How far are associations between child, family and community factors and child psychopathology informant-specific and informant-general?
How far are associations between child, family and community factors and child psychopathology informant-specific and informant-general?
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DOI：
10.1111/j.1469-7610.2008.02026.x
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发表时间：
2009-05-01
影响因子：
7.6
通讯作者：
Pickles, Andrew
中科院分区：
文献类型：
--
作者：
Collishaw, Stephan;Goodman, Robert;Pickles, Andrew
儿童精神病理学的评估通常依赖于多个信息提供者，例如，家长、老师和孩子。举报人往往不同意的存在或不存在的症状，反映了记者的偏见，具体情况的行为，或随机变化的测量。然而，很少有研究系统地测试了儿童精神病理学的相关性有多大的不同informations.Parents，教师和儿童在1999年英国儿童和青少年心理健康调查（n = 4，525，年龄11-15岁）完成了优势和困难问卷。多源回归模型测试的程度，儿童，家庭，学校和邻里的特点与三个线人的报告有差异。2004年英国儿童和青少年心理健康调查（n = 3，438，年龄11-15岁）被用于replication.Almost所有显着的儿童心理健康的相关性差异相关的父母，教师和儿童的适应评级。父母的痛苦，父母评定的家庭功能，和儿童的身体健康问题与父母的评级最密切相关。儿童的能力和成绩，社会经济因素，学校和邻里的不利因素与教师和家长的心理健康评分比儿童自己的评级更密切相关。在外部化问题的性别差异是最明显的教师评级，最少的儿童评级，相反的情感问题。综合潜在得分的效应量接近三个个体被试估计的效应量范围的上限。结果显示，两个样本之间的重复性很好。研究强调，在相关因素和儿童精神病理学之间的联系方面，不同的受访者之间存在很大的差异。
Assessments of child psychopathology commonly rely on multiple informants, e.g., parents, teachers and children. Informants often disagree about the presence or absence of symptoms, reflecting reporter bias, situation-specific behaviour, or random variation in measurement. However, few studies have systematically tested how far correlates of child psychopathology differ between informants.Parents, teachers and children in the 1999 British Child and Adolescent Mental Health Survey (n = 4,525, ages 11-15 years) completed the Strengths and Difficulties Questionnaire. Multiple source regression models tested the extent to which child, family, school and neighbourhood characteristics were differentially associated with the three informants' reports. The 2004 British Child and Adolescent Mental Health Survey (n = 3,438, ages 11-15 years) was used for replication.Almost all significant correlates of child mental health were differentially related to parent, teacher and child ratings of adjustment. Parental distress, parent-rated family functioning, and child physical health problems were most strongly associated with parent ratings. Child ability and attainment, socio-economic factors, and school and neighbourhood disadvantage were more strongly associated with teacher and parent rated mental health than with children's own ratings. Gender differences in externalising problems were most pronounced for teacher ratings, and least so for child ratings; the opposite held true for emotional problems. Effect sizes for combined latent scores fell near the upper end of the range of effect sizes estimated for the three individual informants. Results showed good replication across the two samples.The study highlights that there is substantial variation across informants in the links between associated factors and child psychopathology.