Effective Mental Health Screening in Adolescents: Should We Collect Data from Youth, Parents or Both?

Child Psychiatry Hum Dev. 2017 Jun;48(3):385-392. doi: 10.1007/s10578-016-0665-0.

Abstract

Youth- and parent-rated screening measures derived from the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-Being Assessment (DAWBA) were compared on their psychometric properties as predictors of caseness in adolescence (mean age 14). Successful screening was judged firstly against the likelihood of having an ICD-10 psychiatric diagnosis and secondly by the ability to discriminate between community (N = 252) and clinical (N = 86) samples (sample status). Both, SDQ and DAWBA measures adequately predicted the presence of an ICD-10 disorder as well as sample status. The hypothesis that there was an informant gradient was confirmed: youth self-reports were less discriminating than parent reports, whereas combined parent and youth reports were more discriminating-a finding replicated across a diversity of measures. When practical constraints only permit screening for caseness using either a parent or an adolescent informant, parents are the better source of information.

Keywords: Adolescent psychopathology; DAWBA; Multi-informants; SDQ; Screening.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Adult
  • Female
  • Humans
  • International Classification of Diseases
  • Male
  • Mass Screening / methods*
  • Mental Disorders / diagnosis*
  • Mental Health Services
  • Parents*
  • Psychiatric Status Rating Scales
  • Psychometrics* / methods
  • Psychometrics* / standards
  • Reproducibility of Results
  • Self Report
  • Surveys and Questionnaires