructions manual. The interviewers received recommendations from other trained DISC interviewers, specifically on how to deal with ambiguities, which did arise, and clearly fasten dos and donts in various situations. Specific situations that hold in to deviations from the interview were discussed in the weekly supervisions.ResultsThe correlations between the quantity of symptoms of the different disorders on DISC-P and DISC-Y were as follows symptoms of inattention on DISC-P and symptoms of inattention on DISC-Y was r = . 57 (pr = .70 (pr = .64 (pr = .67 (pr = .75 (pThe correlations between the BSBI distraction-motivation scale and ODD symptoms on DISC-Y was r = .87 (pr = .92 (pr = .64 (pDiscussionThe goal of the present pilot study was to compare the teacher, children, and parents reports of behavioral symptoms associated with disruptive behaviors using the Diagnostic Interview Schedule of Children-Parent version (DISC-P), the Diagnostic Interview Schedule of Children-Youth (DISC-Y) and the Bauermeister School Behavior Inventory (BSBI). Results indicated that parents reported more behavioral symptoms (such as ODD symptoms and Attention Deficit Hyperactivity Disorder symptoms) than the children reported. Also, parents reported more affective and anxiety symptoms than their children reported.Even more, the results on DISC-P and DISC-Y showed that parents and children had a moderate degree of agreement in answering symptoms of major depressive episode, symptoms of traumatic stress disorder, and symptom s of generalized anxiety disorder. The results also showed that teachers had a high degree of agreement with children in their report of disruptive symptoms while no agreement was found between teachers and parents reports. Teachers reports of disruptive behaviors such as irritability, hostility, distraction, and low motivation had a moderate correlation with children reports of symptoms related to conduct disorders and ODD. These results might suggest that parents identify more efficiently affective disorders than teachers. On the contrary, teachers appear to identify more efficiently disruptive behaviors than parents do.These results are consistent with previous research that documented low to moderate agreement between parents and children in their report of disruptive symptoms (DICA Herjanic Reich, 1982 Reich, Herjanic, Welner, Gandy, 1982 Welner, Reich, Herjanic, Jung, Amado, 1987 Orvaschel, Thompson, Belanger, Prusoff, Kidd, 1982). In addition, a study with a Puerto Rican sample found similar results, in that parents were generally fair or moderately reliable informants about their childrens affective symptoms (Bravo et. al, 2001). unrivaled limitation of the present study was the small size of the study sample. The main reason for this was the fact that many parents that were contacted refused to participate in the study. One achievable recommendation for future research is to develop specific strategies to engage more Puerto Ricans in order for them to participate in the phases of research with little nimble benefits that requires extended interviews or evaluations. These strategies could include increasing significantly the monetary compensation. another(prenominal) strategy is to train the research assistants on specific ways of pleasing the parents in a culturally sensitive manner like charitable to familism which Muir, et al. (2004) have found to be essential in engaging Latinos in general including Puerto Ricans in research. Nevertheless, engagement of Latinos including Puerto Ricans in research appears to be a significant challenge and future research needs to address this area by itself in a systematic and comprehensive manner.ReferencesAchenbach, T. M., McConaughy, S. H. Howell, C. T. (1987). Child/adolescent behavioral and emotional problems implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213-232.Bauermeister, J. (1994). Desarrollo y utilizacin del Inventario de Comportamiento Escuela (IDC-E) en la evaluacin de nios puertorriqueos Development and use of the Bauermeister School Behavior Inventory (BSBI) in assessing Latino children. San Juan, Puerto Rico Author.Biederman, J., Faraone, S. Mick, E. Moore, P. (1996). Child Behavior Checklist findings support comorbidity between ADHD and Major Depression in a referred sample. ledger of the American Academy of Child Adolescent Psychiatry, 35 (6), 734-742.Bravo, M., Woodbury-Farina, M. A., Canino, G., Rubio-St ipec, M. (in press). The Diagnostic Interview Schedule for Children DISC) Its translation and adaptation in Puerto Rico. Culture, Medicine and Psychiatry.Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramrez, R. (2001). Test-retests reliability of Spanish version of the Diagnostic Interview Schedule for Children DISC-IV. diary of deviate Child Psychology, 29(5), 433-444.Chambers, W. J., Puig-antich, J., Hirsch, M., Paez, P., Ambrosini, P. J., Tabrizi, M. A., Davies, M. (1985). The assessment of affective disorders in children and adolescents by semistructured interview. Archives of General Psychiatry, 42, 696-702Cohen (1988). Statistical power analysis for the behavioral sciences. (2nd.ed) Hillsdale, NJ Erlbaum.Edelbrock, C., Costello, A. J., Dulcan, M. K., Calabro Conover, N., Kalas, R. (1986). Parent-child agreement on child psychiatric symptoms assessed via structured interviews. Journal of Child Psychology and Psychiatry, 27, 181-190.Herjanic, B., Herjanic, M., Brown, F., Wheatt, T. (1975). be children reliable reporters? Journal of Abnormal Child Psychology, 3, 41-48.Herjanic, B. Reich W. (1982). Development of a structured psychiatric interview for adolescent Agreement between child and parent on individual symptoms. Journal of Abnormal Child Psychology, 10, 307-324.Kashani, J. H., Orvaschel, H., Burke, J. P., Reid, J. C. (1985). Informant variability The issue of parent-child disagreement. Journal of the American Academy of Child and Adolescent Psychiatry, 24, 437-441.Loeber, R., Green, S. M., Lahey, B. B. Stouthamer-Loeber, M. (1989). optimum informants on childhood disruptive behavior. Development and Psychopathology, 1, 317-337.Orvaschel H., Puig-antich, J., Chambers, W. J., Tabrizi, M.A., Johnson, R. (1982). Retrospective assessment of prepubescent major depression with the Kiddie-SADS-E. Journal of the American Academy of Child and Adolescent Psychiatry, 21, 392-397.Orvaschel, H., Thompson, W. D., Belanger, A., Prusoff, B. A., Kidd, K. K. (1982). Comparison of the family history method to direct interview Factors affecting the diagnosis of depression. Journal of Affective Disorders, 4, 49-59.Pliszka, S., Carlson, C. Swanson, J. (1999). ADHD with comorbid disorders Clinical assessment and management. New York Guilford Press.Reich, W., Earls, F. (1987). Rules for devising psychiatric diagnosis in children on the basis of multiple sources of information Preliminary strategies. Journal of Abnormal Child Psychology, 15, 601-606.Reich, W., Herjanic, B., Welner, Z., Gandhy, P. R. (1982). Development of a structured psychiatric interview for children Agreement on diagnosis comparing child and parent interviews. Journal of Abnormal Child Psychology, 10, 325-336.Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV) Description, differences from previous versions, and reliability of some common diagnos es. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28-38.Weissman, M. M., Wickramaratne, P., Warner, V., John, K, Prusoff, B. A., Merikangas, K. R., Gammon G. D. (1987). Assessing psychiatric disorders in children. Archives of General Psychiatry, 44, 747-753.