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Response shift in parent-reported psychopathology in children with chronic physical illness

Tolulope T Sajobi1,2, Olawale F Ayilara3, Gurkiran K Dhuga4

  • 1Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada. ttsajobi@ucalgary.ca.

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
|June 16, 2023
PubMed

Insights

Parents may adjust their perception of child psychopathology over time, a phenomenon known as response shift (RS). This study found RS in conduct disorder symptoms among children with chronic physical illness, though it minimally impacted overall disorder assessment.

Area of Science:

  • Child psychology
  • Psychopathology research
  • Longitudinal studies

Background:

  • Physical and mental health comorbidity is common in children.
  • Assessing child psychopathology over time requires understanding potential biases in parent reporting.
  • Response shift (RS) can occur when individuals change their internal standards or definitions of health over time.

Purpose of the Study:

  • To investigate the presence and impact of response shift (RS) in parent-reported child psychopathology.
  • To examine RS in children with chronic physical illnesses using the Ontario Child Health Study Emotional Behavioral Scales (OCHS-EBS).
  • To assess changes in parent perceptions of child psychopathology over a 24-month period.

Main Methods:

  • Prospective study (MY LIFE) of 263 children (aged 2-16) with physical illness in Canada.
  • Parents completed the OCHS-EBS at baseline and 24 months.
  • Structural equation modeling was used to detect different forms of RS.

Main Results:

  • Analysis included 215 children (81.7%); mean age 9.4 years, 48.8% female.
  • A two-factor measurement model showed good fit to the data.
  • Non-uniform recalibration RS was detected on the conduct disorder subscale, with negligible impact on longitudinal changes in externalizing/internalizing disorders.

Conclusions:

  • Response shift was detected in parent reports of conduct disorder symptoms in children with physical illness.
  • Parents may recalibrate their responses regarding child psychopathology over 24 months.
  • Awareness of RS is crucial for researchers and clinicians using the OCHS-EBS for longitudinal child psychopathology assessment.
Abstract

Keywords:
ChildrenMental healthMultimorbidityPhysical healthQuality of lifeResponse shift

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