All anxiety is not created equal: Correlates of parent/youth agreement vary across subtypes of anxiety.
All anxiety is not created equal: Correlates of parent/youth agreement vary across subtypes of anxiety.
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DOI：
10.1007/s10862-016-9544-z
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发表时间：
2016-12
影响因子：
1.6
通讯作者：
Ginsburg GS
中科院分区：
文献类型：
--
作者：
Becker EM;Jensen-Doss A;Kendall PC;Birmaher B;Ginsburg GS
研究已经检查了在青少年焦虑报告中父母/青少年信息提供者差异的模式和相关性。然而，很少有工作研究是否更好地概念化模式和相关的信息不一致在焦虑广泛，或更有用的是考虑在特定症状集群的分歧。使用儿童青少年/焦虑多模式研究（CAMS; N = 488）的数据，本研究采用最新推荐的分析策略来研究信息差异，并检查了差异的大小和模式的差异：(a)宽频焦虑症状，与(b)特定焦虑诊断（或焦虑亚型，如分离、社交焦虑）的症状。还检查了资料提供者差异的相关关系。结果表明，不同焦虑亚型之间的一致性存在差异，相对于其他领域，家长/青少年对分离焦虑和拒绝上学症状的一致性更高。父母的精神病理学与对宽带焦虑症状的分歧有关，当父母报告的症状比孩子高时，父母的精神病理学最高；然而，这一发现在很大程度上是由父母的精神病理和对分离焦虑症状的分歧之间的关系所驱动的。年龄与总焦虑症状和分离焦虑症状的分歧有关。性别与分歧无关。讨论了临床意义。
Research has examined patterns and correlates of parent/youth informant discrepancies in the reporting of youth anxiety. However, little work has examined whether it is better to conceptualize patterns and correlates of informant disagreement across anxiety broadly, or more useful to consider disagreement on specific symptom clusters. Using data from the Child Adolescent/Anxiety Multimodal Study (CAMS; N = 488), the current study applied the most recent recommended analytic strategies to study informant discrepancies and examined differences in the magnitude and patterns of disagreement for: (a) broadband anxiety symptoms, versus (b) symptoms of specific anxiety diagnoses (or anxiety subtypes; e.g., separation, social anxiety). Correlates of informant discrepancies were also examined. Results indicated that there was variability in agreement across anxiety subtypes, with parent/youth agreement higher on separation anxiety and school refusal symptoms relative to other domains. Parental psychopathology was associated with disagreement on broadband anxiety symptoms, such that parental psychopathology was highest when parents reported higher symptoms than their children; however, this finding was largely driven by a relationship between parental psychopathology and disagreement on separation anxiety symptoms. Age was associated with disagreement on total and separation anxiety symptoms. Gender was not associated with disagreement. Clinical implications are discussed.