Indicators of Emotional and Behavioral Problems in Adolescents: Evaluation among Multiple Informants

Borba, Bruna Mainardi Rosso; Marin, Angela Helena

doi:10.1590/1982-4327e2825

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PSYCHOLOGY OF HEALTH • Paidéia (Ribeirão Preto) 28 • 2018 • https://doi.org/10.1590/1982-4327e2825 copy

Indicators of Emotional and Behavioral Problems in Adolescents: Evaluation among Multiple Informants¹ 1 Article derived from the master’s dissertation of the first author under the supervision of the second, defended in 2016, in the Graduate Program in Psychology of Universidade do Vale do Rio dos Sinos. Support: Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).

Indicadores de Problemas Emocionais e de Comportamento em Adolescentes: Avaliação entre Múltiplos Informantes

Indicadores de Problemas Emocionales y del Comportamiento en Adolescentes: Evaluación entre Múltiples Informantes

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The prevalence rates of emotional and behavioral problems in adolescence suggest that their identification through different informants is relevant for the treatment and prevention of clinical conditions. Therefore, the objective of this study was to evaluate the association and agreement pattern regarding the indicators of internalizing and externalizing problems and total problems among adolescents, their families and teachers. Seventy adolescents, 70 family members and 21 teachers, who answered, respectively, the Youth Self Report and the Child Behavior Checklist in their version for parents and teachers participated in this study. There was greater concordance in the evaluation of adolescents and relatives than of teachers and adolescents and lack of agreement between family members and teachers. In addition, adolescents showed more indicators of internalizing problems. Thus, it is confirmed the need to contemplate multiple informants in the evaluation of emotional/behavioral difficulties of adolescents, with a view to its better understanding and detailing.

Keywords:
mental health; adolescence; behavior disorders

Scales	Adolescents Vs. Teachers		Adolescents Vs. Relatives		Relatives Vs. Teachers
Scales	Kappa	p	Kappa	p	Kappa	p
Anxiety/depression	0.04	0.49	0.16	0.04	0.05	0.46
Isolation/depression	0.05	0.57	0.12	0.22	0.15	0.08
Somatic complaints	0.00	0.99	0.30	0.00	0.06	0.33
Social problems	0.05	0.52	0.29	0.00	0.00	0.99
Problems of thought	0.28	0.00	0.22	0.01	0.04	0.79
Attention problems	0.02	0.82	0.20	0.03	0.18	0.05
Deviant behavior	0.37	0.01	0.15	0.18	0.05	0.76
Aggressive Behavior	0.16	0.06	0.14	0.14	0.00	0.97
Internalizing problems	0.08	0.29	0.15	0.09	0.15	0.07
Externalizing problems	0.06	0.49	0.22	0.01	0.11	0.24

Scales	Coefficient of correlation (r)
Scales	Adolescents Vs. Teachers	Adolescents Vs. Relatives	Relatives Vs. Teachers
Anxiety/depression	0.14	0.27^*	0.09
Isolation/depression	0.28^*	0.47^**	0.31^**
Somatic complaints	0.18	0.48^**	0.11
Social problems	0.10	0.37^**	0.09
Problems of thought	0.16	0.38^**	0.04
Attention problems	0.40^**	0.53^**	0.29^*
Deviant behavior	0.41^**	0.53^**	0.26^*
Aggressive Behavior	0.34^**	0.51^**	0.15
Internalizing problems	0.24^*	0.42^**	0.22
Externalizing problems	0.36^**	0.58^**	0.26^*
Total problems	0.33^**	0.56^**	0.18

Scales	Adolescents	Teachers	Relatives	F_(2.138)	p
Scales	M (SD)	M (SD)	M (SD)	F_(2.138)	p
Anxiety/depression	65.3a (9.9)	55.9c (7.2)	61.1b (9.1)	24.38	0.00
Isolation/depression	59.6 (9.0)	57.0 (8.8)	58.4(8.6)	2.38	0.09
Somatic complaints	61.0a (9.3)	54.0b (6.7)	62.0a (9.6)	24.80	0.00
Social problems	59.7a (7.6)	55.3b (5.8)	57.7ab (6.3)	9.62	0.00
Problems of thought	58.9a (8.0)	54.2c (5.9)	57.0b (7.6)	9.35	0.01
Attention problems	59.1a (8.6)	56.7b (6.9)	58.5ab (7.2)	3.36	0.04
Deviant behavior	55.0 (6.2)	55.0 (6.2)	54.5(4.8)	0.24	0.77
Aggressive Behavior	60.0a (9.1)	56.8b (6.8)	58.0ab (7.1)	4.66	0.01
Internalizing problems	63.7a (9.1)	54.6c (10.0)	60.5b(10.6)	21.29	0.00
Externalizing problems	56.9 (8.9)	54.4 (8.5)	55.0 (8.7)	2.63	0.08
Total problems	61.1a (9.1)	55.2c (8.6)	58.0(9.7)	11.33	0.00

Scales	Adolescents				Teachers				Relatives				p
	Non-clinical		Clinical		Non-clinical		Clinical		Non-clinical		v
	n	%	n	%	n	%	n	%	n	%	n	%
Anxiety / depression	34	48.6	36	51.5	63	90.0	7	10.0	41	58.6	29	41.4	0.00
Isolation/depression	51	72.9	19	27.1	63	90.0	7	10.0	56	80.0	14	20.0	0.24
Somatic complaints	51	72.9	19	27.1	65	92.9	5	7.10	46	65.7	24	34.3	0.01
Social problems	52	74.3	18	25.7	65	92.9	5	7.20	60	85.7	10	14.3	0.04
Problems of thought	56	80.0	14	20.0	66	94.3	4	5.80	55	78.6	15	21.4	0.04
Attention problems	54	77.1	16	22.9	60	85.7	10	14.3	56	80.0	14	20.0	0.32
Deviant behavior	63	90.0	7	10.0	63	90.0	7	10.0	67	95.7	3	4.3	0.26
Aggressive Behavior	47	67.1	23	32.9	61	87.1	9	12.9	55	78.6	15	21.4	0.12
Internalizing problems	26	37.1	44	62.8	50	71.4	20	28.5	30	42.9	40	57.1	0.00
Externalizing problems	46	65.7	24	34.3	51	72.9	19	27.2	45	64.3	25	35.7	0.18

Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br

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[1] Correspondence address: Bruna Mainardi Rosso Borba. Universidade do Vale do Rio dos Sinos. Programa de Pós-Graduação em Psicologia, Av. Unisinos, 950, sala E01-109, São Leopoldo-RS, Brazil. CEP 93.022-000. E-mail: bruna_borba@yahoo.com.br