Child- compared with parent-report ratings on psychosocial measures following a mild traumatic brain injury among youth with persistent post-concussion symptoms.

Child- compared with parent-report ratings on psychosocial measures following a mild traumatic brain injury among youth with persistent post-concussion symptoms.
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在有持续性脑震荡后症状的青年中,轻度创伤性脑损伤后,儿童与父母相比-报告对心理社会措施的评级。

DOI:
10.1080/02699052.2021.1889663
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发表时间:
2021-04-16
期刊:
影响因子:
1.9
通讯作者:
Rivara FP
Rivara FP
中科院分区:
医学4区
文献类型:
--
作者:
Johnson AM;McCarty CA;Marcynyszyn LA;Zatzick DF;Chrisman SP;Rivara FP

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比较儿童和家长在健康行为量表、修订儿童焦虑和抑郁量表-短版(焦虑子量表)、患者健康问卷-9和儿童生活质量量表™中对运动或娱乐相关脑震荡后持续震荡症状的儿童的评分,并按儿童年龄和性别进行总体比较。横断面研究,检查来自随机、比较有效性试验的基线数据。采用双向随机效应模型(绝对一致性)评估评分间信度,使用Spearman 's rho检验相关性,使用配对t检验确定平均差异,并使用Bland-Altman图检验一致性。最终分析样本为200对亲子二联体[child Mage=14.7 (95% CI: 14.5, 15.0)]。总体而言,可靠性和相关性一般。当考虑儿童年龄和性别时,可靠性从差到优(- 1.01-0.95),相关性从弱到强(- 0.64-0.94)。总体而言,儿童报告的症状比父母更多,但功能更好,女性(与男性相比)和16-18岁(与年轻群体相比)的平均得分差异更大。在制定适当的青少年脑震荡治疗计划时,研究结果应该为社会心理测量的使用和解释提供信息。
To compare child- and parent-report ratings on the Health Behavior Inventory, Revised Child Anxiety and Depression Scale-Short Version (anxiety subscale), Patient Health Questionnaire-9, and Pediatric Quality of Life Inventory™ among children with persistent post-concussive symptoms following a sports- or recreation-related concussion, overall and by child age and gender. Cross-sectional study examining baseline data from a randomized, comparative effectiveness trial. Inter-rater reliability was assessed using two-way random effects model (absolute agreement) intraclass correlations, correlations were examined using Spearman’s rho, mean differences were determined using paired t-tests, and agreement was examined using Bland-Altman plots. The final analytic sample was 200 parent-child dyads [child Mage=14.7 (95% CI: 14.5, 15.0)]. Reliability and correlations were modest overall. When considering child age and gender, reliability ranged from poor to excellent (−1.01–0.95) and correlations ranged from weak to strong (−0.64–0.94). Overall, children reported more symptoms but better functioning than parents, and mean differences in scores were greater among females (versus males) and ages 16–18 (versus younger groups). Findings should inform the use and interpretation of psychosocial measures when developing appropriate youth concussion treatment plans.
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