Making sense of informant disagreement for overanxious disorder.

Published

Journal Article

A community sample of 2798 8-17-year-old twins and their parents completed a personal interview about the child's current psychiatric history on two occasions separated by an average of 18 months. Parents also completed a personal interview about their own lifetime psychiatric history at entry to the study. Results indicate that informant agreement for overanxious disorder (OAD) was no better than chance, and most cases of OAD were based on only one informant's ratings. Disagreement about level of OAD symptoms or presence of another disorder (mostly phobias or depression) accounted for most cases of informant disagreement: 60% of cases based only on child interview, 67% of cases based only on maternal interview, and 100% of cases based only on paternal interview. OAD diagnosed only by maternal interview was also distinguished by an association with maternal alcoholism and increasingly discrepant parental reports of marital difficulties. Given the substantial overlap in case assignments for DSM-III-R OAD and DSM-IV GAD, these findings may identify sources of informant disagreement that generalize to juvenile GAD.

Full Text

Duke Authors

Cited Authors

  • Foley, DL; Rutter, M; Angold, A; Pickles, A; Maes, HM; Silberg, JL; Eaves, LJ

Published Date

  • 2005

Published In

Volume / Issue

  • 19 / 2

Start / End Page

  • 193 - 210

PubMed ID

  • 15533704

Pubmed Central ID

  • 15533704

International Standard Serial Number (ISSN)

  • 0887-6185

Digital Object Identifier (DOI)

  • 10.1016/j.janxdis.2004.01.006

Language

  • eng

Conference Location

  • Netherlands