Informant reports of psychopathology in children with chronic physical illness over time: role of parent psychological distress
Bibliographic record
Abstract
OBJECTIVE: This study examined parent-child agreement on psychopathology among children with chronic physical illness over 24 months and investigated whether parent psychological distress moderated associations between informant reports over time. METHODS: Data come from an ongoing longitudinal study of the mental health of children with chronic physical illness aged 2-16 years and their primary caregiving parent. Data were restricted to children 10 years of age and older (age-eligible to self-report), and analyses included parent-child dyads who completed baseline and 24-month assessments (n = 106). Child psychopathology was measured using the Emotional Behavioural Scales-Brief Version. Parent psychological distress was a composite of the Center for Epidemiological Studies Depression and Generalized Anxiety Disorder Scales. Kappa estimated agreement and product-term interactions in regression models were used to estimate whether parent psychological distress moderated associations between informant reports of child psychopathology. RESULTS: Poor-to-moderate informant agreement was found at baseline, which improved to moderate at 24 months. Parent psychological distress moderated the associations between informant reports of behavior problems, β = 0.20 (0.05-0.36) at baseline, and for emotional, behavioral, and attentional problems at 24 months, β = 0.16-0.25. Among parents with elevated psychological distress, agreement with child reports was poor at baseline (intraclass correlation coefficient = 0.35-0.50), but improved to good at 24 months (intraclass correlation coefficient = 0.73-0.85). CONCLUSIONS: There was no evidence that parents with elevated psychological distress negatively biased (overestimated) reports of psychopathology in their children with chronic physical illness. Findings are important when assessing psychopathology in integrated physical-mental health services.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".