Parent-child agreement regarding children's acute stress:: The role of parent acute stress reactions
Parent-child agreement regarding children's acute stress:: The role of parent acute stress reactions
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DOI：
10.1097/01.chi.0000237703.97518.12
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发表时间：
2006-12-01
影响因子：
13.3
通讯作者：
Winston, Flaura
中科院分区：
文献类型：
--
作者：
Kassam-Adams, Nancy;Garcia-Espana, J. Felipe;Winston, Flaura
目的：探讨儿童急性应激障碍（ASD）的亲子认同程度，以及家长ASD症状与家长对儿童ASD评分的关系。方法：在儿童受伤后1个月内对219例8-17岁的亲子二人组进行评估。对儿童ASD的存在、严重程度和特定症状进行了亲子协议检查。采用回归分析和广义估计方程（GEE）检验父母ASD与父母和儿童报告的儿童ASD之间的关系。结果：儿童ASD存在和个体症状的亲子一致性较低（K = 0.22）。家长与子女对儿童ASD严重程度的评分存在中度相关（r= 0.35）。在考虑儿童自评后，父母ASD与父母评定的儿童ASD独立相关（0 = 0.65）。广义估计方程表明，与孩子的自评相比，有ASD的父母高估了孩子的ASD，而没有ASD的父母低估了孩子的ASD。结论：父母自己对潜在创伤性事件的反应似乎会影响他们对儿童症状的评估。临床医生应尽可能获得儿童ASD自我报告，并在解释家长报告时考虑家长症状。帮助父母评估孩子在潜在创伤性事件后的需求可能是临床关注的一个相关目标。
Objective: We examined parent-child agreement regarding child acute stress disorder (ASD) and the relationship between parent ASD symptoms and parent ratings of child ASD.Method: Parent-child dyads (N = 219; child age 8-17 years) were assessed within 1 month of child injury. Parent-child agreement was examined regarding child ASD presence, severity, and specific symptoms. Relationships among parent ASD and parent- and child-reported child ASD were examined using regression analysis and generalized estimating equations (GEE).Results: Parent-child agreement was low for presence of child ASD (K = 0.22) and for individual symptoms. Parent and child ratings of child ASD severity were moderately correlated (r= 0.35). Parent ASD was independently associated with parent-rated child ASD, after accounting for child self-rating (0 =.65). Generalized estimating equations indicated that parents with ASD overestimated child ASD and parents without ASD underestimated child ASD, compared to the child's self-rating.Conclusions: Parents' own responses to a potentially traumatic event appear to influence their assessment of child symptoms. Clinicians should obtain child self-report of ASD whenever possible and take parent symptoms into account when interpreting parent reports. Helping parents to assess a child's needs following a potentially traumatic event may be a relevant target for clinical attention.