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Boukouvala M, Hyphantis T, Koullourou I, Tzotzi A, Mitropoulou A, Mantas C, Petrikis P, Serdari A, Siafaka V, Kotsis K. Health-Related Quality of Life in Kindergarten Children with Developmental Language Disorder: Child-Mother Agreement. Behav Sci (Basel) 2023; 13:1017. [PMID: 38131873 PMCID: PMC10740897 DOI: 10.3390/bs13121017] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 12/05/2023] [Accepted: 12/13/2023] [Indexed: 12/23/2023] Open
Abstract
Language disorders are associated with difficulties in various aspects of life, such as academic and social functioning, resulting in impaired health-related quality of life (HRQoL). Most studies use a parent proxy method to assess HRQoL. Since HRQoL refers to the subjective experience of an individual, it is necessary to assess children's perspectives along with their mothers'. The aim of the current study is to explore HRQoL rating agreement between children and their mothers, since the literature on other conditions suggests that discrepancies seem to reflect their different perspectives. Thus, 53 Greek-speaking children diagnosed with DLD attending kindergarten and their mothers completed, respectively, self-report and parent proxy PedsQLTM questionnaires. Mothers reported significantly better HRQoL than their children with developmental language disorder (DLD) in all HRQoL domains (p < 0.001). Poor agreement was revealed after comparing the scores from both responders, both in abstract domains, such as emotional functioning, as well as in more observable ones, such as physical health (ICC ranged from -0.05 to 0.07). Bland-Altman plots also showed poor agreement on HRQoL. Our results expand on the already known, from other conditions, importance of evaluating children's subjective experience of their HRQoL in kindergarten children with DLD. A multi-informant approach is ideal, and clinicians should prioritize children's view about their lives even when they are kindergarten-age. This approach could inform interventions focusing not only on language skills but also on other areas where it is necessary, depending on the child's subjective experience combined with the maternal perspective.
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Affiliation(s)
- Maria Boukouvala
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Thomas Hyphantis
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Iouliani Koullourou
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Alexandra Tzotzi
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Andromachi Mitropoulou
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Christos Mantas
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Petros Petrikis
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
| | - Aspasia Serdari
- Department of Child and Adolescent Psychiatry, Medical School, Democritus University of Thrace, 68 100 Alexandroupolis, Greece;
| | - Vassiliki Siafaka
- Department of Speech & Language Therapy, School of Health Sciences, University of Ioannina, 45 500 Ioannina, Greece;
| | - Konstantinos Kotsis
- Department of Psychiatry, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45 110 Ioannina, Greece; (M.B.); (T.H.); (I.K.); (A.T.); (A.M.); (P.P.)
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Radicke A, Barkmann C, Adema B, Daubmann A, Wegscheider K, Wiegand-Grefe S. Children of Parents with a Mental Illness: Predictors of Health-Related Quality of Life and Determinants of Child-Parent Agreement. Int J Environ Res Public Health 2021; 18:ijerph18020379. [PMID: 33418993 PMCID: PMC7825308 DOI: 10.3390/ijerph18020379] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 12/31/2020] [Accepted: 01/02/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: Health-related quality of life (HRQoL) is frequently reduced in children of parents with a mental illness (COPMI). Child self- and parent proxy-ratings vary with raters’ characteristics and facets of HRQoL. This study aimed at analyzing risk and protective factors associated with HRQoL in COPMI, and at examining the magnitude, direction, and predictors of child–parent agreement. (2) Methods: Analyses were based on baseline data of the German CHIMPS (children of parents with a mental illness) project with n = 134 parents diagnosed with mental illness and n = 198 children and adolescents aged 8 to 18 years. (3) Results: Both children and parents reported significantly lower HRQoL than the reference population, particularly for the child’s physical and psychological well-being. Parents’ proxy-report indicated a lower HRQoL than the children’s self-report. Child and parental psychopathology, social support, and the child’s age significantly predicted HRQoL. Interrater agreement was satisfactory and better for observable aspects like physical well-being and school environment. The child’s gender-identity and mental health significantly predicted child–parent agreement. (4) Conclusions: Parental psychopathology significantly reduces children’s HRQoL. Interventions should promote resilience in children by targeting risk and protective factors. Child–parent agreement emphasizes the need to obtain both self- and proxy-reports, whenever possible.
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Affiliation(s)
- Alina Radicke
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany; (C.B.); (B.A.); (S.W.-G.)
- Correspondence:
| | - Claus Barkmann
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany; (C.B.); (B.A.); (S.W.-G.)
| | - Bonnie Adema
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany; (C.B.); (B.A.); (S.W.-G.)
| | - Anne Daubmann
- Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany; (A.D.); (K.W.)
| | - Karl Wegscheider
- Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany; (A.D.); (K.W.)
| | - Silke Wiegand-Grefe
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany; (C.B.); (B.A.); (S.W.-G.)
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Allwood MA, Gaffey AE, Vergara-Lopez C, Stroud LR. Stress through the mind of the beholder: preliminary differences in child and maternal perceptions of child stress in relation to child cortisol and cardiovascular activity. Stress 2017; 20:341-349. [PMID: 28573944 PMCID: PMC6535304 DOI: 10.1080/10253890.2017.1336617] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 05/25/2017] [Accepted: 05/27/2017] [Indexed: 10/19/2022] Open
Abstract
The present study examined associations among parent and child reports of youth's stressful life events (SLEs), perceived stress, and biological measures of stress activity (i.e. cortisol and cardiovascular activity). Examining these aspects of youth stress presents several challenges. Unlike adult studies of individual differences in which information regarding SLEs, perceptions of events, and biological activity are gathered from one individual, assessment of individual differences among children usually involves other informants (e.g. parent). However, parent and child reports of SLEs and the child's psychological response to such events are often discordant. Moreover, examinations of youth perception of stress are hampered by limitations of child cognitive processes, as well as parents' limited knowledge of their child's perception of stress. In a preliminary effort to unscramble the complex effects of youth SLEs and perceived stress in relation to biological response to acute stressors, this study examined 51 boys and girls aged 7-16, with no history of psychopathology or medical concerns. Contrary to hypotheses, findings revealed that compared to actual experiences of stress, perceived stress has greater associations with both cortisol and cardiovascular activity. That is, perceived stress is more biologically salient relative to actual stress. Results also suggest that informant differences may explain some previous inconsistent findings in studies of youth's stress reactivity. The current findings mirror the adult studies that show appraisal and perception of traumatic and stressful events may be more predictive of negative health and mental health outcomes than the severity of the events. Further studies are needed to understand the impact of youth's perceptions of stress on their biological stress reactions and later health outcomes such as clinical disorders.
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Affiliation(s)
- Maureen A Allwood
- a Department of Psychology , John Jay College, City University of New York , New York , NY , USA
| | - Allison E Gaffey
- b Department of Behavioral Sciences , Rush University Medical Center , Chicago , IL , USA
| | - Chrystal Vergara-Lopez
- c Department of Psychiatry and Human Behavior , Warren Alpert Medical School, Brown University , Providence , RI , USA
- d Centers for Behavioral and Preventive Medicine , The Miriam Hospital , Providence , RI , USA
| | - Laura R Stroud
- c Department of Psychiatry and Human Behavior , Warren Alpert Medical School, Brown University , Providence , RI , USA
- d Centers for Behavioral and Preventive Medicine , The Miriam Hospital , Providence , RI , USA
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