Assessment of Distress Associated to Psychopathology in Children and Adolescents

Lourdes Ezpeleta; Wendy Reich; Roser Granero

doi:10.24310/espsiescpsi.v2i2.13372

Autores/as

Lourdes Ezpeleta Universitat Autònoma de Barcelona España
Wendy Reich St. Louis MO Estados Unidos
Roser Granero Universitat Autònoma de Barcelona España

DOI:

https://doi.org/10.24310/espsiescpsi.v2i2.13372

Palabras clave:

Malestar subjetivo, entrevistas diagnósticas estructuradas, criterio de significación clínica

Resumen

El objetivo de este estudio fue analizar el malestar asociado a la psicopatologi?a en nin?os y adolescentes. La muestra incluyo? 330 sujetos entre 8 y 17 an?os que atendi?an a consulta externa en servicios de salud mental de la red pu?blica de Barcelona (Espan?a), que fueron valorados a trave?s de entrevista diagno?stica estructurada. Una parte significativa de los nin?os que solicitaron tratamiento sufri?an malestar asociado a los si?ntomas psicolo?gicos interiorizados y exteriorizados. El malestar psicolo?gico fue ma?s frecuente en las chicas y entre los adolescentes y tambie?n fue ma?s informado por los propios nin?os y adolescentes que por sus padres. El malestar fue un predictor de la percepcio?n de necesidad de ayuda psicolo?gica y se relaciono? significativamente con los diagno?sticos, condiciones subumbral y deterioro funcional. Los si?ntomas individuales de depresio?n, distimia, ansiedad generalizada y trastorno negativista desafiante fueron los que ma?s estrechamente se asociaron con el malestar psicolo?gico. Dada la importancia del estre?s subjetivo y del deterioro funcional para la identificacio?n y definicio?n de la psicopatologi?a y para la planificacio?n de las intervenciones, la evaluacio?n diagno?stica deberi?a incluir cuestiones referidas al malestar.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

Citas

Alegría, M., Canino, G., Ramírez, R., Chavez, L., & Rusch, D. (2004). Understanding caregivers’ help-seeking for Latino children’s mental health care use. Medical Care, 42, 447-455.

American Psychiatric Association. (1994). DSM-IV Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Angold, A., Costello, E. J., Farmer, E., Burns, B. J., & Erkanli, A. (1999). Impaired but undiagnosed. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 129-137.

Antony, M. M., Moras, K., Meadow, E. A., Di Nardo, P. A., Utech, J. E., & Barlow, D. H. (1994). The diagnostic significance of functional impairment and subjective distress criterion: An ilustration with the DSM-III-R anxiety disorders. Journal of Psychopathology and Behavioral Assessment, 16, 253-263.

Beals, J., Novins, D. K., Spicer, P., Orton, H. D., Mitchell, C. M., Barón, A. E., et al. (2004). Challenges in operationalizing the DSM-IV clinical significance criterion. Archives of General Psychiatry, 61, 1197-1207.

Beutler, L. E., Malik, M., Talebi, H., Fleming, J., & Moleiro, C. (2004). Use of psychological tests/instruments for treatment planning. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (Vol. 1, pp. 111-145). Mahwah, NJ: Lawrence Earlbaum.

Bird, H., Davies, M., Fisher, P., Narrow, W., Jensen, P., Hoven, C., et al. (2000). How specific is specific impairment? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1182-1189.

Burns, B. J., Costello, A. J., Angold, A., Tweed, D. L., Stangl, D., Farmer, E., et al. (1995). Children’s mental health service use across service sectors. Health Affairs, 14, 147-159.

Drabick, D. A. G. (2009). Paradigm shift toward a mixed categorical-dimensional classification system? Clinical Psychology -Science and Practice, 16, 41-49

Dubow, E. F., Lovko, K. R., & Kausch, D. F. (1990). Demographic differences in adolescents’ health concerns and perceptions of helping agents. Journal of Clinical Child Psychology, 19, 44-54.

Ezpeleta, L., de la Osa, N., Júdez, J., Doménech, J. M., Navarro, J. B., & Losilla, J. M. (1997). Diagnostic agreement between clinician and the Diagnostic Interview for Children and Adolescents DICA-R in a Spanish outpatient sample. Journal of Child Psychology and Psychiatry, 38, 431-440.

Ezpeleta, L., Granero, R., de la Osa, N., & Guillamon, N. (2000). Predictors of functional impairment in children and adolescents. Journal of Child Psychology and Psychiatry, 41, 793-801.

Finner, H. (1993). On A Monotonicity Problem in Step-Down Multiple Test Procedures. Journal of the American Statistical Association, 88, 920-923.

Goodman, R., Ford, T., Richards, H., Gatward, R., & Meltzer, H. (2000). The Development and Well-Being Assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 41, 645-655.

Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Unpublished manuscript, Yale University, Department of Sociology.

Hudziak, J. J., Achenbach, T. M., Althoff, R. R., & Pine, D. S. (2007). A dimensional approach to developmental psychopathology. International Journal of Methods in Psychiatric Research, 16, S16-S23.

Kaufman, J., Birmaher, B., Brent, D. A., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 980-988.

Lehman, A. F., Alexopoulos, G., Goldman, H., Jeste, D., & Ustun, B. (2002). Mental disorder and disability. In D. J. Kupfer, M. B. First & D. A. Regier (Eds.), A Research Agenda for DSM-V (pp. 201-218). Washington, DC: American Psychiatric Press.

Lewinsohn, P. M., Solomon, A., Seeley, J. R., & Zeiss, A. (2000). Clinical implications of ‘subthreshold’ depressive symptoms. Journal of Abnormal Psychology, 109, 345-351.

Maser, J. D., Norman, S. B., Zisook, S., Everall, I. P., Stein, M. B., Schettler, P. J., et al. (2009). Psychiatric nosology is ready for a paradigm shift in DSM-V. Clinical Psychology: Science and Practice, 16, 24-40.

Panichelli-Mindel, S. M., Flannery-Schroeder, E., Kendall, P. C., & Angelosante, A. G. (2005). Disclosure of distress among anxiety-disordered youth: Differences in treatment outcome. Journal of Anxiety Disorders, 19, 403-422.

Phares, V., & Compas, B. E. (1990). Adolescents’ subjective distress over their emotional/behavioral problems. Journal of Consulting and Clinical Psychology, 58, 596-603.

Phares, V., & Danforth, J. S. (1994). Adolescents’, parents’, and teachers’ distress over adolescents’ behavior. Journal of Abnormal Child Psychology, 22, 721-732.

Pincus, H. A., Davis, W. W., & McQueen, L. E. (1999). ‘Subthreshold’ mental disorders: A review and synthesis of studies on minor depression and other ‘brand names’. British Journal of Psychiatry, 174, 288-296.

Reich, W. (2000). Diagnostic Interview for Children and Adolescents (DICA). Journal of the American Academy of Child and Adolescent Psychiatry, 39, 59-66.

Salokangas, R. K. R., Vaahtera, K., Pacriev, S., Sohlman, B., & Lehtinen, V. (2002). Gender differences in depressive symptoms. An artefact caused by measurement instruments? Journal of Affective Disorders, 68, 215-220.

Silverman, W. K., Albano, A. M., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Versions. SUNY Albany: Graywind Publications Inc.

Spitzer, R. L., & Wakefield, J. (1999). DSM-IV diagnostic criterion for clinical significance: Does it help solve the false positive problems? American Journal of Psychiatry, 156, 1856-1864.

Todd, R. D., Joyner, C. A., Heath, A. C., Neuman, R. J., & Reich, W. (2003). Reliability and stability of a semistructured DSM-IV interview designed for family studies. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1460-1468.

Üstun, B., & Chatterji, S. (1997). Editorial: Measuring functioning and disability-a commen framework. International Journal of Methods in Psychiatric Research, 7, 79-83.

Wille, N., Bettge, S., Wittchen, H. U., Ravens-Sieberer, U., & Study, G. B. (2008). How impaired are children and adolescents by mental health problems? Results of the BELLA study. European Child & Adolescent Psychiatry 17, 42-51.