2016, Número 5
<< Anterior Siguiente >>
Salud Mental 2016; 39 (5)
Correlation and agreement between depressive symptoms in children and their parent’s perception
Ramírez-GarcíaLuna JL, Araiza-Alba P, Martínez-Aguiñaga SG, Rojas-Calderón H, Pérez-Betancourt MM
Idioma: Ingles.
Referencias bibliográficas: 38
Paginas: 243-248
Archivo PDF: 195.35 Kb.
RESUMEN
Introducción
La prevalencia de la depresión infantil está al alza. Pocos estudios han
evaluado la percepción parental de los síntomas depresivos en niños,
y los que se han realizado no han sido replicados en la comunidad.
Objetivo
Evaluar la correlación y la concordancia entre los síntomas depresivos
en niños de edad escolar con la percepción de sus padres sobre
problemas emocionales y conductas anormales.
Método
Se realizó un estudio transversal en 284 niños que contestaron el
Inventario de Depresión Infantil y se compararon los puntajes con el
Cuestionario de Fortalezas y Dificultades que llenó uno de los padres.
Se evaluó la correlación entre los puntajes totales y por sub-escalas,
así como la concordancia entre la presencia de puntajes sugestivos
de depresión infantil y la percepción parental de emociones y conductas
anormales.
Resultados
47 niños fueron identificados con puntajes indicativos de sintomatología
depresiva. Encontramos correlación moderada entre los puntajes
de las escalas. No encontramos concordancia entre la presencia de
síntomas depresivos y el reporte parental de emociones o conductas
anormales.
Discusión y conclusión
Existe correlación entre la severidad de los síntomas depresivos y la
percepción parental de emociones y conductas anormales. No encontramos
concordancia entre ambas mediciones, lo cual sugiere que los
padres fallan al identificar las conductas y emociones anormales de
sus hijos como los síntomas depresivos. Los reportes de los padres deben
ser tomados en cuenta y ser interpretados por el personal de salud.
La búsqueda intencionada de síntomas depresivos en niños debe
ser parte fundamental del proceso de cuidado de esta población.
REFERENCIAS (EN ESTE ARTÍCULO)
Vicente B, de la Barra F, Saldivia S, Kohn R, Rioseco P, Melipillan R. Prevalence of child and adolescent psychiatric disorders in Santiago, Chile: a community epidemiological study. Soc Psychiatry Psychiatr Epidemiol. 2012;47(7):1099–1109.
National Research Council (US) and Institute of Medicine (US) Committee on the Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities [Internet]. O’Connell ME, Boat T, Warner KE, editors. Washington (DC): National Academies Press (US); 2009 [cited 2015 Jun 10]. (The National Academies Collection: Reports funded by National Institutes of Health). Available from: http://www.ncbi.nlm.nih.gov/books/NBK32775/
WHO | Mental health action plan 2013 - 2020 [Internet]. WHO. [cited 2015 Jun 10]. Available from: http://www.who.int/mental_health/publications/ action_plan/en/
Kohn R, Levav I, Almeida JMC de, Vicente B, Andrade L, Caraveo-Anduaga JJ, et al. Mental disorders in Latin America and the Caribbean: a public health priority. Rev Panam Salud Pública 2005;18(4-5):229–240.
Lewinsohn PM, Clarke GN, Seeley JR, Rohde P. Major depression in community adolescents: age at onset, episode duration, and time to recurrence. J Am Acad Child Adolesc Psychiatry 1994;33(6):809–818.
Whitaker A, Johnson J, Shaffer D, Rapoport JL, Kalikow K, Walsh BT, et al. Uncommon troubles in young people: prevalence estimates of selected psychiatric disorders in a nonreferred adolescent population. Arch Gen Psychiatry 1990;47(5):487–496.
Benjet C, Borges G, Medina-Mora ME, Méndez E, Fleiz C, Rojas E, et al. Diferencias de sexo en la prevalencia y severidad de trastornos psiquiátricos en adolescentes de la Ciudad de México. Salud Ment 2009;32(2):155–163.
Rafful C, Medina-Mora ME, Borges G, Benjet C, Orozco R. Depression, gender, and the treatment gap in Mexico. J Affect Disord 2012;138(1-2):165–169.
Benjet C, Borges G, Medina-Mora ME, Fleiz-Bautista C, Zambrano- Ruiz J. [Early onset depression: prevalence, course, and treatment seeking delay]. Salud Publica México 2004;46(5):417–424.
Berenzon S, Lara MA, Robles R, Medina-Mora ME. [Depression: state of the art and the need for public policy and action plans in Mexico]. Salud Publica México 2013;55(1):74–80.
Wiley: Rutter’s Child and Adolescent Psychiatry, 5th Edition - Michael Rutter, Dorothy Bishop, Daniel Pine, et al [Internet]. [cited 2015 Jun 10]. Available from: http://www.wiley.com/WileyCDA/WileyTitle/ productCd-1405145935.html
Bettge S, Wille N, Barkmann C, Schulte-Markwort M, Ravens-Sieberer U, BELLA study group. Depressive symptoms of children and adolescents in a German representative sample: results of the BELLA study. Eur Child Adolesc Psychiatry 2008;17 Suppl1:71–81.
Zukauskiene R, Pilkauskaite-Valickiene R, Malinauskiene O, Krataviciene R. Evaluating behavioral and emotional problems with the Child Behavior Checklist and Youth Self-Report scales: cross-informant and longitudinal associations. Med Kaunas Lith 2004;40(2):169–177.
De Los Reyes A, Henry DB, Tolan PH, Wakschlag LS. Linking informant discrepancies to observed variations in young children’s disruptive behavior. J Abnorm Child Psychol 2009;37(5):637–652.
Grills AE, Ollendick TH. Issues in parent-child agreement: the case of structured diagnostic interviews. Clin Child Fam Psychol Rev 2002;5(1):57–83.
Moretti MM, Fine S, Haley G, Marriage K. Childhood and adolescent depression: child-report versus parent-report information. J Am Acad Child Psychiatry 1985;24(3):298–302.
Kazdin AE, Petti TA. Self-report and interview measures of childhood and adolescent depression. J Child Psychol Psychiatry 1982;23(4):437– 457.
Teagle SE. Parental problem recognition and child mental health service use. Ment Health Serv Res 2002;4(4):257–266.
De Los Reyes A, Kazdin AE. Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychol Bull 2005;131(4):483–509.
Mojtabai R, Olfson M. Parental detection of youth’s self-harm behavior. Suicide Life Threat Behav 2008;38(1):60–73.
Girio-Herrera E, Owens JS, Langberg JM. Perceived barriers to help-seeking among parents of at-risk kindergarteners in rural communities. J Clin Child Adolesc Psychol Off J Soc Clin Child Adolesc Psychol Am Psychol Assoc Div 53. 2013;42(1):68–77. doi: 10.1080/15374416.2012.715365
Achenbach TM, Krukowski RA, Dumenci L, Ivanova MY. Assessment of adult psychopathology: meta-analyses and implications of cross-informant correlations. Psychol Bull 2005;131(3):361–382.
Stockings E, Degenhardt L, Lee YY, Mihalopoulos C, Liu A, Hobbs M, et al. Symptom screening scales for detecting major depressive disorder in children and adolescents: a systematic review and meta-analysis of reliability, validity and diagnostic utility. J Affect Disord 2015;174:447–463.
Sun S, Wang S. The Children’s Depression Inventory in Worldwide Child Development Research: A Reliability Generalization Study. J Child Fam Stud 2014;24(8):2352–2363.
Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 1997;38(5):581–586.
Goodman R, Ford T, Simmons H, Gatward R et al. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry J Ment Sci 2000;177: 534–539.
Masip AF, Amador-Campos JA, Gómez-Benito J, Gándara V del B. Psychometric properties of the children’s depression inventory in community and clinical sample. Span J Psychol 2010;13(02):990–999.
Gómez-Beneyto M, Nolasco A, Moncho J, Pereyra-Zamora P et al. Psychometric behaviour of the strengths and difficulties questionnaire (SDQ) in the Spanish national health survey 2006. BMC Psychiatry 2013;13(1):95.
Babyak MA. What you see may not be what you get: a brief, nontechnical introduction to overfitting in regression-type models. Psychosom Med 2004;66(3):411–421.
R Core Team R. A language and environment for statistical computing [Internet]. Vienna, Austria: R Foundation for Statistical Computing; 2016. Available from: http://www.R-project.org/
Boyd CP, Kostanski M, Gullone E, Ollendick TH et al. Prevalence of anxiety and depression in Australian adolescents: comparisons with worldwide data. J Genet Psychol 2000;161(4):479–492.
Magiati I, Ponniah K, Ooi YP, Chan YH et al. Self-reported depression and anxiety symptoms in school-aged Singaporean children. Asia-Pac Psychiatry Off J Pac Rim Coll Psychiatr 2015;7(1):91–104.
Joshi SV, Hartley SN, Kessler M, Barstead M. School-based suicide prevention: content, process, and the role of trusted adults and peers. Child Adolesc Psychiatr Clin N Am 2015;24(2):353–370.
Walrath C, Garraza LG, Reid H, Goldston DB et al. Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality. Am J Public Health 2015;105(5):986–993.
Reyes ADL, Goodman KL, Kliewer W, Reid-Quiñones K. Whose depression relates to discrepancies? Testing relations between informant characteristics and informant discrepancies from both informants’ perspectives. Psychol Assess 2008;20(2):139–149.
Weitzman M, Rosenthal DG, Liu Y-H. Paternal depressive symptoms and child behavioral or emotional problems in the United States. Pediatrics 2011;128(6):1126–1134.
McAdams TA, Rijsdijk FV, Neiderhiser JM, Narusyte J et al. The relationship between parental depressive symptoms and offspring psychopathology: evidence from a children-of-twins study and an adoption study. Psychol Med 2015;45(12):2583–2594.
Consulta interactiva de datos [Internet]. [cited 2016 Jul 24]. Available from: http://www.inegi.org.mx/lib/olap/consulta/general_ver4/MDXQueryDatos. asp?c=27781.