Are Clinicians' Assessments of Improvements in Children's Functioning "Global"?

Autor/inn/en	De Los Reyes, Andres; Alfano, Candice A.; Beidel, Deborah C.
Titel	Are Clinicians' Assessments of Improvements in Children's Functioning "Global"?
Quelle	In: Journal of Clinical Child and Adolescent Psychology, 40 (2011) 2, S.281-294 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1537-4416
Schlagwörter	Anxiety Disorders; Interpersonal Competence; Outcomes of Treatment; Evaluators; Parent Attitudes; Symptoms (Individual Disorders); Children; Control Groups; Counselor Attitudes; Observation + Suchen Sie Ihr Suchwort? Interpersonale Kompetenz; Elternverhalten; Psychiatrische Symptomatik; Child; Kind; Kinder; Beobachtung
Abstract	In this study, the authors examined the relations among clinician ratings of treatment improvement and discrepancies between parent and blinded laboratory rater reports of child social functioning administered before and after treatment for social anxiety disorder. Participants included a clinic sample of 101 children (7-16 years old; M = 11.67, SD = 2.57; 51 girls, 81% Caucasian) receiving treatment as part of a two-site controlled trial. Overall, clinician ratings reflected lack of improvement when parents reported persistent (i.e., pre- to posttreament) social functioning deficits not reported by blinded raters. However, when blinded raters reported persistent social skill deficits not reported by parents, we did not observe the same effect on clinician ratings as we did when the direction of discrepant reports was reversed. We replicated these observations in a subset of participants (n = 81) providing parent and child pre-post reports of social anxiety symptoms. These findings have implications for the interpretations of clinical ratings as "primary outcome measures" within controlled trials. (Contains 3 footnotes, 5 tables, and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10