Contribuição de múltiplos informantes para avaliação comportamental de adolescentes com queixas de desatenção e hiperatividade

Authors

  • Marina Monzani da Rocha Universidade Presbiteriana Mackenzie
  • Adriana de Fatima Ribeiro
  • Regina Luísa de Freitas Marino
  • Carla Nunes Cantiere
  • Maria Cristina Triguero Veloz Teixeira
  • José Salomão Schwartzman
  • Luiz Renato Rodrigues Carreiro

DOI:

https://doi.org/10.15448/1980-8623.2017.4.25859

Keywords:

Behavioral problem, Attention-Deficit/Hyperactivity Disorder, Adolescents, Informants.

Abstract

***Multiple informants’ contribution on behavioral assessment of youths with inattention and hyperactivity symptoms***

The objective of this study was to verify the agreement rates among multiple informants regarding internalizing and externalizing behavioral problems in adolescents between 11 and 16 years old referred for diagnostic assessment with complaints of inattention and/or hyperactivity. The sample was composed by 24 parents, 24 teachers and 24 youths that filled the forms CBCL/6-18, TRF/6-18 and YSR/11/18, respectively, completing a total of 72 participants. On average, parents reported more problems than other informants for all problem-scales, which led to a greater number of cases identified in the clinical range of the form. Agreement indexes for classification of problems in normal vs. clinical range ranged from k = 0.333 to k = 0.120. Q Correlations for items ratings by pair of forms ranged from 0.715 to 0.804, similar to those found in other population sample studies. The implications for clinical diagnosis are discussed based on the important of multiple informants’ assessment to understand adolescents’ behaviors with mental health complaints in different contexts, to elaborate more accurate diagnoses and to plan appropriate interventions.

Downloads

Download data is not yet available.

Author Biography

Marina Monzani da Rocha, Universidade Presbiteriana Mackenzie

Psicóloga e Doutora em Psicologia Clínica pela Universidade de São Paulo (USP). Realizou estágio de doutorado na University of Vermont (UVM), onde aprofundou seus conhecimentos sobre avaliação empiricamente baseada e análise de grandes bases de dados. Foi bolsista do CNPq em projetos de iniciação científica e bolsista FAPESP durante o doutorado. Atualmente, atua como psicóloga clínica e é Professora Assistente do Programa de Pós-Graduação em Distúrbios do Desenvolvimento na Universidade Presbiteriana Mackenzie (UPM). Tem interesse em análise do comportamento, psicologia baseada em evidências, habilidades socioemocionais e problemas de comportamento, programas de prevenção e intervenção na primeira infância, orientação de pais e avaliação a partir de múltiplos informantes.

References

Achenbach, T.M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, V.T: University of Vermont, Department of Psychiatry.

Achenbach, T. M., Ivanova, M. Y., Rescorla, L. A., Turner, L. V., Althoff, R. R. (2016) Internalizing/Externalizing problems: review and recommendations for clinical and research applications. Journal of the American academy of Child and Adolescent Psychiatry, 55(8), 647-656.

Alexander L, & Liljequist L. (2016). Determining the Accuracy of Self-Report Versus Informant-Report Using the Conners' Adult ADHD Rating Scale. J Atten Disord. 20(4), 346-352, doi: 10.1177/1087054713478652.

American Academy of Pediatrics. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics128(5), 1007–1022.

American Psychiatric Association. (2014). Manual diagnóstico e estatístico de transtornos mentais ‑DSM 5. Porto Alegre: Artmed.

Bordin, I. A., Rocha, M. M., Paula, C. S., Teixeira, M. C. T., Achenbach, T. M., Rescorla, L. A., & Silvares, E. F. (2013). Child Behavior Checklist (CBCL), Youth Self-Report (YSR) and Teacher's Report Form (TRF): an overview of the development of the original and Brazilian versions. Cadernos de Saúde Pública, 29(1),13-28.

Bussing, R., Fernandez, M., Harwood, M., Hou, W., Wilson Garvan, C., Eyberg, S. M., & Swanson, J.M. (2008). Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: Psychometric proprieties and normative ratings from a school district sample. Assessment, 15(3), 317-328, doi: 10.1177/1073191107313888

Carreiro, L. R. R., Schwartzman, J. S., Cantiere, C. N., Silva, N. A., Martin, M. A. F., Chiquetto, C. M., ... Teixeira, M. C. T. V. (2014). Protocolo interdisciplinar de avaliação neuropsicológica, comportamental e clínica para crianças e adolescentes com queixas de desatenção e hiperatividade. Revista de Psicologia: Teoria e Prática (Online), 16,155-171.

Caye, A., Machado J.D., & Rohde L.A. (2013). Evaluating Parental Disagreement In ADHD Diagnosis: Can We Rely On A Single Report From Home? J Atten Disord. XX(X), 1–6, doi: 10.1177/1087054713504134.

Centers For Disease Control And Prevention. (2010) Increasing prevalence of parent-reported attention-deficit/hyperactivity disorder among children. United States, 2003 and 2007, MMWR Morb Mortal Wkly Rep., 59(44),1439-43.

Coutinho, G., Mattos, P., Schmitz, M., Fortes, D., & Borges, M. (2009). Concordância entre relato de pais e professores para sintomas de TDAH: resultados de uma amostra clínica brasileira. Revista Psiquiatria Clínica, 36(3), 97-100.

Efron, D., Sciberras, E., Anderson, V., Hazell, P., Ukoumunne, O. C., Jongeling, B., ... Nicholson, J. M. (2014). Functional status in children with ADHD at age 6-8: a controlled community study. Pediatrics, 134(4), e992-e1000.

Figueiredo, V. L. M. (2002). WISC-III: Escala de Inteligência Wechsler para Crianças – adaptação brasileira da 3ª edição. São Paulo, Casa do Psicólogo.

Gomez, R., & Gomez, A. (2015). Agreement of adolescents ratings with mothers ratings and teachers ratings of ADHD symptom groups: A correlated trait-correlated method minus one analysis. Personality and Individuals Differences, 82,131-35.

Grigorenko, E. L., Geiser, C., Slobodskaya, H. R. & Francis, D. J. (2010). Cross-Informant Symptoms From CBCL, TRF, and YSR: Trait and Method Variance in a Normative Sample of Russian Youths. Psychological Assessment, 22(4), 893-911.

Kaner, S. (2011). ADHD symptoms in national samples of Turkish adolescents: self, parent, and teacher reports. Procedia Social and Behavioral Sciences, 15, 3342-3348.

Kotte, A., Faraone, S. V., & Biederman, J. (2013) Association of genetic risk severity with ADHD clinical characteristics. Am J Med Genet B Neuropsychiatr Genet, 162B(7), 718-733.

Lundervold A. J., Hinshaw S.P., Sørensen L., & Posserud M.B. (2016). Co-occurring symptoms of attention deficit hyperactivity disorder (ADHD) in a population-based sample of adolescents screened for depression. BMC Psychiatry. 16(1), 0-46, doi: 10.1186/s12888-016-0739-3.

Reinhardt, M.C., & Reinhardt, C.A. (2013). Attention deficit-hyperactivity disorder, comorbidities, and risk situations. J Pediatr, 89(2),124-30. doi: 10.1016/j.jped.2013.03.015.

Rescorla, L. A., Bochicchio, L., Achenbach, T. M., Ivanova, M. Y., Almqvist, F., Begovac. I., … Verhulst F.C. (2014) Parent-teacher agreement on children's problems in 21 societies. J Clin Child Adolesc Psychol, 43(4), 627-642.

Rescorla, L. A.; Ginzburg, S.; Achenbach, T. M.; Ivanova, M. Y.; Almqvist, F.; Begovac, I., …Verhulst F.C. (2013) Cross-Informant agreement between parent-reported and adolescent self-reported problems in 25 societies. Journal of Clinical Child an Adolescent Psychology, 42(2), 262-273.

Rescorla, L. A.; Ivanova, M. Y.; Achenbach, T. M.; Begovac, I.; Chahed, M.; Drugli, M. B, … Zhang E.Y. (2012) International epidemiology of child and adolescent psychopathology II: integration and aplications of dimensional findings from 44 societies. J Am Acad Child Adolesc Psychiatry, 51(12), 1273-1283, doi: 10.1016/j.jaac.2012.09.012

Rocha, M. M., Rescorla, L. A., Emerich, D. R., Silvares, E. F. M., Borsa, J. C., Araújo, L. G. … Assis, S. G. (2012). Behavioural/emotional problems in Brazilian children: findings from parents' reports on the Child Behavior Checklist. Epidemiology and Psychiatric Sciences, 22(4), 329-38. doi: 10.1017/S2045796012000637

Rocha, M. M. (2012). Evidências de validade do “Inventário de autoavaliação para adolescentes” (YSR/2001) para a população brasileira (Tese de doutorado em Psicologia Clínica, Universidade de São Paulo, São Paulo, Brasil). Recuperado de: http://www.teses.usp.br/teses/disponiveis/47/47133/tde-12062012-153735/pt-br.php

Rocha, M. M., Ferrari, R. A., & Silvares, E. F. M. (2011). Padrões De Concordância Entre Múltiplos Informantes Na Avaliação Dos Problemas Comportamentais De Adolescentes: Implicações Clínicas. Estud. Pesqui. Psicol. [Online],11(3), 948-964. ISSN 1808-4281.

Salbach-Andrae, H., Lenz, K., &Lehmkuhl, U. (2008) Patterns of agreement among parent, teacher and youth ratings in a referred sample. European Psychiatry, 24(5), 345-351, doi: http://dx.doi.org/10.1016/j.eurpsy.2008.07.008

Sibley M.H., Altszuler A. R., Morrow A.S., & Merrill B.M. (2014). Mapping the academic problem behaviors of adolescents with ADHD. Sch Psychol Q. 4,422-37.

Tsang, T. W., Kohn, M. R., Efron, D., Clark, C. R., Lamb, C., & Williams, L. M. (2016). Anxiety in young people with ADHD: clinical and self-report outcomes. J. Atten Disord, 19(1), 18-26, doi: 10.1177/1087054712446830.

Visser S.N,, Zablotsky B., Holbrook J.R, Danielson M.L., Bitsko R. H. (2015). Diagnostic Experiences of Children with Attention-Deficit/HyperactivityDisorder. Natl Health Stat Report, 81, 1-7.

Watabe Y., Owens J.S., Evans S.W., & Brandt N.E. (2014). The relationship between sluggish cognitive tempo and impairment in children with and without ADHD. J Abnorm Child Psychol. 42(1), 105-15. doi: 10.1007/s10802-013-9767-3.

Wan Ismail, W. S., Baharudin, A., Nikjaafar, N. R., Midin, M., & Abdul Rahman, F. H. (2013). Attention Deficit Hyperactivity Disorder symptoms reporting in Malaysian adolescents: Do adolescents, parents and teachers agree with each other? Asian Journal of Psychiatry, 6 (6), p. 483-487, doi: http://dx.doi.org/10.1016/j.ajp.2013.05.001

Willcutt, E. G., Petrill, S. A., Wu, S., Boada, R., Defries, J. C., Olson, R. K., & Pennington, B. F. (2013) Comorbidity between reading disability and math disability: concurrent psychopathology, functional impairment, and neuropsychological functioning. J Learn Disabil, 46 (6), 500-516.

Whitehouse, A. J., Robinson, M., & Zubrick, S. R. (2011). Late talking and the risk for psychosocial problems during childhood and adolescence. Pediatrics, 128(2), e324-332.

Published

2017-12-27

How to Cite

da Rocha, M. M., Ribeiro, A. de F., Marino, R. L. de F., Cantiere, C. N., Teixeira, M. C. T. V., Schwartzman, J. S., & Carreiro, L. R. R. (2017). Contribuição de múltiplos informantes para avaliação comportamental de adolescentes com queixas de desatenção e hiperatividade. Psico, 48(4), 295–305. https://doi.org/10.15448/1980-8623.2017.4.25859

Issue

Section

Articles