Agreement between parents and children regarding anxiety and depression diagnoses in children with asthma.
Agreement between parents and children regarding anxiety and depression diagnoses in children with asthma.
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父母和孩子之间关于哮喘儿童焦虑和抑郁诊断的协议。
DOI：
10.1097/nmd.0b013e318159289c
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Lozano,Paula
中科院分区：
文献类型：
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作者：
Rockhill,CarolM;Russo,JoanE;McCauley,Elizabeth;Katon,WayneJ;Richardson,LauraP;Lozano,Paula
本研究考察了青少年哮喘患者在焦虑和抑郁障碍方面的亲子协议，并评估了与亲子协议相关的关键人口统计学和健康差异。在756名患有哮喘的门诊青少年中，122名（16.0%）使用儿童诊断访谈表（C-DISC）被诊断为DSM-IV焦虑或抑郁障碍。家长使用儿童行为检查表（CBCL）报告内化症状。使用Logistic回归分析来检验与父母和儿童报告的症状一致性相关的因素。在患有哮喘的青少年中，青少年与父母关于DSM-IV焦虑或抑郁障碍诊断的一致性较低（48.9%）。一致性的增加与CBCL上较高的外化行为评分和C-DISC上更多的焦虑和抑郁症状相关。没有行为问题、焦虑和抑郁程度较轻的儿童被父母认可的几率明显较低。
This study examined parent-child agreement regarding anxiety and depressive disorders in youth with asthma and evaluated key demographic and health differences associated with parent-child agreement. Of 756 outpatient youth with asthma, 122 (16.0%) were diagnosed with a DSM-IV anxiety or depression disorder using the Diagnostic Interview Schedule for Children (C-DISC). Parents reported on internalizing symptoms using the Child Behavior Checklist (CBCL). Logistic regression analyses were used to examine factors related to parent-and child-reported symptom agreement. Low rates of agreement (48.9%) between youth and parents regarding diagnosis of a DSM-IV anxiety or depressive disorder were found among youth with asthma. Increased agreement was associated with higher externalizing behavior score on the CBCL and more anxiety and depressive symptoms on the C-DISC. Children without behavioral problems and with less severe anxiety and depression were recognized significantly less often by their parents.