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Screening for mental health using adolescent-reported parenting

M A Godkin1, S Baker, J E Paradise

  • 1Department of Family and Community Medicine, University of Massachusetts Medical Center, Worcester.

Family Medicine
|September 1, 1994
PubMed
Summary

The new Parenting Assessment Scale (PAS) effectively predicts adolescent mental health in primary care. This tool shows high sensitivity and specificity for identifying mental health concerns in adolescents.

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Area of Science:

  • Adolescent mental health research
  • Clinical psychology
  • Primary care pediatrics

Background:

  • Limited understanding of parenting's impact on adolescent mental health in primary care.
  • Existing parenting measures lack clinical utility or focus.
  • Need for effective tools to assess parenting in clinical settings.

Purpose of the Study:

  • To evaluate the clinical utility of the Parenting Assessment Scale (PAS).
  • To determine if adolescent-reported parenting predicts mental health outcomes.
  • To assess the PAS's effectiveness as a screening tool.

Main Methods:

  • 147 adolescents attending an inner-city clinic completed the Youth Self Report (YSR) and PAS.
  • The PAS measured adolescent-reported parenting for each biological parent.

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  • Global scores from PAS and YSR quantified parenting quality and mental health.

    • Main Results:

    • The global parenting index from the PAS demonstrated high predictive accuracy for adolescent mental health (z = 0.73).
    • Sensitivity was 92.3% and specificity was 88.9% in predicting mental health status.
    • The PAS shows strong potential for identifying adolescents with mental health concerns.

    Conclusions:

    • The Parenting Assessment Scale (PAS) shows promise as a clinical screening tool.
    • Further research is recommended to establish the PAS's role in clinical practice.
    • The tool may be particularly useful for older, Black adolescent females.