Informant disagreement for separation anxiety disorder
Informant disagreement for separation anxiety disorder
复制标题
DOI：
10.1097/00004583-200404000-00011
复制
发表时间：
2004-04-01
影响因子：
13.3
通讯作者：
Eaves, L
中科院分区：
文献类型：
--
作者：
Foley, D;Rutter, M;Eaves, L
目的：探讨分离焦虑障碍（SAD）被试不同意的特征。方法：样本包括来自社区登记处的2，779对8至17岁的双胞胎。孩子们和他们的父母完成了一个关于孩子精神病史的个人访谈。父母完成了一个关于他们自己的精神病史的个人访谈和一份关于他们婚姻关系的问卷。结果：SAD的一致性介于偶然和极差之间。大多数SAD病例仅通过与一名知情者的访谈进行诊断。仅通过儿童访谈诊断的SAD与父亲评定的对立违抗性障碍的几率增加相关，反之亦然。SAD的诊断，只有父母的采访是由父母的反社会人格障碍的历史预测。仅通过父亲访谈诊断的SAD也可以通过母亲评定的婚姻冲突和不满来预测。结论：父母和孩子很少同意任何程度的儿童分离焦虑的存在。一个症状的“或规则”主要是指数诊断的基础上，只有一个线人采访，但这种诊断的相对有效性仍然不清楚。
Objective: To characterize informant disagreement for separation anxiety disorder (SAD). Method: The sample comprised 2,779 8- to 17-year-old twins from a community-based registry. Children and their parents completed a personal interview about the child's psychiatric history. Parents completed a personal interview about their own psychiatric history and a questionnaire about their marital relationship. Results: Informant agreement for SAD ranged between chance and extremely poor. Most cases of SAD were diagnosed by interview with only one informant. SAD diagnosed only by child interview was associated with an increased odds of father-rated oppositional defiant disorder, and vice versa. SAD diagnosed only by parent interview was predicted by the parental informant's history of antisocial personality disorder. SAD diagnosed only by paternal interview was also predicted by mother-rated marital conflict and dissatisfaction. Conclusions: Parents and children rarely agree about the presence of any level of child separation anxiety. A symptom "or-rule" mostly indexes diagnoses based on interview with only one informant, but the relative validity of such diagnoses remains unclear.