Predictors of parent-child agreement on child anxiety diagnoses on the ADIS-IV-C/P

Rebecca J. Hamblin, Alison Salloum, Ross Andel, Joshua M. Nadeau, Nicole M. McBride, Adam B. Lewin, Eric A. Storch

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Diagnostic agreement between parents’ and children's reports on children's anxiety problems is notoriously poor; however, very few investigations have examined specific predictors of inter-rater agreement on child anxiety diagnoses. This study examined predictors of categories of parent and child diagnostic endorsement on the Anxiety Disorders Interview Schedule for Children–IV. One hundred eight children (ages 7–13) and their parents completed structured diagnostic interviews for non-OCD/PTSD anxiety diagnoses and paper and pencil measures of functioning and impairment in a variety of domains. Parent-child agreement was statistically significant for social phobia and separation anxiety disorder, but was overall poor for all anxiety diagnoses. Externalizing disorder status, family accommodation frequency, and child rated impairment in various domains differentially predicted informant discrepancies for different anxiety disorders. These data are among the first to suggest variables that may explain parent-child concordance.

Original languageEnglish (US)
Pages (from-to)303-310
Number of pages8
JournalPsychiatry Research
StatePublished - Nov 30 2016
Externally publishedYes


  • Anxiety disorders interview schedule
  • Diagnostic reliability
  • Diagnostic validity
  • Generalized anxiety disorder
  • Inter-rater agreement
  • Parent-child agreement
  • Pediatric anxiety
  • Separation anxiety
  • Specific phobia

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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