Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders

Abstract Purpose To develop and test an approach for assessing the risk of bias in four measurement-related domains key to the study of mental health problem trajectories in children with neurodevelopmental disorders (NDD): (1) conceptual overlap between mental health problems and NDD diagnostic cri...

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Main Authors: Magnus Ivarsson, Henrik Danielsson, Christine Imms
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-025-02450-4
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author Magnus Ivarsson
Henrik Danielsson
Christine Imms
author_facet Magnus Ivarsson
Henrik Danielsson
Christine Imms
author_sort Magnus Ivarsson
collection DOAJ
description Abstract Purpose To develop and test an approach for assessing the risk of bias in four measurement-related domains key to the study of mental health problem trajectories in children with neurodevelopmental disorders (NDD): (1) conceptual overlap between mental health problems and NDD diagnostic criteria, (2) over-reliance on a single informant, (3) unwarranted omission of the child’s perspective, and (4) the use of instruments not designed for or adapted to the population. Methods Building upon a previous systematic review, this study established supplementary criteria for assessing the risk of bias domains. Following this, the criteria were applied to measures used in 49 longitudinal studies of mental health problems in children with NDD. Results The general risk of bias across domains was rated as high in 57.1% of the 49 included studies. The highest risk of bias was seen in domain four (rated as high in 87.8% of studies) and the lowest in domain three (24.5%). Conclusions The risk of bias items enhance our understanding of the quality of the evidence about mental health problem trajectories in children with NDD. The methodological quality of future research can be increased by selecting conceptually clear scales developed for the population - preferably in the form of cognitively accessible self-report scales - and adopting a multi-informant approach.
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spelling doaj-art-acce0ae0127f4f3b8f12ba8b655b7d8f2025-08-20T01:48:34ZengBMCBMC Psychology2050-72832025-03-0113111810.1186/s40359-025-02450-4Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disordersMagnus Ivarsson0Henrik Danielsson1Christine Imms2Department of Behavioural Sciences and Learning, Linköping UniversityDepartment of Behavioural Sciences and Learning, Linköping UniversityDepartment of Paediatrics and Healthy Trajectories Child and Youth Disability Research Hub, University of MelbourneAbstract Purpose To develop and test an approach for assessing the risk of bias in four measurement-related domains key to the study of mental health problem trajectories in children with neurodevelopmental disorders (NDD): (1) conceptual overlap between mental health problems and NDD diagnostic criteria, (2) over-reliance on a single informant, (3) unwarranted omission of the child’s perspective, and (4) the use of instruments not designed for or adapted to the population. Methods Building upon a previous systematic review, this study established supplementary criteria for assessing the risk of bias domains. Following this, the criteria were applied to measures used in 49 longitudinal studies of mental health problems in children with NDD. Results The general risk of bias across domains was rated as high in 57.1% of the 49 included studies. The highest risk of bias was seen in domain four (rated as high in 87.8% of studies) and the lowest in domain three (24.5%). Conclusions The risk of bias items enhance our understanding of the quality of the evidence about mental health problem trajectories in children with NDD. The methodological quality of future research can be increased by selecting conceptually clear scales developed for the population - preferably in the form of cognitively accessible self-report scales - and adopting a multi-informant approach.https://doi.org/10.1186/s40359-025-02450-4Mental health problemsChildAdolescentNeurodevelopmental disordersLongitudinal studiesSurveys and questionnaires
spellingShingle Magnus Ivarsson
Henrik Danielsson
Christine Imms
Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
BMC Psychology
Mental health problems
Child
Adolescent
Neurodevelopmental disorders
Longitudinal studies
Surveys and questionnaires
title Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
title_full Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
title_fullStr Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
title_full_unstemmed Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
title_short Measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
title_sort measurement issues in longitudinal studies of mental health problems in children with neurodevelopmental disorders
topic Mental health problems
Child
Adolescent
Neurodevelopmental disorders
Longitudinal studies
Surveys and questionnaires
url https://doi.org/10.1186/s40359-025-02450-4
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