Cross-Informant Agreement in the Assessment of Social Phobia in Youth

In the present study involving children and adolescents with a principal diagnosis of social phobia, we measured parent–child agreement regarding social anxiety symptoms. Additionally, we examined variables related to the severity of the children's social phobia symptoms as reported by children and as rated by clinicians. Examination of cross-informant agreement indicated little difference between mean parent and children ratings of the children's social fears. In contrast, there was a significant difference in parent and children ratings of the children's avoidance, with parents endorsing greater degrees of social avoidance. Children's report of social avoidance was negatively related to scores on a measure of self-presentational concerns (i.e., social desirability). Clinicians' determination of the severity of the children's social phobia was also influenced by the children's self-presentation as well as parent report of social avoidance and children's depression scores. Thus, this differential weighting by the clinician of parent versus child report may be related to the finding that children's self-reported social avoidance was negatively related to their concerns regarding positive self-presentation. Results suggest the need to consider the impact of social desirability when examining clinical characteristics of children and adolescents with social phobia.     

Adult ADHD: Associations with Personality and Other Psychopathology

The goals of this study were to explicate adult ADHD’s relations with personality at both the domain and facet levels and to examine its associations with other psychological symptoms. Community members (N?=?294) completed measures assessing ADHD inattentive and hyperactive/impulsive symptoms, five-factor model personality domains and facets, and other internalizing and externalizing symptoms. Inattentiveness showed strong negative relations with conscientiousness and extraversion and strong positive relations with neuroticism; in contrast, hyperactivity/impulsivity related negatively to agreeableness, positively to extraversion, and weakly to neuroticism. Whereas inattentiveness emerged as a positive predictor of internalizing psychopathology—and depression in particular—hyperactivity/impulsivity related weakly to internalizing but more strongly to externalizing psychopathology. Thus, inattentive and hyperactive/impulsive symptoms showed differential relations with personality—at both the domain and facet levels—and with other psychological symptoms. These results demonstrate the value in examining ADHD’s relations with personality facets and with a wide range of psychopathology within the same study.     

Conduct Disorder and Psychosocial Outcomes at Age 30: Early Adult Psychopathology as a Potential Mediator

Conduct disorder (CD) is associated with a number of adverse psychosocial outcomes in adulthood. There is consistent evidence that CD is predictive of antisocial behavior, but mixed evidence that CD is predictive of other externalizing and internalizing disorders. Further, externalizing and internalizing disorders are often associated with similar psychosocial outcomes as CD. However, relatively little work has examined whether forms of psychopathology (e.g., externalizing and/or internalizing disorders) mediates the relationship between youth CD and adult psychosocial outcomes. The present study examined associations between youth CD and adult psychosocial outcomes and sought to identify forms of psychopathology that may potentially mediate this relationship. Participants completed self-report measures of psychosocial functioning and semi-structured diagnostic interviews during adolescence and young adulthood. Analyses found that most domains of adult psychosocial functioning were associated with youth CD. Adult antisocial behavior was the only form of psychopathology predicted by CD. Adult antisocial behavior appeared to mediate the relationship between CD and marital status, life satisfaction, and being in jail and partially mediated the relationship between CD and family support and global functioning. These data suggest that reducing the progression to adult antisocial behavior may improve multiple psychosocial outcomes among those with a history of CD.     

Structural, Relative, and Absolute Agreement between Parents' and Adolescent Inpatients' Reports of Adolescent Functional Impairment

This study assessed agreement between parents' and adolescent inpatients' scores on caretaker and self-report versions of the Functional Impairment Scale for Children and Adolescents (FISCA and FISCA-SR). Self-report data describing impairment in eight domains were collected from 375 inpatients (M age = 15.0 years, 55% females), with parent data available for 233 (62%). Confirmatory factor analysis demonstrated structural congruence between a hypothesized, three-factor model, based on a prior study of the parent FISCA, and an observed model, based on responses to the FISCA-SR (GFI = .95). Correlations (measuring relative agreement) and paired comparisons of means (assessing absolute agreement) generally identified stronger agreement in public than private domains of impairment, and greater relative than absolute agreement in covert, antisocial domains.     

Subjective Reports and Postural Performance Among Older Adult Passengers on a Sea Voyage

We sought to evaluate changes in subjective experience and postural performance among older adult passengers during the first 2 days of a sea voyage. On a vacation cruise, volunteer passengers gave verbal ratings of subjective bodily stability and awareness of ship motion followed by performance on the tandem Romberg test while facing fore-aft and athwartship. Data were collected when the ship was at the dock and on each of the first 2 full days at sea. Ship motion reduced subjective bodily stability and performance on the Romberg test and increased awareness of ship motion. On the first day at sea, Romberg performance was more strongly impacted by motion of the ship in roll (i.e., when facing fore-aft) than in pitch (i.e., when facing athwartship). Also on the first day at sea, subjective bodily stability was correlated with Romberg performance when facing fore-aft but not when facing athwart. In summary, at the beginning of the voyage older adult passengers on a sea voyage exhibited consistent changes in subjective awareness and postural performance. Subjective reports were correlated with postural performance in ways that appeared to be functional. We suggest that this finding may help to illuminate the role of conscious awareness within ecological analyses of perception and action.     

States-of-Mind in Psychopathology and Psychological Well-Being

This study investigated the states-of-mind model of depression, anxiety, anger, life satisfaction and happiness in four ways. Three hundred and ninety-eight undergraduate students from Singapore participated in this study. First, states-of-mind ratio and positive automatic thoughts were positively correlated with life satisfaction and happiness, and negatively correlated with anxiety, depression, and anger. In contrast, negative automatic thoughts were positively correlated with anxiety, depression, and anger, and negatively correlated with life satisfaction and happiness. Second, the BSOM categories based depression-related automatic thoughts was able to significantly differentiate among levels of depression, happiness, life satisfaction, anxiety, and anger in ANOVA and in terms of variance accounted for as indicated by partial Eta squared. Third, the BSOM ratio was the best predictor for happiness and life satisfaction and second best predictor for depression, anxiety, and anger in terms of variance accounted for as indicated by adjusted R², in comparison to the negative cognition model and positive cognition model. Fourth, both ANOVA results and multiple regression results showed that there is cognitive content-specificity for the BSOM based on depression-related automatic thoughts. Implications and limitations of these findings were discussed.     

Parent and Child Agreement for Acute Stress Disorder,Post-Traumatic Stress Disorder and other Psychopathology in a Prospective Study of Children and Adolescents Exposed to Single-Event Trauma

Examining parent-child agreement for Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD) in children and adolescents is essential for informing the assessment of trauma-exposed children, yet no studies have examined this relationship using appropriate statistical techniques. Parent-child agreement for these disorders was examined by structured interview in a prospective study of assault and motor vehicle accident (MVA) child survivors, assessed at 2–4 weeks and 6 months post-trauma. Children were significantly more likely to meet criteria for ASD, as well as other ASD and PTSD symptom clusters, based on their own report than on their parent’s report. Parent-child agreement for ASD was poor (Cohen’s κ = −.04), but fair for PTSD (Cohen’s κ = .21). Agreement ranged widely for other emotional disorders (Cohen’s κ = −.07–.64), with generalised anxiety disorder found to have superior parent-child agreement (when assessed by phi coefficients) relative to ASD and PTSD. The findings support the need to directly interview children and adolescents, particularly for the early screening of posttraumatic stress, and suggest that other anxiety disorders may have a clearer presentation post-trauma.     

Multimethod Assessment of Psychopathology Among DSM-IV Subtypes of Children With Attention-Deficit/Hyperactivity Disorder: Self-, Parent, and Teacher Reports

Using data based on self-, parent, and teacher reports, we assessed various aspects of psychopathology in a large sample of control children and those with ADHD. Confirmatory factor analysis was employed to extract response bias from latent constructs of aggression, anxiety, attention problems, depression, conduct disorder, and hyperactivity. These latent constructs were then entered into logistic regression equations to predict membership in control versus ADHD groups, and to discriminate between ADHD subtypes. Results of the regression equations showed that higher levels of attention problems and aggression were the best predictors of membership in the ADHD group relative to controls. Logistic regression also indicated that a higher degree of aggression was the only significant predictor of membership in the ADHD-Combined group compared to the ADHD-Inattentive group. However, when comorbid diagnoses of Oppositional Defiant Disorder and Conduct Disorder were controlled for in the logistic regression, greater hyperactivity rather than aggression was the sole variable with which to distinguish the ADHD-Combined from the ADHD-Inattentive subtype. Results are discussed in the context of the DSM-IV ADHD nosology and the role of instrument and source bias in the diagnosis of ADHD.     

The Roles of Persistence and Perseveration in Psychopathology

Two constructs were hypothesized to be of importance in psychological disorders: persistence (the ability to keep going to reach a goal, even when the task is difficult or drawn out) and perseveration (the tendency to continue a behavior, even when it ceases to be effective or rewarding). These are contrasted with perfectionism (having high standards for oneself or others). A measure was developed to address these constructs (the Persistence, Perseveration and Perfectionism Questionnaire; PPPQ). The PPPQ was administered to 325 nonclinical participants, alongside a measure of psychological disturbance. Factor analysis resulted in a 22-item version of the measure, consisting of subscales with good psychometric properties corresponding to the 3 theoretical constructs. Persistence was associated with lower levels of psychopathology, whereas perseveration was associated with higher levels of psychopathology. Perfectionism was weakly associated with psychopathology. Further work is needed to develop these constructs with clinical groups, but the findings support the hypothesis that persistence is an adaptive construct whereas perseveration is maladaptive.     

The Society for Research in Child and Adolescent Psychopathology

Research on Child and Adolescent Psychopathology -     

Parental Psychopathology and Paternal Child Neglect in Late Childhood

We aimed at determining the association of both severity of paternal and maternal substance use disorder (SUD) and psychiatric disorders with paternal child neglect severity during late childhood. The sample comprised 146 intact SUD (n=71) and non SUD (n=75) families with a 10–12 year old female or male biological offspring. The average age of fathers, mothers, and children was 44 (SD=5.9), 42 (SD=4.78), and 11 (SD=.79) years, respectively. The ethnic composition was 85% Caucasian and 15% African American. The results showed that paternal and maternal SUD and psychiatric disorders severity was correlated with paternal child neglect severity. However, paternal psychopathology failed to achieve significance in the regression analyses. Severity of maternal, especially severity of antisocial personality disorder symptoms was associated with paternal child neglect. These results are discussed within the framework of evolutionary psychology research examining paternal investment in the offspring. Implications for the necessity of identifying parental psychopathology and an integrated treatment approach are discussed.     

The Society for Research in Child and Adolescent Psychopathology

The Society for Research in Child and Adolescent Psychopathology     

The Relationship Between Defenses and Symptoms in Adolescent Psychopathology

The relationship between defense mechanisms and symptoms was assessed in a group of 196 psychiatrically hospitalized adolescents. Defense mechanisms were measured through the use of the Defense Mechanisms inventory (DMI); symptoms and problem behaviors were measured with the Youth Self-Report. Univariate and multivariate analyses indicated that externalizing symptoms are associated with defenses that locate the conflict outside of the self, whereas internalizing symptoms are associated with defenses that locate the conflict within the self. In contrast to previous reports, no gender differences, were found in defense preference, though gender differences were found in the relation of defenses to symptoms. The findings are consistent with clinical theory of defense processes and support the distinction between internalizing/externalizing behaviors and personality dimensions for both symptoms and defenses. The study supports the validity of the adolescent form of the DML.     

The Relationship Between Childhood Onset Obesity and Psychopathology in Adulthood

We administered the Symptom Checklist (Derogatis, 1975; SCL-90-R) to 37 obese subjects in outpatient treatment for obesity. Patients with early onset obesity demonstrated a greater frequency and higher levels of emotional distress and psychiatric symptomatology than patients with late onset obesity. Individuals who developed obesity in childhood showed more psychopathology than those who developed obesity later in life. Overall, these findings support the belief that obesity is characteristically associated with greater internal psychological conflict. These findings further suggest that childhood obesity could serve as a predictor variable for possible future psychological disturbance in obese populations.