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Patterns Related to Parent and Adolescent Reports of Problem Behavior in Adolescents with Internalization and Externalization Disorders

Abstract

The purpose of this study was to examine patterns related to parent and adolescent reports of problem behaviors in adolescents with internalization and externalization disorders. The Korean Youth Self-Report (K-YSR) was administered to 29 adolescents with internalization disorders (i.e., the internalization disorder group) and 37 adolescents with externalization disorders (i.e., the externalization disorder group). The Korean Child Behavior Checklist (K-CBCL) was administered to 66 parents. A t-test was used on 11 symptom scales of the K-CBCL and K-YSR to identify differences between the two groups. In addition, a discriminant function analysis was conducted to identify symptom scales which affected the diagnostic classification decisions. Additionally, agreement between parent and adolescent reports in the two groups was analyzed using Pearson's Product Moment Correlation. Further, a Chi-test was used to identify contingencies in the relative severity of parent and adolescent reports of problem behaviors depending on the type of adolescent's disorder (i.e., internalization or externalization disorder). Delinquent behavior, internalization and externalization symptom scales well reflected the problem behaviors both of the internalization and externalization disorder groups with respect to the parent and adolescent reports. Agreement between parent and adolescent reports of problem behaviors in adolescents were low. Further, the type of adolescent disorder and the relative severity of the problem behaviors as indicated by the parent and adolescent reports were not significantly related. These results may have been influenced by the demographic and/or clinical characteristics of the subjects. However, beyond assessing the agreement between informants or severity on behavior problems, these results suggest the need to consider the parent-adolescent interaction or the informant's perception regarding the severity of behavior problems. Finally, the limitations of this study as well as suggestions for future research have been discussed.

keywords
internalization disorder, externalization disorder, parent report, adolescent report, agreement, 내재화 장애, 외현화 장애, 부모 보고, 청소년 보고, 일치도

Reference

1.

고은정, 하은혜 (2008). 어머니와 청소년의 우울증상에 따른 청소년의 정서 및 행동문제에 대한 평가 일치도. 한국심리학회지: 임상, 27, 103-116.

2.

오경자, 이혜련, 홍강의, 하은혜 (1997). K- CBCL 아동․청소년 행동평가 척도. 서울: 중앙적성 출판사.

3.

오경자, 하은혜, 이혜련, 홍강의 (2001). K- YSR 청소년 자기행동 평가 척도. 서울: 중앙적성 출판사.

4.

송혜향 (1992). 메타분석법. 서울: 자유아카데미.

5.

Achenbach, T. M. (1991a). Manual for the Youth Self-Report and 1991 profiles. Burlington, VT: University of Vermont Department of Psychiatry.

6.

Achenbach, T. M. (1991b). Manual for the Child Behavior Checklist and 1991 child behavior profile. Burlington, VT: University of Vermont Department of Psychiatry.

7.

Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2002). Ten-year comparisons of problems and competencies for national samples youth : Self, parent, and teacher reports. Journal of Emotional Behavioral Disorder, 10, 194-203.

8.

Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2003). DSM-oriented and empirically based approaches to constructing scales from the same item pools. Journal of Clinical Child and Adolescent Psychology, 32, 328-340.

9.

Achenbach, T. M., & Edelbrock, C. S. (1978). The classification of child psychopathology: A review and analysis of empirical efforts. Psychological Bulletin, 85(6), 1275-1301.

10.

Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the Child Behavior Checklist and revised behavior profile. Burlington, VT: University of Vermont Department of Psychiatry.

11.

Achenbach, T. M., & Edelbrock, C. S. (1991). Manual for the Teacher's Report Form and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry.

12.

Achenbach, T. M., & McConaughy, S. H. (1997). Empirically based assessment of child and adolescent psychopathology: Practical applications. Thousand Oaks, CA: Sage.

13.

Achenbach, 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(2), 213-232.

14.

Albayrak-Kaymak, D. (1999). Internalizing or externalizing: Screening for both problem youth. International Journal for the Advancement of Counselling, 21, 125-137.

15.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders(4th ed.). Washington, DC: American Psychiatric Association.

16.

Barker, E. T., Bornstein, M. H., Putnick, D. L., Hendricks, C., & Suwalsky, J. T. D. (2007). Adolescent-mother agreement about adolescent problem behaviors: Direction and predictors of disagreement. Journal of Youth and Adolescence, 36, 950-962.

17.

Berg-Nielsen, T. S., Vika, A., & Dahl, A. A. (2003). When adolescents disagree with their mothers: CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem. Child: Care, Health and Development, 29(3), 207-213.

18.

Burns, R. B., &, Burns, R. A. (2008). Discriminant analysis. In R. B. Burns & R. A. Burns (Eds.) Business Research Methods and Statistics using SPSS (pp.549-608). Thousand Oaks, CA: Sage.

19.

Caspi, A., Henry, B., McGee, R. O., Moffit, T. E., & Silva, P. A. (1995). Temperamental origins of child and adolescent behavior problems: From age three to fifteen. Child development, 66(1), 55-68.

20.

Cohen, P., Cohen, J., Kasen, S., Velez, C. N., Hartmark, C., Johnson, J., Rojas, M., Brook, J., & Struening, E. L. (1993). An epidemiological study of disorders in late childhood and adolescence. I. Age and gender-specific prevalence. Journal of Child Psychology and Psychiatry, 34, 851-867.

21.

Edelbrock, C., Costello, A. J., Dulcan, M. K., Calabro-Conover, N., & Kala, R. (1986). Parent-child agreement on child psychoatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry and Allied Disciplines, 27, 181-190.

22.

Edelbrock, C., & Costello, A. J. (1988). Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses. Journal of Abnormal Child Psychology, 16, 219-231.

23.

Ferdinand, R. F. (2008). Validity of the CBCL/YSR DSM-Ⅳ scales anxiety problems and affective problems. Journal of Anxiety Disorders, 22, 126-134

24.

Ferdinand, R. F., van der Ende, J., & Verhulst, F. C. (2006). Prognostic value of parent- adolescent disagreement in a referred sample. European Child and Adolescent Psychiatry, 15, 156-162.

25.

Ferdinand, R. F., van der Ende, J., & Verhulst, F. C. (2007). Parent-teacher disagreement regarding behavioral and emotional problems in referred children is not a risk factor for poor outcome. European Child and Adolescent Psychiatry, 16, 121-127.

26.

Ferdinand, R. F., Visser, J. H., Hoogerheide, K. N., van der Ende, J., Kasius, M. C., Koot, H. M., & Verhulst, F. C. (2004). Improving estimation of the prognosis of childhood psychopathology: combination of DSM-Ⅲ-R/DISC diagnoses and CBCL scores. Journal of Child Psychology and Psychiatry, 45(3), 599-608.

27.

Frick, P. J., & Kamphaus, R. W. (2001). Standardized rating scales in the assessment of children's behavioral and emotional problems. In C. E. Walker & M. C. Roberts (Eds.), Handbook of clinical child psychology(3rd ed.)(pp. 190-204). New York: John Wiley & Sons.

28.

Holmbeck, G. N., Li, S. T., Schurman, J. V., Friedman, D., & Coakley, R. M. (2002). Collecting and managing multisource and multimethod data in studies of pediatric populations. Journal of Pediatric Psychology, 27, 5-18.

29.

Huselid, R. F., & Cooper, M. L. (1994). Gender role as mediators of sex differences in expression of pathology. Journal of Abnormal Psychology, 103, 595-603.

30.

Kasius, M. C., Ferdinand, R. F., van den Berg, H., & Verhulst, F. C. (1997). Associations between different diagnostic approaches for child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 38(6), 625-632.

31.

Kazdin, A. E. (1994). Informant variability in the assessment of childhood depression. In: W. M. Reynolds & H. F. Johnston(Eds), Handbook of depression in children and adolescent: Issues in clinical child psychology(pp.249-271). New York: Plenum Press.

32.

Krol, N. P. C. M., De Bruyn, E. E. J., Coolen, J. C., & van Aarle, E. J. M. (2006). From CBCL to DSM: A comparison of two methods to screen for DSM-IV diagnoses using CBCL data. Journal of Clinical Child and Adolescent Psychology, 35(1), 127-135.

33.

Krol, N. P. C. M., De Bruyn, E. E. J., van Aarle, E. J. M., & Van Den Bercken, J. H. L. (2001). Computerized screening for DSM classifications using CBCL/YSR extended checklists: A clinical try-out. Computers in Human Behavior, 17, 315-337.

34.

Mitsis, E. M., McKay, K. E., Schulz, K. P., Newcorn, J. H., & Halperin, J. M. (2000). Parent-teacher concordance for DSM-IV attention deficit/hyperactivity disorder in a clinic-referred sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 308-313.

35.

Monck, E. (1991). Patterns of confiding relationships among adolescent girls. Journal of Child Psychology and Psychiatry, 32, 333–345.

36.

Sadock, B. J., & Sadock, V. A. (2003). Synopsis of psychiatry:Behavioral sciences/clinical psychiatry(9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

37.

Seiffge-Krenki, I., & Kollmar, F. (1998). Discrepancies between mothers' and fathers' perceptions of sons and daughters' problem behavior: A longitudinal analysis of parent -adolescent agreement on internalising and externalising problem behavior. Journal of Child Psychology and Psychiatry, 39, 687-697.

38.

Sourander, A., Helstela, L., & Helenius, H. (1999). Parent-adolescent agreement on emotional and behavioral problems. Social Psychiatry and Psychiatric Epidemiology, 34, 657-663.

39.

Stanger, C., & Lewis, M. (1993). Assessment among parents, teachers, and children on internalizing and externalizing behavior problems, Journal of Clinical Child Psychology, 22, 107-115.

40.

Theunissen, N. C. M., Vogels, T. G. C., M., Koopman, H. M., Verrips, G. H. W., Zwinderman, K. A. H., Verloove-Vanhorick, S. P., & Wit J. M. (1998). The Proxy problem: Child report versus parent report in health-related quality of life research. Quality of Life Research, 7, 387-397.

41.

Thurber, S., & Osborn, R. A. (1993). Comparisons of parent and adolescent perspectives on deviance. Journal of Genetic Psychology, 154, 25-32.

42.

Thurber, S., & Snow, M. (1990). Assessment of adolescent psychopathology: Comparison of mother and daughter perspectives. Journal of Clinical Child Psychology, 19, 249-253.

43.

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

44.

tudy. Child: Care, Health and Development, 29(6), 501-509.

45.

World Health Organization. (1992). International statistical classification of diseases and related health problems tenth revision(ICD-10). Geneva: World Health Organization Press.

46.

Yeh, M., & Weisz, J. R. (2001). Why are we here at the clinic? Parent-child (dis)agreement on referral problems. Journal of Consulting and Clinical Psychology, 69, 1018-1025.

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