Childhood anxiety disorders:: Parent-child (dis)agreement using a structured interview for the DSM-IV
Childhood anxiety disorders:: Parent-child (dis)agreement using a structured interview for the DSM-IV
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DOI：
10.1097/01.chi.0000046898.27264.a2
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发表时间：
2003-08-01
影响因子：
13.3
通讯作者：
Kendall, PC
中科院分区：
文献类型：
--
作者：
Choudhury, MS;Pimentel, SS;Kendall, PC
目标：在焦虑症门诊转诊样本中，采用基于DSM-IV的结构化访谈评估儿童焦虑症诊断的亲子一致性，并探讨年龄和性别对一致性的作用。方法：45名儿童（年龄7-14岁）和他们的父母完成了独立的诊断医生进行的结构化诊断访谈。父母和儿童之间的协议报告儿童焦虑症的诊断。结果如下：对于主要的儿童期焦虑症，无论是作为主要诊断还是在临床表现中的任何地方，父母-子女的协议水平都很差。没有发现年龄或性别的显着差异。然而，有些更大的协议被发现在年龄较大的儿童的主要诊断的具体恐怖症，并在女性的主要诊断的社会恐怖症。协议被认为是更大的父母和孩子之间的每个报告至少有一个主要的焦虑诊断。结论：当使用单独的诊断医生时，父母和孩子对DSM-IV焦虑障碍的一致性有限。在作出诊断时适当地综合不一致的报告仍然是一个方法问题。对治疗和未来研究的意义进行了讨论。
Objective: To evaluate parent-child agreement for diagnosis of childhood anxiety disorders using a DSM-IV-based structured interview in an anxiety-clinic-referred sample and to explore the role of age and gender on agreement. Method: Forty-five children (ages 7-14 years) and their parents completed independent structured diagnostic interviews conducted by separate diagnosticians. Agreement between parent- and child-report on childhood anxiety disorder diagnoses was determined. Results: Levels of parent-child agreement were poor for the major childhood anxiety disorders presenting either as principal diagnosis or presence anywhere in the clinical picture. No significant differences were found for age or gender. However, somewhat greater agreement was found in older children for the principal diagnosis of specific phobia, and in females for the principal diagnosis of social phobia. Agreement was found to be greater between parents and children when each reported at least one principal anxiety diagnosis. Conclusions: When separate diagnosticians are used, there is limited agreement between parents and children for the DSM-IV anxiety disorders. Appropriately integrating the discrepant reports in reaching a diagnosis remains a methodological issue. Implications for treatment and future research are discussed.