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De Los Reyes A, Epkins CC, Asmundson GJG, Augenstein TM, Becker KD, Becker SP, Bonadio FT, Borelli JL, Boyd RC, Bradshaw CP, Burns GL, Casale G, Causadias JM, Cha CB, Chorpita BF, Cohen JR, Comer JS, Crowell SE, Dirks MA, Drabick DAG, DuPaul GJ, Ehrlich KB, Evans SC, Evans SW, Felton JW, Fite PJ, Gadow KD, Galán CA, Garbacz SA, Gaylord-Harden N, Humphreys KL, Gerber AH, Hogue A, Ivanova MY, Jarrett MA, Jensen-Doss A, Kang E, Kendall PC, Laird RD, Langberg JM, Langer DA, Lee SS, Lerner MD, Lippold MA, Luebbe AM, Makol BA, McLeod BD, McMahon RJ, Miller M, Ohannessian CM, Ollendick TH, Piña A, Prinstein MJ, Rabinowitz J, Reynolds EK, Salekin RT, Schleider JL, Scott JC, Tackett JL, Talbott E, Silverman WK, Spears AP, von der Embse N, Wakschlag LS, Wang M, Watts AL, Weisz JR, White BA, White SW, Youngstrom EA. Editorial Statement About JCCAP's 2023 Special Issue on Informant Discrepancies in Youth Mental Health Assessments: Observations, Guidelines, and Future Directions Grounded in 60 Years of Research. J Clin Child Adolesc Psychol 2023; 52:147-158. [PMID: 36652590 DOI: 10.1080/15374416.2022.2158842] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Affiliation(s)
- Andres De Los Reyes
- Comprehensive Assessment and Intervention Program, Department of Psychology, University of Maryland
| | | | | | | | | | - Stephen P Becker
- Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, and Department of Pediatrics, University of Cincinnati
| | | | | | - Rhonda C Boyd
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia
| | | | | | - Gino Casale
- Institute for Educational Research, University of Wuppertal
| | | | - Christine B Cha
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University
| | | | | | - Jonathan S Comer
- Center for Children and Families, Department of Psychology, Florida International University
| | | | | | | | | | | | | | | | | | - Paula J Fite
- Clinical Child Psychology Program, University of Kansas
| | | | | | | | | | | | | | | | | | | | | | - Erin Kang
- Department of Psychology, Montclair State University
| | | | - Robert D Laird
- Department of Human Development and Family Studies, University of Alabama
| | - Joshua M Langberg
- Graduate School of Applied and Professional Psychology, Rutgers University
| | | | - Steve S Lee
- Department of Psychology, University of California
| | | | | | | | | | - Bryce D McLeod
- Department of Psychology, Virginia Commonwealth University
| | - Robert J McMahon
- Department of Psychology, Simon Fraser University.,B.C. Children's Hospital
| | - Meghan Miller
- Department of Psychiatry and Behavioral Sciences and MIND Institute, University of California
| | | | - Thomas H Ollendick
- Department of Psychology, Virginia Polytechnic Institute and State University
| | - Armando Piña
- Department of Psychology, Arizona State University
| | | | | | | | | | | | - Judith C Scott
- Clinical Department, School of Social Work, Boston University
| | | | | | | | - Angela Page Spears
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University
| | | | - Lauren S Wakschlag
- Department of Medical Social Sciences, Feinberg School of Medicine & Institute for Innovations in Developmental Sciences, Northwestern University
| | - Mo Wang
- Department of Management, University of Florida
| | - Ashley L Watts
- Department of Psychological Sciences, University of Missouri
| | | | | | | | - Eric A Youngstrom
- Department of Psychology and Neuroscience, University of North Carolina.,Helping Give Away Psychological Science
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Bonadio FT, Evans SC, Cho GY, Callahan KP, Chorpita BF, Weisz JR. Whose Outcomes Come Out? Patterns of Caregiver- and Youth-reported Outcomes Based on Caregiver-youth Baseline Discrepancies. J Clin Child Adolesc Psychol 2022; 51:469-483. [PMID: 34424107 DOI: 10.1080/15374416.2021.1955367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Discrepancies between caregiver and youth reports of emotional and behavioral symptoms are well-documented, with cross-informant correlations often falling in the low to moderate range. Studies have shown that caregiver-youth (dis)agreement in reporting of youth symptoms is related to treatment outcomes. However, commonly used methods for exploring reporter discrepancies (e.g., difference scores) are limited by their inability to assess discrepancies across multiple symptom domains simultaneously, and thus these previous findings do not explore multiple patterns of (dis)agreement. METHOD We used latent profile analysis (LPA) to identify subgroups of clinically referred youths based on patterns of caregiver- and youth-reported internalizing and externalizing symptoms for 174 caregiver-youth dyads. Longitudinal multilevel models were used to examine changes in weekly caregiver- and youth-reported internalizing symptoms, externalizing symptoms, and top problems for identified subgroups. RESULTS The LPA identified four latent subgroups: (a) Caregiver Internalizing (9%), (b) Caregiver Internalizing-Externalizing (45%), (c) Youth Internalizing (7%), and (d) Caregiver-Youth Internalizing-Externalizing (39%). Clinical outcomes varied across informants and subgroups. Significant improvements in caregiver- and youth-reported outcome measures were documented within the Caregiver Internalizing, Caregiver Internalizing-Externalizing, and Caregiver-Youth Internalizing-Externalizing subgroups. However, only youth-reported improvements were detected in the Youth Internalizing subgroup. The results show differences in treatment outcomes across caregiver-youth informant subgroups. CONCLUSIONS These findings suggest how youth and caregiver baseline data could provide guidance for clinicians in interpreting discrepant reporting and its relevance to change during treatment.
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Affiliation(s)
- F Tony Bonadio
- The Institute for Innovation & Implementation, University of Maryland School of Social Work
| | - Spencer C Evans
- Department of Psychology, Harvard University
- Department of Psychology, University of Miami
| | - Grace Y Cho
- Department of Psychology, Harvard University
- Department of Psychological and Brain Sciences, University of Massachusetts Amherst
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Harmon SL, Price MA, Corteselli KA, Lee EH, Metz K, Bonadio FT, Hersh J, Marchette LK, Rodríguez GM, Raftery-Helmer J, Thomassin K, Bearman SK, Jensen-Doss A, Evans SC, Weisz JR. Evaluating a Modular Approach to Therapy for Children With Anxiety, Depression, Trauma, or Conduct Problems (MATCH) in School-Based Mental Health Care: Study Protocol for a Randomized Controlled Trial. Front Psychol 2021; 12:639493. [PMID: 33746857 PMCID: PMC7973266 DOI: 10.3389/fpsyg.2021.639493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Accepted: 02/05/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: Schools have become a primary setting for providing mental health care to youths in the U.S. School-based interventions have proliferated, but their effects on mental health and academic outcomes remain understudied. In this study we will implement and evaluate the effects of a flexible multidiagnostic treatment called Modular Approach to Therapy for Children with Anxiety, Depression, Trauma, or Conduct Problems (MATCH) on students' mental health and academic outcomes. Methods and Analysis: This is an assessor-blind randomized controlled effectiveness trial conducted across five school districts. School clinicians are randomized to either MATCH or usual care (UC) treatment conditions. The target sample includes 168 youths (ages 7–14) referred for mental health services and presenting with elevated symptoms of anxiety, depression, trauma, and/or conduct problems. Clinicians randomly assigned to MATCH or UC treat the youths who are assigned to them through normal school referral procedures. The project will evaluate the effectiveness of MATCH compared to UC on youths' mental health and school related outcomes and assess whether changes in school outcomes are mediated by changes in youth mental health. Ethics and Dissemination: This study was approved by the Harvard University Institutional Review Board (IRB14-3365). We plan to publish the findings in peer-reviewed journals and present them at academic conferences. Clinical Trial Registration:ClinicalTrials.gov ID: NCT02877875. Registered on August 24, 2016.
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Affiliation(s)
- Sherelle L Harmon
- Department of Psychology, Harvard University, Cambridge, MA, United States.,Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - Maggi A Price
- Department of Psychology, Harvard University, Cambridge, MA, United States.,School of Social Work, Boston College, Chestnut Hill, MA, United States
| | | | - Erica H Lee
- Department of Psychiatry, Boston Children's Hospital, Boston, MA, United States.,Department of Psychiatry, Harvard Medical School, Boston, MA, United States
| | - Kristina Metz
- Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - F Tony Bonadio
- The University of Maryland School of Social Work, University of Maryland, Baltimore, MD, United States
| | - Jacqueline Hersh
- Department of Psychology, Appalachian State University, Boone, NC, United States
| | - Lauren K Marchette
- Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, United States
| | - Gabriela M Rodríguez
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States
| | | | | | - Sarah Kate Bearman
- Department of Educational Psychology, University of Texas at Austin, Austin, TX, United States
| | - Amanda Jensen-Doss
- Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - Spencer C Evans
- Department of Psychology, Harvard University, Cambridge, MA, United States.,Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - John R Weisz
- Department of Psychology, Harvard University, Cambridge, MA, United States
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Evans SC, Bonadio FT, Bearman SK, Ugueto AM, Chorpita BF, Weisz JR. Assessing the Irritable and Defiant Dimensions of Youth Oppositional Behavior Using CBCL and YSR Items. J Clin Child Adolesc Psychol 2019; 49:804-819. [PMID: 31276433 DOI: 10.1080/15374416.2019.1622119] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Research suggests that irritability and defiance are distinct dimensions of youth oppositionality that are differentially associated with internalizing and conduct problems, respectively. Because much of this evidence has emerged with limited psychometric evaluation, we conducted the first multi-informant examination of selected Child Behavior Checklist (CBCL) and Youth Self Report (YSR) items for measuring irritability and defiance in a large clinical sample. Clinically referred youths (N = 1,030; ages 6-15; 43% female, 42% ethnic minority) were assessed prior to treatment using multi-informant rating scales and diagnostic interviews. Analyses examined factor structure, invariance, internal consistency, multi-informant patterns, and convergent, discriminant, and criterion validity with internalizing and externalizing problems/disorders. A correlated 2-factor model of irritability (stubborn/sullen/irritable, mood, temper) and defiance (argues, disobeys-home, disobeys-school) fit well for both informants. Adequate measurement invariance and scale consistency was consistently found for parent-report but not youth-report. With both informants, all hypothesized convergent and discriminant validity associations were supported: irritability and defiance with internalizing and conduct scales, respectively. However, hypothesized criterion validity associations were largely found only by parent-report: irritability with anxiety and depressive disorders, defiance with conduct disorder, and both with oppositional defiant disorder. Results consistently supported the reliability and validity of the CBCL irritability and defiance scales, with somewhat less consistent support for the YSR scales. Thus, CBCL items may provide psychometrically sound assessment of irritability and defiance, whereas further research is needed to advance youth-report and multi-informant strategies. Results also provide further support for a two subdimension model of oppositional defiant disorder symptoms that includes irritability and defiance.
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Affiliation(s)
| | - F Tony Bonadio
- Department of Psychology, Harvard University.,Institute for Innovation and Implementation, School of Social Work , University of Maryland, Baltimore
| | | | - Ana M Ugueto
- Department of Psychiatry, McGovern Medical School, UT Health Science Center at Houston
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Bonadio FT, Dynes M, Lackey J, Tompsett C, Amrhein K. Grouping Youth With Similar Symptoms: A Person-Centered Approach to Transdiagnostic Subgroups. J Clin Psychol 2016; 72:676-88. [PMID: 26918406 DOI: 10.1002/jclp.22274] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 11/05/2015] [Accepted: 12/20/2015] [Indexed: 11/07/2022]
Abstract
OBJECTIVES The present study extracted symptom profiles based on parent and youth report on a broad symptom checklist. Profiles based on parent-reported symptoms were compared to those based on adolescent self-report to clarify discrepancies. METHOD The current study used archival data from 1,269 youth and parent dyads whose youth received services at a community mental health center. The mean age of the sample was 14.31 years (standard deviation = 1.98), and the youth sample was half male (50.1%) and primarily Caucasian (86.8%). Latent profile analysis was used to extract models based on parent and self-reported emotional and behavioral problems. RESULTS Results indicated that a 5-class solution was the best fitting model for youth-reported symptoms and an adequate fit for parent-reported symptoms. For 46.5% of the sample, class membership matched for both parent and youth. CONCLUSION Latent profile analysis provides an alternative method for exploring transdiagnostic subgroups within clinic-referred samples.
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