The Parenting to Reduce Adolescent Depression and Anxieity Scale: Assessing parental concordance with parenting guidelines for the prevention of adolescent depression and anxiety disorders

The Parenting to Reduce Adolescent Depression and Anxieity Scale: Assessing parental concordance with parenting guidelines for the prevention of adolescent depression and anxiety disorders
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DOI:
10.7717/peerj.3825
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发表时间:
2017-09-18
期刊:
影响因子:
2.7
通讯作者:
Yap, Marie B. H.
Yap, Marie B. H.
中科院分区:
生物学3区
文献类型:
--
作者:
Cardamone-Breen, Mairead C.;Jorm, Anthony F.;Yap, Marie B. H.

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背景:尽管有大量证据表明,许多父母的风险和保护因素的发展,青少年抑郁症和焦虑症,目前还没有一个单一的措施,评估这些养育因素。为了解决这一问题,我们编制了父母减少青少年抑郁和焦虑量表(PRADAS),作为父母与一套预防青少年抑郁和焦虑障碍的循证父母指南一致性的标准参考测量。本文使用澳大利亚青少年父母的样本:(1)验证PRADAS作为标准参考测量;(2)检查样本中父母与指南的一致性;(3)检查父母与指南一致性的相关性。711名家长完成了PRADAS,以及两项既定的养育措施,青少年抑郁和焦虑症状的父母报告措施。660名青少年参与者(12-15岁)也完成了症状测量。与指南的一致性通过9个分量表评分和总分进行评估。评分的可靠性进行了评估,估计的一致性系数,以及1个月的重测信度。收敛效度进行了检查,通过规模和两个既定的养育措施,结果之间的相关性。从比额表的最后版本中删除了一个拟议的分量表,因此共有八个分量表。总分的可靠性较高,八个分量表中的七个分量表的可靠性较高。总分的一个月重测信度可接受到较高。收敛效度的支持中度到高度的相关性与两个既定的措施parentiug。总体而言,在我们的样本中,父母与指南的一致率较低。分数越高,与女性和父母教育水平越高有关。父母与指南的一致性越高,青少年参与者的抑郁和焦虑症状越少。该初步验证研究为PRADAS的可靠性和有效性提供了初步支持。该量表具有在临床和研究环境中使用的潜力。它可以用来确定父母的优势和潜在的干预目标,并作为一个结果的措施,在研究预防性养育干预措施。
Background, Despite substantial evidence demonstrating numerous parental risk and protective factors for the development of adolescent depression and anxiety disorders, there is currently no single measure that assesses these parenting factors. To address this gap, we developed the Parenting to Reduce Adolescent Depression and Anxiety Scale (PRADAS) as a criterion-referenced measure of parental concordance with a set of evidence-based parenting guidelines for the prevention of adolescent depression and anxiety disorders, In this paper, we used a sample of Australian parents of adolescents to: (1) validate the PRADAS as a criterion-referenced measure; (2) examine parental concordance with the guidelines in the sample; and (3) examine correlates of parental concordance with the guidelines.Methods. Seven hundred eleven parents completed the PRADAS, as well as two established parenting measures, land parent-report measures of adolescent depression and anxiety symptoms. Six hundred sixty adolescent participants (aged 12-15) also completed the symptom measures. Concordance with the guidelines was assessed via nine subscale scores and a total score. Reliability of the scores was assessed with an estimate of the agreement coefficient, as well as 1-month test-retest reliability. Convergent validity was examined via correlations between the scale and two established parenting measures,Results. One proposed subscale was removed from the final version of the scale, resulting in a total of eight subscales. Reliability was high for the total score, and acceptable to high for seven of the eight subscales. One-month test-retest reliability was acceptable to high for the total score. Convergent validity was supported by moderate to high correlations with two established measures of parentiug. Overall, rates of parental concordance with the guidelines were low in our sample. Higher scores were associated with being female and higher levels of parental education. Greater parental concordance with the guidelines was associated with fewer symPtoms of depression and anxiety in adolescent participants.Discussion. This initial validation study provides preliminary support for the reliability and validity of the PRADAS. The scale has potential for use in both clinical and research settings. It may be used to identify parents'' strengths and potential targets for intervention, and as an outcome measure in studies of preventive parenting interventions.