Abstract
Objectives
To explore how caregivers’ (birth parents, adoptive parents, relative caregivers, and unrelated caregivers) depressive symptoms moderate the concordance between their and their youth’s assessment of the youth’s physical health symptoms, diseases, and physical health status.
Methods
Participants included 224 youth with mean age of 18.0 years (SD = 1.3) and their caregivers. Multiple-group models were run to test whether caregiver depression status moderated the concordance between youth and caregiver report of physical health outcomes. Models compared caregivers above the mean for depression in the sample (n = 62) with caregivers below the mean for depression in this sample (n = 128).
Results
There was a strong correlation between youth and caregiver report of pain in the last 30 days and physical health status in the caregiver group with no/fewer depressive symptoms [r (128) = 0.29, p = 0.04; r (128) = 0.59, p < 0.01], but no significant correlation between the two in the caregiver group with higher depressive symptoms [r (62) = − 0.27, p = 0.27; r (62) = − 0.14, p = 0.57].
Conclusions for Practice
Higher caregiver depressive symptoms was associated with worse concordance between caregiver and youth assessment of the youth’s pain and physical health status. These two health issues are less visible and more subjective and communication between caregiver and youth may be affected by the caregiver’s depressive symptoms. Since both caregiver and youth assessments of a youth’s physical health provide the best clinical data, it may be helpful for health providers to assess caregiver’s mental health status to provide a more complete picture.
Data Availability
Authors choose not to submit data.
References
Agnihotri, K., Awasthi, S., Singh, U., Chandra, H., & Thakur, S. (2010). A study of concordance between adolescent self-report and parent-proxy report of health-related quality of life in school-going adolescents. Journal of Psychosomatic Research, 69(6), 525–532. https://doi.org/10.1016/j.jpsychores.2010.03.011
Cheung, K., & Theule, J. (2019). Paternal depressive symptoms and parenting behaviors: An updated meta-analysis. Journal of Child and Family Studies, 28(3), 613–626. https://doi.org/10.1007/s10826-018-01316-1
Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13(3), 595–605. https://doi.org/10.1017/s0033291700048017
Derogatis, L. R., & Spencer, P. M. (1993). Brief Symptom Inventory (BSI): Administration, scoring and procedures manual, Brief Symptom Inventory. National Computer Systems, MN.
Eiser, C., & Varni, J. W. (2013). Health-related quality of life and symptom reporting: Similarities and differences between children and their parents. European Journal of Pediatrics, 172(10), 1299–1304. https://doi.org/10.1007/s00431-013-2049-9
Fontaine, S. (2017). Parent and youth discrepancy ratings of mental health symptoms in adolescents: The moderating role of family functioning. Doctoral dissertation, Université d'Ottawa/University of Ottawa.
Hemmingsson, H., Ólafsdóttir, L. B., & Egilson, S. T. (2017). Agreements and disagreements between children and their parents in health-related assessments. Disability and Rehabilitation, 39(11), 1059–1072. https://doi.org/10.1080/09638288.2016.1189603
Hood, K. K. (2009). The influence of caregiver depressive symptoms on proxy report of youth depressive symptoms: A test of the depression-distortion hypothesis in pediatric type 1 diabetes. Journal of Pediatric Psychology, 34(3), 294–303. https://doi.org/10.1093/jpepsy/jsn090
Jozefiak, T., & Kayed, N. S. (2015). Self-and proxy reports of quality of life among adolescents living in residential youth care compared to adolescents in the general population and mental health services. Health and Quality of Life Outcomes, 13(1), 104. https://doi.org/10.1186/s12955-015-0280-y
Kobayashi, K., & Kamibeppu, K. (2011). Quality of life reporting by parent–child dyads in Japan, as grouped by depressive status. Nursing & Health Sciences, 13(2), 170–177. https://doi.org/10.1111/j.1442-2018.2011.00595.x
Lohaus, A., Rueth, J. E., & Vierhaus, M. (2020). Cross-informant discrepancies and their association with maternal depression, maternal parenting stress, and mother-child relationship. Journal of Child and Family Studies, 29(3), 867–879. https://doi.org/10.1007/s10826-019-01625-z
Madsen, K. B., Rask, C. U., Olsen, J., Niclasen, J., & Obel, C. (2019). Depression-related distortions in maternal reports of child behaviour problems. European Child & Adolescent Psychiatry, 29, 275–285. https://doi.org/10.1007/s00787-019-01351-3
Makol, B. A., & Polo, A. J. (2018). Parent-child endorsement discrepancies among youth at chronic-risk for depression. Journal of Abnormal Child Psychology, 46(5), 1077–1088. https://doi.org/10.1007/s10802-017-0360-z
Müller, J. M., Achtergarde, S., & Furniss, T. (2011). The influence of maternal psychopathology on ratings of child psychiatric symptoms: An SEM analysis on cross-informant agreement. European Child & Adolescent Psychiatry, 20(5), 241–252. https://doi.org/10.1007/s00787-011-0168-2
Muthen, L. K., & Muthen, B. O. (2014). Mplus (version 8.2). Muthen & Muthen.
Negriff, S., Gordis, E. B., Susman, E. J., Kim, K., Peckins, M., Schneiderman, J. U., & Mennen, F. E. (2020). The young adolescent project: A longitudinal study on the effects of maltreatment on adolescent development. Development & Psychopathology, 1–20. https://doi.org/10.1017/S0954579419001391
Richters, J., & Pellegrini, D. (1989). Depressed mothers’ judgments about their children: An examination of the depression-distortion hypothesis. Child Development, 60, 1068–1075.
Ruiperez, M. Á., Ibáñez, M. I., Lorente, E., Moro, M., & Ortet, G. (2001). Psychometric properties of the Spanish version of the BSI: Contributions to the relationship between personality and psychopathology. European Journal of Psychological Assessment, 17, 241–250. https://doi.org/10.1027//1015-5759.17.3.241
Russell, K. M., Hudson, M., Long, A., & Phipps, S. (2006). Assessment of health-related quality of life in children with cancer: Consistency and agreement between parent and child reports. Cancer, 106(10), 2267–2274. https://doi.org/10.1002/cncr.21871
Schneiderman, J. U., Kools, S., Negriff, S., Smith, S., & Trickett, P. K. (2015). Differences in caregiver-reported health problems and health care use in maltreated adolescents and a comparison group from the same urban environment. Research in Nursing & Health, 20(2), 477–483. https://doi.org/10.1002/nur.21634
Sundblad, G. M. B., Saartok, T., & Engström, L. M. T. (2006). Child–parent agreement on reports of disease, injury and pain. BMC Public Health, 6(1), 276. https://doi.org/10.3390/children4080065
Waters, E., Stewart-Brown, S., & Fitzpatrick, R. (2003). Agreement between adolescent self-report and parent reports of health and well-being: Results of an epidemiological study. Child: Care, Health and Development, 29(6), 501–509. https://doi.org/10.1046/j.1365-2214.2003.00370.x
Weaver, M., Darnall, C., Bace, S., Vail, C., MacFadyen, A., & Wichman, C. (2017). Trending longitudinal agreement between parent and child perceptions of quality of life for pediatric palliative care patients. Children, 4(8), 65. https://doi.org/10.3390/children4080065
World Health Organization (WHO). (2020). Depression: Key facts. Retrieved from https://www.who.int/news-room/fact-sheets/detail/depression
Zhou, X., Zhen, R., & Wu, X. (2020). Insecure attachment to parents and PTSD among adolescents: The roles of parent-child communication, perceived parental depression, and intrusive rumination. Development and Psychopathology. https://doi.org/10.1017/S0954579420000498
Funding
This work was supported by the National Institutes of Health [Grant Numbers R01HD39129 and R01DA024569].
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JS: Conceptualization; Writing—original draft; Writing- review and editing. APM: Methodology, Formal analysis, Writing- review and editing. FM: Conceptualization; Investigation; Writing review and editing. SN: Methodology, Investigation; Data curation; Writing- review and editing.
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University IRB and county juvenile court.
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Youth and caregivers signed an IRB approved consent.
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Schneiderman, J.U., Palmer Molina, A., Mennen, F.E. et al. Effect of Caregiver Depressive Symptoms on the Concordance Between Caregiver and Youth Assessment of Youth Physical Health. Matern Child Health J 25, 1814–1819 (2021). https://doi.org/10.1007/s10995-021-03273-6
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DOI: https://doi.org/10.1007/s10995-021-03273-6